非户籍育龄妇女避孕现状及影响因素分析

Non-permanent residential women of childbearing age:their contraceptive situation and influence factors

[目的]了解非户籍育龄妇女的避孕节育现状并分析其影响因素,为进一步完善非户籍人口避孕节育服务提供依据。[方法]对2007年7月至2008年12月在某社区卫生服务中心妇科就诊的所有非上海户籍育龄妇女共430例进行避孕情况的问卷调查,分析影响因素。[结果]有79.3%的妇女近1年内采取避孕措施,已婚妇女以采用宫内节育器(IUD)为主(占50.8%),未婚妇女以使用避孕套为主(占61.3%)。71.3%的妇女对所采取的避孕方法满意。获取避孕药具的途径,90.3%的未婚者为自行购买,免费获取的仅占9.7%。[结论]管理-宣教-服务相结合的服务模式有利于提高非户籍妇女的避孕率和避孕方法满意率。

[ Objective ] To investigate non-permanent residential women~ contraceptive status quo and analyze the influence factors, then providing grounds for further completion of contraceptive services for non-permanent residential women. [ Methods] A group of 430 non-permanent residential women at re- productive age were included during the period of July 2007 to December 2008 in the gynecology department of a Community Health Services Center in Shanghai. A structured questionnaire was used for investigation through face-to-face interview and for collection of information on birth control options of the subjects. [ Results] About 79.3% of the 430 women subjects took contraceptive measures at the time of interview. The leading approach was intrauterine devices （IUD, 50. 8%） in the married women and condom {61.3%} in the unmarried. 71.3% of the subjects were satisfied with the approach they employed. 90.3% of the unmarried female subjects purchased contraceptive devices themselves, and only 9.7% ob- tained free devices from family planning services. [ Conclusion ] The combination of health education, comprehensive service and administration should be recommended to increase contraception rate and satis- faction rate of the non-permanent residential women for the health service.