无锡地区已婚育龄妇女生殖道疾病KAP调查分析及对策

KAP survey and countermeasures of reproductive tract diseases in married women of childbearing age in Wuxi area

目的:调查分析无锡社区已婚育龄妇女对妇科生殖道疾病的知识、行为以及态度的基本情况,为社区进一步开展宣传妇女生殖道保健知识工作及预防妇科生殖道疾病提供科学依据。方法:选择2009年7月～2010年12月在无锡市滨湖区河埒街道卫生服务中心妇科门诊参加社区居民健康体检的已婚育龄妇女980名,采用整群抽样法,按照体检的先后顺序进行随机编号。采用问卷调查方式,进行妇科生殖道疾病的KAP调查。结果:927名调查对象KAP评分为(41.20±9.49)分,优秀率为20.2%(187/927),其中,K分的及格率为89.9%(833/927),P分及格率为53.8%(499/927),差异有统计学意义(P<0.05)。K分是A分和P分最主要的影响因素,K分越高,A分和P分也越高。文化程度是K分最主要的影响因素,二者呈正相关关系。结论:加强育龄妇女生殖道疾病的宣传力度和服务工作,提高广大育龄妇女对生殖道疾病的认识,并采取正确有效的自我保健措施,可明显改善育龄妇女的生活质量。

Objective：To investigate and analyze the basic conditions of married women of childbearing age in Wuxi communities about their knowledge,behaviors and attitudes of gynecological reproductive tract diseases,in order to provide scientific basis for the further development and advocacy of female reproductive tract health knowledge and prevention of gynecological reproductive tract diseases.Methods：980 married women of childbearing age who had received the health examination in the department of gynecological outpatient,Helie street health service center of Binhu district in Wuxi city from July 2009 to December 2010 were selected.The cluster sampling method was used and according to the order of examination,the married women of childbearing age were numbered randomly.The method of questionnaire survey was adopted to implement the KAP survey of gynecological reproductive tract diseases.Results：The KAP score of the 927 respondents was（41.20±9.49） points,with the excellent rate of 20.2%（187/927）.The pass rate of K score was 89.9%（833/927） and which of the P score was 53.8%（499/927）,the difference was statistically significant（P〈0.05）.The K score was the main influence factor of the A score and P score.The higher the K score was,the higher the A and P scores were.Education was the most important influence factor of the K score,and which were positively correlated with each other.Conclusion：Strengthening publicity and service of the reproductive tract diseases for women of childbearing age,improving knowledge of reproductive tract diseases,and taking correct and effective self healthcare measures can significantly improve the quality of life.