深圳市流动已婚育龄妇女生殖健康现况调查

Investigation on Status of Reproductive Health among Floating Married Women Aged Childbearing in Shenzhen

目的：对深圳市流动已婚育龄妇女生殖健康现况及需求进行调查，以探讨流动人口生殖健康服务最佳实践模式。方法：采用等比例分层抽样方法抽样，调查对象为15～49岁的非本市户籍已婚妇女。结果：流动已婚妇女93．79％已落实各类节育措施，占已生育人数的99．41％，其中83．37％使用长效措施；72．20％的对象接纳婚前性行为，50．47％有过婚前性行为，42．78％首次性行为的年龄〈20岁，11．33％有多个性伴；17．77％做过人工流产术，反复流产率高达28．29％，26．33％的人有过生殖道感染患病史；91．38％的人希望获得更多的生殖健康知识，90．15％希望在业余时间由计生或妇幼保健部门提供讲座、面对面咨询服务，91．61％认为男性也应该参加生殖健康教育；对于免费避孕药具，有50．15％的人会主动领取，43．67％的人愿意自己购买避孕药具并坚持使用。结论：本市流动已婚育龄妇女生殖健康状况不容乐观。建议进一步加强流动人口生殖健康宣传教育和避孕方法的知情选择、药具等综合管理与服务，开展流动人口生殖健康促进项目。

Objective： To investigate the status, demands and needs of reproductive health among floating married women aged childbearing so as to explore the best feasible procedure of reproductive health in floating population. Methods：Married and non- native women aged 15 -49 years old were selected and analysed by geometric proportion delamination sample method. Results：93.79% married women took different birth control measures, aeeounting for 99.4% among ever - beating women. Of them, 83.37% took long - term effective measures; 72.20% admitted antemarital sexual behaviours; 50. 47% had sexual behaviours before marriage ever; 42.78 % of less than 20 - year - old women had the first sexual behaviours; 11.33 % had several sexual partners; 17.77% underwent induced abortion; repetitive abortion rate was 28.29% ; 26.33% underwent reproductive tract infection; 91.38% wished to get more information and knowledge on reproductive health; 90. 15% wanted to listen to lectures and get faee - to - face counseling from family planning organizations or women- children health care organizations in part time; 91.61% thought that male should also accept reproduetive health education; 50. 15% would like to get free eontraeeptives;43.67% would rather buy contraceptives by themselves and insisted on using it. Conclusion： It is suggested that we should strengthen comprehensive management and service on reproductive health, contraception informed choice and contraceptives supply among floating population, and carry out some reproductive health programs.