流动人口已婚人群孕前保健知识意愿及行为研究

Survey on the behaviour and desire for the preconception care knowledge among couples at reproductive ages in floating population

目的调查流动人口孕前优生健康知识、意愿及行为,为推动免费孕前优生健康检查惠及更多流动人口、实现有效覆盖提供依据。方法在苏北、苏中、苏南选择3个项目点对600名流动人口进行问卷调查和18名基层计生专业干部个人深入访谈。结果被调查地区流动人口趋于年轻化,30岁以下占70.7%,文化程度增高,逐渐成为稳定职业者,趋向长期化居住;对孕前优生健康知识知晓和需求提升,来源以电视、网络等非人际传播为主,较为浮浅;知道孕前优生健康检查是免费的有51.8%,参加过免费检查的只有46.7%。结论把握流动人口时代特征变化,强化宣传教育的针对性精准性;促进流动人口融入城镇社会,享有公共服务均等化;推动育龄夫妇共同行动,整合卫生计生资源配置,对有效提升流动人口主动参与免费孕前优生健康检查,实现全覆盖具有推动作用。

Objective To investigate the recognition, intention and behavior of pre-pregnancy health examination among the floating population, so as to provide basis for promoting more floating population to participate in the pre-pregnancy health examination. Methods 3 project sites were chosen from North, Middle and South of Jiangsu. A total of 600 floating people were asked to complete a questionnaire and 18 family planning cadres were in-depth interviewed. Results The floating population tended to be younger（under 30 years of age accounted for 70.7%） and had higher educational background and became stable employer. They tend to be long-term residents with improved economic conditions. The awareness and demand of the knowledge of pre-pregnancy health was increased among the floating population.However, knowledge acquisition was based on non-interpersonal communication, such as television, internet, etc. There were 51.8% people known pre-pregnancy health examination is free, but only 46.7% participated. Conclusion To grasp the floating population＇s characteristics of the times and enhance the specificity and accuracy of the publicity of education; to promote the floating population into the urban society and to enjoy the equal public services; to promote couples of child-bearing age to act together and integrate resource allocation, can promote the floating population to participate in the pre-pregnancy health examination actively.