昆明市15～49岁流动已婚妇女保健服务利用调查

Utilization of Maternal Health Care Service among Floating Married Women in Kunming City

目的了解昆明市15～49岁流动已婚妇女保健服务利用现状,为建立适合流动人口的妇女保健系统提供科学依据,提高流动已婚妇女的保健水平。方法采用多阶段分层随机抽样原则,对1631名流动人口进行入户访谈。结果共调查15～49岁流动已婚妇女1185名。流动已婚妇女的婚前检查率为41.8%,2007-07—2008-06接受妇科疾病检查的比例为28.1%;流动孕产妇的产前检查率为72.0%、住院分娩率为97.5%,产后访视率为27.1%。Logistic回归分析显示,妇女的文化程度[OR的95%CI为(1.477,2.065)]、家庭月收入[OR的95%CI为(1.049,1.331)]是影响其接受婚前检查的因素;不同文化程度妇女的妇科检查比例有统计学差异(χ2=-2.859,P=0.004)。结论流动已婚妇女、孕产妇的保健水平较低,建议加强妇女保健的宣传,定期开展流动妇女妇科疾病的普查,实施流动孕产妇管理系统,提高流动人口社区卫生服务站的产科质量。

Objective To understand the status of utilization of health care service for women among floating married women aged 15-49 in Kunming City so as to provide scientific basis for establishment of women health care system suitable for floating population,and in order to improve health care service to floating women and their health status.Methods Multi-staged and stratified cluster sampling was used to select 1 631 floating people who were given interview.Results Totally 1 185 floating married women aged 15-49 years were interviewed.The rate of premarital medical checkup for them was 41.8%.From July 2007 to June 2008,those who accepted examination of gynecologic disease accounted fro 28.1%,the pregnant women who received prenatal checkup counted for 72.0%,those who gave birth in the hospital counted for 97.5%,and those who received postpartum interview accounted for 27.1%.The logistic regression analysis showed that factors affecting the women who took premarital medical checkup were the education level of the woman [OR,95% CI（1.477,2.065）] and family income [OR,95% CI（1.049,1.331）].The percentages of taking gynecological examination was significantly different among women with different education levels（χ2=-2.859,P=0.004）.Conclusion The level of health care service among floating married and pregnant women was lower.The propaganda on women＇s health care needs ton be enhanced,regular examination of gynecological diseases should be conducted for floating women,a management system of floating pregnant women should be set up,and quality of obstetrical service in community health centers should be improved.