多部门合作促进青少年友好型生殖健康服务利用的干预研究

发布时间：2019-03-25 12:01

【摘要】：目的观察多部门合作促进青少年友好型生殖健康服务提供和利用的综合干预措施对促进青少年友好服务利用的效果,为建立相关长期工作机制提供依据。方法以黑龙江、江苏、山东3个城镇地区作为对照地区,在另外广东、重庆、贵州3个城镇地区实施《多部门合作促进青少年友好服务提供和利用的行动方案》1.5 a后观察干预效果。调查对象为12~24岁未婚校内、外青少年,干预前分别为1 104,1 149名,干预后分别为983,962名。采用χ2检验比较干预地区和对照地区干预前后的差异。结果干预后干预地区青少年在遇到生殖健康问题时就医频率、在当地妇幼保健院就诊的比例及对服务的满意度较干预前均显著增加,分别由19.2%(男)和25.8%(女)增至41.6%(男)和56.6%(女),32.2%增至68.1%,49.2%(县医院)和64.4%(县妇幼保健院)增至73.6%(县医院)和88.0%(县妇幼保健院),并且均高于对照地区。干预地区干预后青少年友好服务的数量增加了3倍,由1 525人次增至6 816人次;而对照地区仅由140人次增至340人次。干预地区青少年遇到生殖健康问题时常见的5个未就医原因是"不认为是个问题"(45.6%)、"害羞,担心遇到熟人"(17.9%)、"不需要看医生"(15.2%)、"不知道哪个医院更好"(14.1%)"没有时间"(13.4%),比例和顺位在干预后未呈现统计学意义的改变。结论在我国现有卫生服务体系中所实施的行动方案对于促进青少年友好服务的利用是必要可行、有效的,可为政策制定者提供相关参考。
[Abstract]:Aim to observe the effect of comprehensive intervention measures of multi-sector cooperation to promote the provision and utilization of adolescent-friendly reproductive health services, and to provide evidence for the establishment of related long-term working mechanisms. Methods three urban areas of Heilongjiang, Jiangsu and Shandong were used as control areas, in addition, Guangdong and Chongqing, The effect of intervention was observed in 3 urban areas of Guizhou Province after the implementation of the Action Plan for Multi-sector Cooperation to promote the provision and Utilization of Youth friendly Services for 1.5 years. The subjects were 12-24-year-old unmarried school and non-resident adolescents, which were 1 104, 1 149 before intervention and 983962 after intervention, respectively. 蠂 2 test was used to compare the difference between intervention area and control area before and after intervention. Results after intervention, the frequency of seeking medical treatment, the proportion of visits to local maternal and child health care centers and the satisfaction with services in the intervention areas were significantly higher than those before intervention. From 19.2% (male) and 25.8% (female) to 41.6% (male) and 56.6% (female), 32.2% to 68.1%, 49.2% (county hospital) and 64.4% (county maternal and child health hospital) increased to 73.6% (county hospital) and 88.0% (county maternal and child health care hospital), and both were higher than the control area. After intervention, the number of adolescent friendly services increased threefold from 1 525 to 6 816 in the intervention area, while that in the control area increased from 140 to 340. The five common reasons why adolescents in the intervention areas encounter reproductive health problems are "not considered a problem" (45.6%), "shy, worried about meeting acquaintances" (17.9%), "do not need to see a doctor" (15.2%), "do not need to see a doctor" (15.2%). "I don't know which hospital is better" (14.1%), "no time" (13.4%), and there was no statistically significant change in proportion and order after intervention. Conclusion it is necessary, feasible and effective to promote the utilization of adolescent friendly services in the existing health service system of our country. It can provide some references for policy makers.
【作者单位】：中国疾病预防控制中心妇幼保健中心;
【基金】：中国-联合国人口基金青少年生殖健康应用性科研课题项目(CHN6R51B)
【分类号】：R179

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