流动未婚女性生殖健康干预效果评价

Efficacy evaluation on reproductive health intervention among unmarried female migrants

目的评价山东省青岛市流动未婚女性生殖健康宣传教育的干预效果,为探索流动人口生殖健康的有效干预措施提供参考依据。方法采用意向抽样方法抽取山东省青岛市5个工厂的18~29岁流动未婚女性共861人进行问卷调查。结果在生殖健康知识得分方面,干预前及格率为19.3%,干预后为95.4%,差异有统计学意义（2χ=-13.30,P〈0.01）;涉及避孕和性知识的9个问题,除月经期停服口服避孕药会导致怀孕的问题干预后回答正确率低于干预前（2χ=6.46,P=0.01）,其他8个问题回答正确率均高于干预前（P〈0.01）;涉及性病艾滋病的7个问题,干预后回答正确率均高于干预前（P〈0.01）;干预后,过去6个月在性行为时采取避孕措施、能坚持采取避孕措施和使用过安全套的比例分别为97.9%,65.3%和95.8%,均高于干预前的79.7%,45.5%和78.9%（P〈0.01）;但坚持每次性行为均使用安全套的比例在干预前、后差异无统计学意义（P〉0.05）。结论通过多种形式的宣传教育能有效提高流动未婚女性对生殖健康知识的知晓率,改善其性相关行为。

Objective To evaluate the efficacy of reproductive health（RH） intervention among unmarried female migrants.Methods Using purposive sampling method and the questionnaire designed by European Union,we investigated 861 unmarried female migrants before the intervention and 806 after the intervention.Results Before the intervention,only 19.3% of respondents got scores of 10 or above for reproductive health knowledge;after the intervention,95.4% of respondents got score of 10 or above（χ2=-13.296,P=0.00）.The rate of condom use,consistently using contraceptive measure and consistent condom use increased more than 10% than those of before the intervention.However,the rates of condom use at each intercourse and taking contraceptive measure were not significantly different from those of before the intervention.Conclusion Education can improve the knowledge of RH among unmarried migrants and more effictive interventions should be conducted to improve RH status of the unmarried female.