深圳市宝安区行人工流产术的外来女工性与生殖健康认知情况调查

Survey on the sexual and reproductive health knowledge of migrant women workers experienced abortion in Bao′an district of Shenzhen city

目的了解深圳市宝安区行人工流产术的外来女工对性与生殖健康知识的知晓及重复人工流产情况,为相应公共卫生政策的出台提供依据。方法采用分层随机抽样的方法,对在宝安区3家不同级别的医院接受人工流产手术的外来女工进行面对面问卷调查。结果本研究共收回3 340份有效问卷,其中曾接受过正规的性与生殖健康知识教育的仅有23.6%(782/3 308)。对性与生殖健康相关知识的总体知晓率为62.0%(12 426/20 040),不同文化程度和月收入水平的外来女工知晓率差异有统计学意义(χ_(文化程度)~2=307.316,P<0.05;χ_(月收入)~2=173.172,P<0.05);女工初次经历性生活的年龄主要集中在20~24岁(58.3%,1 930/3 311),而发生第一次性行为时未采取避孕措施的高达71.6%(2 369/3 307);进行多因素非条件Logistic回归分析显示,在深圳居住时间长、月收入较高及没有接受过正规的有关性与生殖健康知识教育为外来女工进行重复人流的危险因素。结论深圳市宝安区外来女工性与生殖健康知识欠缺,需要相关部门进行性与生殖健康相关知识的宣讲和适当的行为干预。

Objective To survey on the sexual and reproductive health knowledge and the situation of repeated abortion inmigrant female workers,and provide the evidence for introducing the corresponding public health policy. Methods Stratified random sampling method was used and a face-to-face questionnaire survey was conducted in migrant femaleworkers who received abortion at three different-level hospitals in Bao′an district Shenzhen city. Results In this study,atotal of 3 340 valid questionnaires were collected,and only 23.6%（782/3 308） of participants had received formaleducation about sexual and reproductive health. The overall awareness rate of sexual and reproductive health-relatedknowledge was 62.0%（12 426/20 040）,and there were significant statistical difference among migrant females workerswith different educational background（χ～2=307.316,P≤0.05）and different income level（χ～2=173.172,P≤0.05）. The ageof sexual life for the first time of migrant females workers was mainly concentrated at 20～24 years old（58.3%,1 930/3 311）,and 71.6%（2 369/3 307）of them did not take any contraceptive measures during their first sexual behavior. Multivariateunconditional Logistic regression analysis showed that live for a long time in Shenzhen city,higher monthly income,and noformal education about sexual and reproductive health were the risk factors for repeat abortion among migrant femalesworkers. Conclusion Migrant female workers lack sexual and reproductive health knowledge and relevant departmentsshould carry out more preaching activities about sexual and reproductive health-related knowledge and take appropriatebehavioral interventions among the migrant female workers.