生殖道感染综合干预相关因素的定性研究

目的了解生殖道感染相关的医学、社会学、心理学因素，为制定可操作、可接受、适宜的干预方案提供依据。方法定性研究个人深入访谈、专题小组讨论、现场观察和假扮病人。结果流动人口生殖道感染、性病、艾滋病知识水平低于当地人群，他们对于一些宣传方式的可及性较差；当地育龄妇女和性服务者深信阴道冲洗具有防病作用，并广泛使用；商业性性交易中不使用安全套有嫖客不愿意用和性服务者不愿意用两方面原因；流动人口和性服务者会首选私人诊所就医，他们不掌握区分有执照诊所和无执照诊所的技巧；性伴通知实施障碍较多；私人诊所存在医源性感染隐患。结论生殖道感染综合干预要充分考虑宣传教育对不同人群的可及性和效果，关注私人诊所、脆弱人群求医行为、过度阴道冲洗、性伴通知问题以及安全套使用与长效避孕措施之间存在矛盾与冲突。

Qualitative research about factors related to intervention of reproductive tract infections

Objective To understand the bio-psychosocial factors rela ted to the intervention of reproductive tract infections,and to provide evidence for the practical,accessible and appreciate intervention set.Methods Qualitative methods of in-depth interview,focus g roup discussion,field observation and mystery patient.Results The natives know more about the RTUSTD/AIDS than migrant population,which are not accessible to some of the propaganda method.It is common for the native women and CSWs to douche with cleaning-agent because of the false believes.Condom is not used during the commercial sex,for the causes of the CSWs and clients.The migrants and CSWs' first choose for the health care facilities is the private clinics,but they cannot tell the licensed from unlice nsed.There we a few barriers to the practice of partner notification.Besides,t he danger of inducing the iatrogenic infection exist in the private clinics. Conclusion To set up the appreciate intervention set,the factors of the accessibility of various population to the propoganda,problems ex isting in private clinics,health case seeking behaviors of the vulnerable popula tion,over vagina douching,barriers to the partner notification and the contradic ted between condom use and long-acting contraceptive methods should take into fu ll consideration.