中国妇女人群对妇女常见病普查服务的利用情况分析

Analysis of common gynecological disease screening utilization in China women

目的 了解不同妇女人群对妇女病普查服务的利用情况和影响因素,为进一步完善妇女常见病普查工作提供科学依据.方法 于2007年12月至2008年1月选取北京、福建、山西、湖北、安徽、黑龙江、新疆、四川、甘肃、广西为调查现场,采用整群抽样的方法,对7 261名调查对象进行入户调查.结果调查对象中共有3 040名妇女2004至2006年三年期间接受过妇女病普查服务,占42.0%.妇女人群对妇女病普查的利用情况受多种因素影响,其中参加普查的意愿是影响其接受普查行为的最主要因素（OR=5.022）;无业者普查率低于行政/技术人员、工人和农民（OR分别为1.597、2.292、2.181）;受教育程度越低,普查率越低（OR=1.707）;55岁以上年龄组的妇女普查率低于35～44岁和45～54岁年龄组（OR分别为1.683、1.378）.结论妇女人群对妇女病普查服务的利用不足,应针对其原因采取各种措施加强妇女人群对妇女病普查的认识,提高妇女参加普查的比率,促使妇女病普查服务得到更好的利用.

Objective To investigate the utilization of common gynecological disease screening service in different women and its influencing factors so as to provide some scientific evidence for further perfecting of common gynecological disease screening. Methods Cluster sampling method was used to select 7 261 women from Beijing, Fujian, Shanxi, Hubei, Anhui, Heilongjiang, Xinjiang, Sichuan, Gansu and Guangxi Province from December 2007 to January 2008 for family investigation. Results 3 040 women accepted common gynecological disease screening service in the period of 2004 to 2006, and the ratio was 42.0%. Among many factors influencing the utilization of common gynecological disease screening service, the willingness to accept common gynecological disease screening was the major factor （OR = 5. 022）. The ratio was lower in jobless women than in administrative / technical staff, workers and peasants （OR was 1. 597, 2. 292 and 2. 181 respectively）. The lower the education level was, the lower the ratio of screening was（OR = 1. 707）. The ratio of women older than 55 years was lower than that of women aged 35-44 years and 45-54 years （ OR was 1. 683 and 1. 378 respectively）. Conclusion The utilization of common gynecological disease screening service is insufficient in women. Measures should be taken to strengthen their understanding of common gynecological disease screening, to increase the ratio of accepting screening service and to promote the utilization of common gynecological disease screening service .