避孕节育干预项目对四川省流动人口避孕行为的影响

Impact Analysis of the Contraceptive Intervention Projects on Contraceptive Behavior among Migrants in Sichuan Province

目的:评估避孕节育干预项目对四川省流动人口避孕行为的影响,为探索适宜的流动人口避孕行为干预模式提供依据。方法:多阶段随机整群抽取四川省成都市和攀枝花市流动人口相对集中的工厂、建筑工地、服务娱乐场所,并随机分为干预组和对照组。采用结构式问卷对2197名18～49岁流动人口进行干预前、后的调查。结果:干预后,干预组对象选择使用避孕套作为避孕方法的比例增加了5.32%;紧急避孕药的使用比例从干预前的13.22%上升至23.05%(P<0.01);干预组寻求咨询服务的比例为60.46%,与干预前相比提高了41.76%(P<0.01)。结论:干预后流动人口选择使用避孕套的比例以及紧急避孕药的使用比例都有所上升,对象寻求咨询服务的行为得到促进,但今后还应继续加强对低学历人群和未婚流动人口避孕节育的宣传教育和咨询服务。

Objective：To evaluate the impacts on contraception behavior of family planning intervention Project for migrants of Sichuan Province.Methods：A total of 2 197 migrants,including 1 198 in the intervention group and 999 in the control,who were aged 18-49 years were selected by multi-stage random cluster sampling and interviewed in Chengdu and Panzhihua,Sichuan Province.Results：The proportion of subjects who chose male condom as contraceptive method was increased 5.32% after intervention;and the proportion of urgent prophylactic use was increased from 13.22% to 23.05% in the endline survey,and there was a statistic significance（P0.001）.During the evaluation,the proportion of the migrants in the intervention group who seek counseling service was 60.46%,the proportion was 15.07% before intervention,there was a statistic significance（P0.001）.Conclusion：Some effects achieved,such as the use of male condom,urgent prophylactic and seeking counseling service,but more efforts should be done on contraceptive knowledge and counseling service,especially for the lower education and unmarried migrants.