流动育龄妇女妇科检查服务利用及影响因素分析

发布时间：2018-07-09 20:37

本文选题：流动育龄妇女 + 妇女保健　；参考：《中国公共卫生》2015年03期

【摘要】：目的了解流动育龄妇女妇科检查服务利用现状及其影响因素,为改善流动育龄妇女生殖健康质量提供依据。方法利用2005年北京、南京、厦门、深圳和重庆5城市流动人口生殖健康抽样调查数据,分析5 399名流动育龄妇女妇科检查情况,采用logistic回归分析其影响因素。结果未做和做过妇科检查者分别为3 112人(57.64%)和2 287人(42.36%),其中在流入地、户籍地和其他地方做妇科检查者分别为1 805人(78.92%)、445人(19.46%)和37人(1.62%);已婚者或有过婚姻者做妇科检查可能性分别是未婚者的7.46倍(95%CI=5.45~10.21)和4.86倍(95%CI=2.33~10.15);生育1胎者做妇科检查可能性是未生育者的1.47倍(95%CI=1.13~1.90);有婚育证明者做妇科检查可能性是无婚育证明者的1.41倍(95%CI=1.24~1.61);签订计划生育管理协议者做妇科检查可能性是未签订者的1.33倍(95%CI=1.17~1.52);参加过宣教活动者做妇科检查可能性是未参加者的1.56倍(95%CI=1.38~1.76);自身状况一般和差者做妇科检查的可能性分别是自身状况良好者的1.25倍(95%CI=1.08~1.44)和1.80倍(95%CI=1.25~2.60)。结论已婚或有过婚姻、生育胎数少、有婚育证明、签订计划生育管理协议、参加计生部门宣教活动、自身健康状况差对流动育龄妇女的妇科检查具有保护作用。
[Abstract]:Objective to investigate the utilization of gynecological examination service and its influencing factors among floating women of childbearing age, and to provide evidence for improving the quality of reproductive health of floating women of childbearing age. Methods the reproductive health sampling data of floating population in Beijing, Nanjing, Xiamen, Shenzhen and Chongqing in 2005 were used to analyze the gynecological examination of 5 399 floating women of childbearing age, and the influencing factors were analyzed by logistic regression analysis. Results there were 3 112 (57.64%) and 2 287 (42.36%) patients who had not been examined by gynecology, among them, 3 112 (57.64%) had no gynecologic examination, and 2 287 (42.36%) had no gynecological examination. There were 1,805 (78.92%) and 37 (1.62%) gynecological examiners in the domicile and other places respectively, 7.46 times (95CI5.45 10.21) and 4.86 times (95CI2.333.15) in married or married persons, respectively, and 7.46 times (95CI2.330.15) in women with one child, and 7.46 times (9.55%) and 4.86 times (95CI 2.33 10.15) in married or married persons, respectively. Sex is 1.47 times as high as those who have not given birth (95CI1.131.90); those who have proof of marriage and childbearing are 1.41 times more likely to have a gynaecological examination than those without marriage (95CI1.241.61); those who sign a family planning management agreement are 1.33 times more likely to have a gynaecological examination than those who have not signed it (95CI1.171.52); The possibility of gynecological examination was 1.56 times of that of non-participants (95CI1.381.76), and the probability of gynecological examination was 1.25 times (95CI1.081.44) and 1.80 times (95CI1.252.60) of those with normal and poor status. Conclusion married or ever married, having fewer births, having proof of marriage and childbearing, signing management agreement of family planning, taking part in propaganda and education activities of family planning department, their poor health status have protective effect on gynecological examination of floating women of childbearing age.
【作者单位】：北京大学人口研究所;中国人口与发展研究中心;
【基金】：国家自然科学基金(41271439) 2010年教育部人文社会科学规划项目基金(10YJA840030) 中国流动人口生殖健康服务状况调查(国人口调[2005]4号)
【分类号】：R173

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