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| 育龄人群免费避孕药具知晓情况及影响因素研究 | |
| 引用本文： | 舒婷,孙成红,杨燕玲,张柏杨,王婷婷,朱彩蓉. 育龄人群免费避孕药具知晓情况及影响因素研究[J]. 中国全科医学, 2021, 24(27): 3413-3419. DOI: 10.12114/j.issn.1007-9572.2021.00.547 |
| 作者姓名： | 舒婷 孙成红 杨燕玲 张柏杨 王婷婷 朱彩蓉 |
| 作者单位： | 1.610041四川省成都市,四川大学华西公共卫生学院 四川大学华西第四医院流行病与卫生统计学系 2.610041四川省成都市,四川省计划生育药具管理中心计划财务科 *通信作者：王婷婷,副科长;E-mail：7122458@qq.com 朱彩蓉,教授,博士生导师;E-mail：cairong.zhu@hotmail.com |
| 摘 要： | 背景 对免费避孕药具的知晓,是主动获得免费避孕药具的基本前提。了解避孕药具和免费避孕药具的知晓情况,发现对免费避孕药具政策知晓率较低的重点人群,可以为优化宣传策略提供科学依据。目的 了解四川省育龄人群对避孕药具及免费避孕药具的知晓情况,探讨免费避孕药具政策知晓的影响因素。方法 本研究数据来源于四川省2020年开展的横断面调查研究“国家免费提供避孕药具服务质量调研项目”。采用多阶段分层抽样方法确定调查点,各调查点采用配额抽样抽取调查对象。本研究收集的信息主要包括：被调查者的基本特征、避孕药具种类及免费避孕药具种类的知晓情况、免费避孕药具政策的知晓情况。构建多水平Logistic回归模型分析免费避孕药具政策知晓情况的影响因素。结果 共收集9 890份电子问卷,有效问卷9 395份,有效回收率为94.99%。本研究仅对育龄人群（15~49岁）的8 278份有效问卷进行分析。调查对象对避孕药具知晓率为27.64%~96.61%,其中避孕套知晓率最高,高效避孕药具知晓率均低于75.00%。调查对象对免费避孕药具知晓率为9.57%~85.02%,其中免费避孕套知晓率最高,其他免费避孕药物知晓率均低于35.00%。8 278名调查对象中,7 183例（86.77%）知晓免费避孕药具政策。多水平Logistic回归分析结果显示,婚姻状况、文化程度、职业和家庭人均月收入为不同性别群体知晓免费避孕药具政策的共同影响因素（P<0.05）,户口类型为女性知晓免费避孕药具政策的影响因素（P<0.05）,有性生活为男性知晓免费避孕药具政策的影响因素（P<0.05）。结论 高效避孕方法宣传力度有待加强,免费避孕药具宣传内容不够全面;开展宣传工作时应特别关注农村女性、未有过性生活的男性,以及未婚、低收入、文化程度较低、非医学领域、家庭人均月收入较低者等重点人群。 |
| 关 键 词： | 卫生保健提供 避孕 育龄人群 避孕药具 免费避孕药具政策 知晓 影响因素分析 |
Awareness of Free Contraceptives and Influencing Factors among People of Reproductive Age |
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| SHU Ting,SUN Chenghong,YANG Yanling,ZHANG Baiyang,WANG Tingting,ZHU Cairong. Awareness of Free Contraceptives and Influencing Factors among People of Reproductive Age[J]. Chinese General Practice, 2021, 24(27): 3413-3419. DOI: 10.12114/j.issn.1007-9572.2021.00.547 | |
| Authors: | SHU Ting SUN Chenghong YANG Yanling ZHANG Baiyang WANG Tingting ZHU Cairong |
| Affiliation: | 1.Department of Epidemiology and Health Statistics,West China School of Public Health,West China Fourth Hospital,Sichuan University,Chengdu 610041,China 2.Department of Planning and Finance,Management Center of Family Planning Drugs and Instruments of Sichuan Province,Chengdu 610041,China *Corresponding authors：WANG Tingting,Deputy sector chief;E-mail：7122458@qq.com ZHU Cairong,Professor,Doctoral supervisor;E-mail：cairong.zhu@hotmail.com |
| Abstract: | Background The awareness of free contraceptives is a basic prerequisite for active acquiring them in people of reproductive age. Understanding reproductive age group's awareness of contraceptives and free contraceptives,and identifying people with low awareness of free contraceptive policies can provide a scientific basis for optimizing relevant publicity strategies. Objective To explore the awareness of contraceptives and free contraceptives,and factors contributing to awareness of free contraceptive policies among the reproductive-aged population in Sichuan. Methods Data for this study were part of an online cross-sectional survey named Research Project on Quality of Free National Contraceptive Services carried out in Sichuan in 2020,including demographics,awareness of types of contraceptives and free contraceptives,and free contraceptive policies. A multi-stage stratified sampling method was utilized to select the survey sites,from which,quota sampling was conducted to sample the participants. Multi-level Logistic regression models were used to identify factors contributing to the awareness of the free contraceptive policy. Results Among the 9 890 cases attending the survey,9 395 （94.99%） returned responsive questionnaires,and 8 278 of them（15-49 years old） were included in this analysis. The awareness rates of respondents about contraceptives ranged from 27.64% to 96.61%,among which the awareness rate of condoms was the highest,and the awareness rates of high-efficiency contraceptives were all less than 75.00%. The awareness rates of respondents about free contraceptives ranged from 9.57% to 85.02%,among which the awareness rate of free condoms was the highest,and the awareness rates of other free contraceptives were all lower than 35.00%. In all,7 183 respondents（86.77%） knew the free contraceptive policy. Multi-level Logistic regression analysis showed that,marital status,education level,occupation,and monthly household income per capita were factors affecting the awareness of the free contraceptive policy for different gender groups （P<0.05）. The type of hukou was associated with the awareness of the free contraceptive policy in women（P<0.05）. Sex experience was related to the awareness of the free contraceptive policy in men （P<0.05）. Conclusion Given the survey results,it is suggested to strengthen the publicity of high-efficiency contraceptive methods,comprehensively enrich the content of free contraceptives publicized,and pay special attention to priority people when carrying out related publicity,such as rural women,men without sex experience,unmarried,low-income,low-educated,non-medical workers,or people with lower average monthly household income per capita. |
| Keywords: | Delivery of health care Contraception People of reproductive age Contraceptives The free contraceptive policy Awareness Root cause analysis |
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