平凉市三县区育龄妇女健康现状调查

发布时间：2018-07-28 14:06

【摘要】：目的本研究选择平凉市的崆峒区、华亭县、庄浪县三县区的育龄妇女为调查对象。目的是分析平凉市育龄妇女健康现状和健康需求;了解平凉市育龄妇女的生育现状以及对艾滋病知识的知晓情况;分析影响妇女健康主要的因素;从而为我市妇女卫生决策提供依据。方法根据平凉市实际情况,以县区经济条件、城乡、交通情况等特征进行分层抽样,随机抽取了崆峒区、华亭县、庄浪县三县区作为调查地点,崆峒区代表城市,华亭县和庄浪县代表乡村,每个县区按经济情况分为好、中、差抽了三个乡(镇),每乡(镇)随机抽3个自然村(社区),每个村(社区)随机调查50人。以抽样点15~49岁育龄妇女作为调查对象,共调查1378个育龄妇女。结果本文调查结果显示:三县区育龄妇女小学文化程度者为(42.31%),大专及大专以上文化程度仅占0.73%;育龄妇女的职业主要是农民(93.83%);民族主要以汉族为主(86.87%);婚姻以已婚为主(99.56%);户口主要是农村户口(70.46%)。1378例育龄妇女慢性病患病率51.51%,其中接受治疗的比例为71.97%,三县区的差异经卡方检验,差异有统计学意义(P0.05);育龄妇女的两周患病率77.21%,三县区的差异经卡方检验,差异有统计学意义(P0.05);两周患病后,接受治疗的比例71.80%,三县区的差异经卡方检验,差异无统计学意义(P0.05);接受妇科检查率73.03%,三县区的差异经卡方检验,差异有统计学意义(P0.05);妇科疾病检出患病率51.61%,三县区的差异经卡方检验,差异无统计学意义(P0.05)。妇科疾病接受治疗率73.32%,三县区的差异经卡方检验,差异有统计学意义(P0.05)。1375例已婚或丧偶妇女中,没有怀孕的25例(1.81%),怀孕一次的299例(21.70%),怀孕两次的640例(46.44%),怀孕三次的237例(17.20%),怀孕四次的135例(9.80%),怀孕五次及五次以上的39例(2.83%),怀孕次数的构成比经卡方检验,差异有统计学意义(P0.05),怀孕的1350例妇女中,生育情况和怀孕情况基本一致,但是怀孕3次及3次以上,生育的次数少于怀孕次,有可能是流产所致。三县区生育次数的构成比经卡方检验,差异有统计学意义(P0.05)。本文调查怀孕妇女产前建卡的比例为54.07%,三县区的差异经卡方检验,差异无统计学意义(P0.05),本文调查接受免费孕前优生健康检查比例为89.19%,三县区的差异经卡方检验,差异无统计学意义(P0.05)。本文调查的艾滋病总体知晓率为62.26%,华亭县总体知晓率65.15%,崆峒区总体知晓率58.24%,庄浪县总体知晓率63.99%,三县区的差异经卡方检验,差异无统计学意义(P0.05)。结论平凉市育龄妇女的文化程度普遍不高,而慢性病和两周患病率较高,但就诊率不高,Logistic回归模型显示:育龄妇女的年龄、户口类型、在外务工、健康状况、到达医疗机构的方便程度等是就诊的影响因素;妇女接受妇科检查的比较低,育龄妇女妇科疾病接受治疗率较低,妇女文化程度是影响妇女妇科病就诊的主要影响因素,调查的妇女中大多数均怀孕两次,生育两孩,怀孕妇女产前建卡比例较低;育龄妇女对艾滋病知晓率不高。
[Abstract]:Objective to select the women of childbearing age in three counties of Kongtong, Huating and Zhuanglang counties in Pingliang. The purpose of this study is to analyze the health status and health needs of women of childbearing age in Pingliang, to understand the status of childbearing women in Pingliang and to understand the knowledge of AIDS, and to analyze the main factors affecting the health of women in Pingliang; thus, the main factors affecting the health of women in Pingliang are analyzed. According to the actual situation of Pingliang City, according to the actual situation of the city, the county economic conditions, urban and rural areas, traffic conditions and other characteristics of stratified sampling, random sampling Kongtong District, Huating County, Zhuanglang County three counties as the investigation site, Kongtong District representative cities, Huating county and Zhuanglang County represent the countryside, each county area according to the economic situation Three townships (towns) were pumped into 3 villages (communities) in each township (town), and 50 people were randomly investigated in each village (community). A total of 1378 women of childbearing age were investigated at a sample point of 15~49 years old women of childbearing age. The results of this survey showed that the primary school education of women of childbearing age in three counties was (42.31%), college and college or higher. The education level accounted for only 0.73%; the occupation of women of childbearing age was mainly farmers (93.83%); the main ethnic group was Han nationality (86.87%); marriage was married mainly (99.56%); the household registered permanent residence (70.46%).1378 cases of childbearing age women's chronic disease rate 51.51%, the proportion of receiving treatment was 71.97%, the difference of three counties was tested by chi square test, the difference was unified. Study significance (P0.05); the two week prevalence rate of women of childbearing age was 77.21%. The difference between three counties was statistically significant (P0.05). After two weeks of illness, the proportion of receiving treatment was 71.80%, the difference between three counties and counties was not statistically significant (P0.05); the rate of receiving gynecologic examination was 73.03%, and the difference between three counties was tested by chi square test, and the difference was poor. The difference was statistically significant (P0.05); the prevalence rate of gynecologic diseases was 51.61%, and the difference between three counties and counties was not statistically significant (P0.05). The rate of receiving treatment for gynecologic diseases was 73.32%, and the difference between three counties was statistically significant (P0.05) among married or widowed women, 25 cases (1.81%) had no pregnancy (1.81%), and one pregnancy was pregnant. 299 cases (21.70%), 640 pregnancies two times (46.44%), 237 pregnant three times (17.20%), 135 cases (9.80%), 135 pregnancies and more than five times, the number of pregnancies was compared to the card test, the difference was statistically significant (P0.05), the fertility situation and pregnancy were basically the same, but the pregnant women were basically the same, but the pregnancy situation and pregnancy were basically the same, but Pregnancy 3 times and more than 3 times, the number of childbirth is less than the pregnancy, may be caused by abortion. The number of birth times in three counties was compared with the card test, the difference was statistically significant (P0.05). The proportion of pregnant women in this paper was 54.07%, the difference between three counties was not statistically significant (P0.05). The proportion of health examination for free prenatal eugenics was 89.19%. The difference between three counties and counties was not statistically significant (P0.05). The overall awareness rate of AIDS was 62.26%, the overall awareness rate of Huating county was 65.15%, the overall awareness rate of Kongtong district was 58.24%, the overall awareness rate in Zhuanglang county was 63.99%, and the difference between three counties was tested by chi square test. No statistical significance (P0.05). Conclusion the educational level of women of childbearing age in Pingliang is generally not high, but chronic diseases and two weeks' prevalence rate is high, but the rate of medical treatment is not high. The Logistic regression model shows that the age of the women of childbearing age, the type of household registration, the health status, the convenience of the medical institution and so on are the influencing factors of the medical treatment. The rate of gynecologic examination is low, the rate of receiving treatment for gynecologic diseases in women of childbearing age is low, and the degree of women's education is the main influencing factor of women's gynaecologic disease. Most of the women in the survey are pregnant two times, have two children, and the proportion of pregnant women in the prenatal period is low, and the rate of AIDS awareness among women of childbearing age is not high.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R173

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