改良的宣传干预对流动人口未婚女性生殖健康的改善效果

Effect of improved publicity and intervention on improvement of reproductive health of unmarried women of floating population

目的:探讨运用改良的宣传干预手段对流动人口未婚女性生殖健康的改善效果。方法:选择流动人口未婚女性200例随机分为改良组与常规组。常规组仅免费发放避孕套与宣传资料,改良组则在常规组的基础上进行张贴宣传海报、开通流动人口未婚女性生殖健康专线、设立流动人口未婚女性生殖健康服务点、开展生殖健康讲座与发放服务联系卡。通过问卷调查的方式了解两组人员干预前后对各类生殖健康知识的知晓率与正确率情况。结果:干预后,除艾滋病效率两组差异无统计学意义(χ2=1.005,P=0.316)外,改良组避孕知识、流产知识、生殖道感染知识与性健康知识的知晓率明显高于常规组,差异有统计学意义(避孕知识:χ2=45.399,P=0.000;流产知识:χ2=49.112,P=0.000;生殖道感染知识:χ2=43.613,P=0.000;性健康知识:χ2=53.296,P=0.000)。改良组各类生殖健康知识的正确率均明显高于常规组,差异有统计学意义(避孕知识:χ2=5.214,P=0.022;流产知识:χ2=19.705,P=0.000;生殖道感染知识:χ2=32.119,P=0.000;性健康知识:χ2=28.910,P=0.000;艾滋病:χ2=6.948,P=0.000)。结论:流动人口未婚女性生殖健康的改良宣传干预能有效提高她们对各类生殖健康知识的知晓率与正确率,推荐应用。

Objective： To explore the effect of improved publicity and intervention on improvement of reproductive health of unmar- ried women of floating population. Methods： Two hundred unmarried women of floating population were randomly divided into improved group and conventional group. Free condoms and publicity materials were provided in conventional group, while in improved group, improved measures were adopted based on the methods used in conventional group, including putting up posters, opening hot line for reproductive health of unmarried women of floating population, establishing service sites for reproductive health of unmarried women of floating population, conducting reproductive healthy lecture, and distributing service contact cards. The awareness rates and correct rates of women in the two groups to various reproductive health knowledge before and after intervention were investigated by questionnaire survey. Results： There was no statistically significant difference in awareness rate of AIDS after intervention between the two groups （X2 = 1. 005, P = 0. 316 ）, the awareness rates of contraceptive knowledge, abortion knowledge, reproductive tract infection knowledge, and sex health knowledge in im- proved group were statistically significantly higher than those in conventional group （ contraceptive knowledge ： X2 = 45. 399, P = 0. 000 ; a- bortion knowledge ： X2 = 49. 112, P = 0. 000 ; reproductive tract infection knowledge ： X2 = 43. 613, P = 0. 000 ; sex health knowledge ： X2 = 53. 296, P = 0. 000） . The correct rates of various reproductive health knowledge in improved group were statistically significantly higher than those in conventional group （ contraceptive knowledge ： X2 = 5. 214, P = 0. 022 ; abortion knowledge ： X2 = 19. 705, P = 0. 000 ; repro- ductive tract infection knowledge： X2 = 32. 119, P = 0. 000; sex health knowledge： X2 = 28. 910, P = 0. 000; AIDS： X2 = 6. 948, P = 0. 000） . Conclusion： The improved publicity and intervention can effectively improve the awareness rate and correct rate of unmarried women of floating population to various reproductive health knowledge, which is recommended to apply.