郑州市流产妇女生殖健康知识现状及其影响因素分析

Study on Current Status and Influencing Factors of Reproductive Health Knowledge among Women Seeking Induced Abortion in Zhengzhou

目的:了解流产妇女生殖健康知识和接受相关服务的现状,为进一步完善医院流产后计划生育服务做参考。方法:2005年7～9月,通过流行病学整群抽样调查,对郑州市10家医院选择人工流产且年龄≤25岁共1100名流产妇女进行横断面的问卷调查。结果:调查对象生殖健康知识得分不高,在满分20分情况下,得分为10.75±3.59(1～19)分;避孕方法使用回答正确率较低(8.2%～87.9%),这与调查对象的年龄、出生地、文化程度和职业有关,而未婚妇女的避孕知识得分除了与其年龄和文化程度有关外,还与其男伴的文化程度有关。流产妇女在医院接受的计划生育服务主要是流产后注意事项(95.4%),服务方式主要是面对面宣传教育(82.6%),宣传教育的时间主要在流产后休息时(48.1%),绝大多数调查对象表示流产后没有接受医生的计划生育咨询、免费避孕药具提供和推荐转诊服务。结论:计划生育宣传教育应多关注未婚有性生活人群,同时让男伴参与进来;医院流产后计划生育服务需要规范,应加强有效计划生育宣传教育,提供免费避孕药具和推荐转诊服务。

Objective：To explore the current status of reproductive health knowledge and associated services accepted among women seeking induced abortion in order to provide the evidence for improving quality of service in post-abortion family planning. Methods： A cross-sectional survey was conducted among 1 100 women （not more than 25 years old） seeking induced abortion in 10 hospitals in Zhengzhou. Results： The respondents＇scores of reproductive health knowledge were low and the average scores were 10.75±3.59 （ 1~19）. The awareness of appropriate contraceptives was low （8.2%~87.9%）,which was relevant to the respondents＇age,place of birth,the level of education and occupation. Besides their age and the level of education,the awareness of contraceptive of unmarried women were related to the level of education of their partners. The contents of education provided in the hospitals were mainly about post-abortion precautions （95.4%）,and the primary form of education was face-to-face （82.6%）,and the education was conducted at the break after abortion （48.1%）. Most respondents stated that they did not obtain counseling service for family planning,free contraceptives and referral services after abortion. Conclusion： It is required to further strengthen the propaganda and education for the unmarried women with sex activities. Meanwhile,involvement of male partner should be advocated. The post-abortion family planning services in hospitals should be normalized,which should involve in strengthening available education,providing free contraceptives and recommending referral services.