甘南州妇女生殖道感染就医行为干预效果评价

Effectiveness of health education on behaviors of seeking for medical care among married childbearing age women with reproductive tract infections in Gannan region

目的评价综合性健康教育对甘肃省甘南州育龄妇女生殖道感染就医行为的影响。方法采用分层整群抽样的方法获得样本,对干预组进行为期14个月的多种形式生殖健康教育干预,采用同一问卷调查,比较干预前后干预组和对照组已婚育龄妇女有生殖道感染自觉症状就医率的变化。结果干预后有症状的妇女就医率明显提高,干预组和对照组分别提高了39.04%和27.32%,干预组的干预效果好于对照组,相对干预效果为16.13%。接受过干预、民族为藏族、妇女接受过生殖健康咨询、丈夫接受过生殖健康培训、生殖健康知识得分高是影响有症状妇女就医的正向因素,尤其接受了健康教育干预对妇女的就医率影响强度最大,OR值为1.486。结论生殖健康教育是改善藏区妇女生殖道感染就医行为的有效措施。

Objective To evaluate the effectiveness of health education on behaviors of seeking for medical care among married childbearing age women with reproductive tract infections （RTIs） in Gannan region. Methods A questionnaire survey was conducted among married childbearing age women selected with stratified cluster sampling technique. Comprehensive health eduction for 14 months was conducted in the intervention group. The uniform questionnaire survey was used to compare the effect of intervention. Results After the intervention, the ratio of seeking for medical care in symptomatic women was higher than that of before. The ratio increase of the intervention group was higher than that of the control group. The relative intervention effectiveness was 16. 13%. Those of favourable factors influencing seeking for medical care in women with RTIs were accepting intervention, Tibetan nationality, accepting consultation of reproductive health for women, accepting consulation of reproductive health for husband, and having much knowledge about reproductive health. Conclusion Reproductive health education is an effective measure to improve behaviors of seeking for medical care among married childbearing age women with RTIs.