社区干预对已婚育龄妇女生殖道感染观念及态度的影响

A Community-based Intervention to Improve Notion and Attitude towards RTI among Married Women of Reproductive Age

目的:评价社区综合干预对已婚育龄妇女生殖道感染观念及态度的影响。方法:整群抽样方法选定上海市徐汇区4个街道一定数量的居委会,随机分为干预组和对照组,以≤49周岁的已婚妇女为研究对象,对干预组在常规的计划生育工作的基础上实施生殖道感染宣教和咨询服务的社区综合干预;对照组仅开展常规的计划生育服务;比较干预前、后干预组与对照组生殖道感染相关观念及态度的变化。结果:项目实施后,干预组对象对"妇女患生殖道感染、丈夫应承担责任"这一观念的改善比例高于对照组(OR=1.43,95%CI:1.06～1.92),对性病患者态度的改善比例也高于对照组(OR=1.57,95%CI:1.17～2.10)。结论:宣教和服务综合干预对已婚育龄妇女生殖道感染观念及态度有改善。

Objective：To understand the effects of synthetic reproductive tract infection（RTI）intervention on the notion and attitude to RTI.Methods：A community-based intervention study was conducted in Xuihui district,Shanghai.Four streets（Fenglin,Hunan,Hongmei and Changqiao）were selected by cluster sampling.In the intervention group,health education and counseling service of RTI were implemented,while routine family planning program was conducted in control group.The notions,attitudes and knowledge about RTI were compared before and after the intervention.Results：After the project,the improvement of notion about whether husbands should take responsibility or not for women’s infections and attitude towards sexually transmitted disease（STD）patients in the intervention group were both higher than those in control group（the former：OR= 1.43,95%CI：1.06-1.92;the latter：OR=1.57,95%CI：1.17-2.10）.Conclusion：It was an effective way to conduct community-based intervention to improve women’s notions and attitudes about RTI.