青岛市围绝经期妇女保健需求情况调查

Survey on healthcare service demand of perimenopausal women in Qingdao

目的了解青岛市围绝经期妇女对围绝经期认识程度和保健需求，为制定保健措施提供依据。方法采用整群随机抽样方法，选取青岛市区及城郊的1600名35～59岁妇女作为调查对象，进行围绝经期妇女保健需求调查。结果保健需求排在前5位的有：定期全面查体（54．56％）、围绝经期咨询（50.88％）、预防骨质疏松（42．56％）、预防老年痴呆症（39．19％）、保护关节功能（38．25％）。只有16．56％的妇女了解围绝经期保健知识，知识主要来源于媒体（38.60％）、同事朋友（35．92％）、医疗机构（26．48％）。围绝经期妇女性激素治疗（HT）率为4．13％，市区妇女性激素治疗（HT）率明显高于城郊妇女（x^2=15．36，P〈0．01）。结论围绝经期妇女对保健需求迫切，保健知识贫乏，应深入开展健康教育，普及推广性激素治疗的相关知识。

Objective To investigate healthcare service demand of perlmenopausal women in Qingdao. Methods Using cluster random sampling methods, 1600 women of 35 - 59 years old from selected cluster were investigated about healthcare service demand. Results The five most healthcare service demands were regular examination （ 54.56 % ）, counseling （50.88 % ）, prevention of osteoporosis（42.56 % ）, prevention Alzheimer＇ s disease（39.19 % ）, protection the function of joints （38.25 % ）. Only 15.56% of the women understand the knowledge about perimenopausal healthcare. The main sources were media （38.60 % ）, colleagues and friends （ 35.92 % ）, medical institutions （ 25.48 % ）. 4.13 % of perimenopausal women had ever or current use of HT. The rate of using HT in urban district was higher than that in suburban（x^2 = 15.56, P〈 0.01 ）. Conclusion Healthcare services of perimenopausal women were urgent, knowledge about perimenopausal healthcare was poor. Health education, and spread relevant knowledge about HT should be enhanced.