温州农村地区不同人群计划生育知信行现状及其影响因素

Status of KAP of family planning and effect factors among different populations in rural areas of Wenzhou

目的:探讨农村地区不同人群计划生育知信行的现状及影响因素。方法:采用分层整群随机抽样方法,对浙江省温州市3个县(市)的农村人口共782人进行横断面调查。结果:不同的职务、文化程度、村落位置的知识得分组间差别有统计学意义(P<0.01);不同的职务、职业、年龄、文化程度、生育情况、家庭收入、村落位置以及对计划生育扶助政策的满意度的信念和行为得分组间差别亦有统计学意义(P<0.05或P<0.01);知识得分、信念得分和行为得分之间存在正相关,信念得分和行为得分之间的相关性更明显。结论:加强对农村人群计划生育宣传和完善计划生育扶助政策,尤其要针对低文化、低收入、务农、首胎为女、40岁以上以及地处偏远山区或农村等特定人群进行重点干预。

Objective： To explore the status of knowledge,attitudes and practices （ KAP） of family planning and effect factors among different populations in rural areas of Wenzhou. Methods： 782 rural cases from 3 counties in Wenzhou were selected by stratified cluster random sampling,then a cross sectional study was carried out. Results： There was significant difference in knowledge score among cases with different professions,educational levels and locations of villages （ P 0. 01） ; there was significant difference in belief and practice scores of satisfaction degree of policy of family planning support among cases with different professions,ages,educational levels,birth giving history,family incomes and positions of village （ P 0. 05 or P 0. 01） ; there was a correlation between knowledge score,belief score and practice score,and the correlation between belief score and practice score was more obvious. Conclusion： The propaganda of family planning among rural population should be enhanced,the policy of family planning support should be perfected,especially for the women with low educational level,low income,engaged in agriculture,first child was girl,over forty years and coming from remote mountainous and rural areas,intensive intervention should be given.