广州市生殖健康家庭服务利用及其影响因素分析

The utilization of reproductive health family service in Guangzhou

目的：了解广东省广州市居民生殖健康家庭服务利用情况，并分析其影响因素。方法：2010年4月在广州市所辖的12个行政区（县）中抽取5个行政区，在每个行政区中抽取2个有代表性的社区。在抽取的10个社区，采取整群抽样的方法抽取出1247名18～50周岁社区居民进行问卷调查。结果：调查对象年龄集中在20—44岁（82．7％），女性居多（74．3％），大部分居民的文化程度为初中／高中／中专（53．5％），婚姻状况以已婚为主（82．8％），广州市户籍人口794人（63．7％）。仅36．1％的居民曾利用过生殖健康家庭服务，服务内容主要包括妇科疾病上门防治、建立家庭健康档案和计划生育术后上门随访等。通过构建logistic回归模型进行分析，结果发现调查对象为女性、婚姻状态为已婚、家里有5岁以下儿童、非广州市户籍人口的居民生殖健康家庭服务利用率较高。结论：进一步发展生殖健康家庭服务需要从改善生殖健康家庭服务利用率和更多关注年轻未婚人群的生殖健康家庭服务等方面进行努力。

Objective ： To explore the utilization of reproductive health family service and analyze its influencing factors. Meth- ods： The cluster sampling and questionnaire survey method were used to investigate 1247 residents aged 18 -50 in April 2010. Results： Most respondents were 20 -44 （82.7%） years old and female （74.3%）. Respondents with lower education- al level accounted for 53.5%. About 82.8% were married. And 794 （63.7%） of the respondents were local residents of Guangzhou. Only 36.1% of the respondents took advantage of reproductive health family service which included prevention and treatment of gynecological diseases at home, establishment of family health records and follow - up after family planning surgery. By constructing a logistic model, it was found that the utilization was better by families with female, married people, children under the age of five and nonnative residents. Conclusion ： To develop reproductive health family service, the utiliza- tion should be improved and more attention to the services for young unmarried population should be paid.