湘西少数民族农村妇女生殖健康教育与行为的干预研究

Study on reproductive health education and behavioral intervention among rural women in minority areas in Xiangxi

目的:评价民族地区农村妇女生殖健康教育和行为干预的效果。方法:2008年7～8月采取随机整群抽样4个县9个村1 374名18～65岁妇女进行生殖健康知识问卷基线调查,经过2年生殖健康教育和行为干预,2010年7～10月对该项目村的1 317名妇女再次进行问卷调查和干预评价。结果:干预后少数民族农村妇女生殖健康知识知晓率明显上升(P<0.01),相关正向态度和行为形成率明显提高(P<0.01)。结论:"教育+服务"的综合性生殖健康教育干预,对提高民族地区农村妇女生殖健康知识水平,促进其态度转变和形成健康行为效果显著,但仍需要全社会支持促进改善少数民族农村妇女生殖健康持续改善状况。

Objective：To evaluate the effects of reproduction health education and behavior among rural women in minority areas. Methods：1 374 women aged 18～65 years old were selected from 9 villages in 4 counties from July to August in 2008 by random cluster sampling method,then they received baseline survey of reproductive health knowledge by a questionnaire,after reproduction health education and behavior among rural women in minority areas for 2 years,all the women received questionnaire survey and intervention evaluation again from July to October in 2010. Results：After intervention,the awareness rate of reproductive health knowledge among rural women in minority areas increased significantly（P0.01）.The formation rates of positive attitudes and behaviors increased obviously（P0.01）. Conclusion：Comprehensive reproductive health education and intervention comprised of education and service can improve reproductive health knowledge level of rural women in minority areas,promote the transformation of attitude and formation of healthy behavior,but the support from the whole society is still needed to promote the improvement of reproductive health among rural women in minority areas.