青年女性流动人口求医行为分析

Analysis on health seeking behaviors of young women in floating population

目的:了解青年女性流动人口妇科症状自我报告情况、就医行为情况及其影响因素。方法:采用现况调查,对青岛市6个行政区中,员工人数大于300人的10个工厂的年龄在18～29岁、非本地户籍的工作人员3521人进行妇科相关症状及求医行为的问卷调查。结果:所有研究对象中,妇科相关症状自我报告率为32.3%,自我报告有妇科症状的青年女性流动人口到医疗机构治疗的就诊率为46.4%。其影响因素分析结果显示,婚姻状况(OR=0.706)、过去半年内接受避孕/怀孕/人流知识情况(OR=0.685)、生殖道感染(性传播疾病/艾滋病)知识情况(OR=1.420)、是否有机会向医务人员咨询过生殖健康方面的问题(OR=1.757)及是否在工厂外的医院接受过生殖健康或计划生育服务(OR=2.367)与年青女性流动人口妇科症状求医行为有关。结论:青年女性流动人口妇科症状自我报告率较高,就诊率较低,婚姻状况、接受生殖健康相关知识信息及服务情况与青年女性流动人口妇科症状求医行为有关。

Objective： To investigate the self- report status, health seeking behaviors and effect factors of gynecologic symptoms among young women in floating population. Methods： 3 521 female floating staff aged 18 -29 years old from 10 factories in 6 districts were selected by cross - sectional investigation, their gynecologic symptoms and health seeking behaviors were surveyed by a questionnaire. Results： The self - report rate of gynecologic symptoms was 32. 3% , 46. 4% of the women with gynecologic symptoms sought health service. Marriage （ OR = O. 706）, accepting contraception/pregnancy/abortion knowledge （ OR = 0. 685 ） and reproductive tract infec- tions （STD/AIDS） knowledge （ OR = 1. 420） in the past six months, having the opportunity to consult reproductive health issues from medi- cal staff or not （ OR = I. 757） and receiving reproductive health or family planning services in a hospital outside the factory （ OR = 2. 367） were related to health seeking behaviors of young women in floating population. Conclusion ： Among young women in floating population, the self - report rate of gynecologic symptoms is high while visiting rate is low. Marriage, accepting reproductive health knowledge and services are related to health seeking behaviors of young women in floating population.