云南白族、贵州苗族已婚育龄妇女节育模式的研究

为了探索少数民族计划生育工作现状和节育模式,调查了云南白族、贵州苗族地区2026例已婚妇女,结果显示白族、苗族计划生育工作成绩显著,育龄妇女节育比例均高于80％,云南白族以宫内节育器为主要避孕方法（62．03％）,贵州苗族以男女绝育为主（76．62％）。Logistic多元回归分析显示夫妇的生育意愿、性别偏好、计生干部作用均影响是否采用绝育措施本道避孕方法较少、曾用避孕方法较多者倾向于绝育。两地相比,云南白族地区的计划生育工作较好,妇女避孕知识较多,自觉节育比例更大。鉴于今后计划生育全程服务和“知情选择”的推广,建议少数民族地区在继续推行现行的长效避孕方法（绝育和宫内节育器）的同时,积极宣传避孕知识,加强对群众生育观念的正确引导,增强基层计生技术力量,逐步向知情选择过渡。

Study on the Contraceptive Pattern among Married Bai and Miao Women at Reproductive Age in Yunnan & Guizhou Province

In order to evaluate the quality of family planning (FP) service and the contraception pattern in minority areas,a total of 2026 married Bai and Miao women in Yunnan and Guizhou provinces were questioned about their attitude to and perception of contraception and their method adopted.It is shown that family planning services have made remarkable achievement. More than eighty percent of women currently use a contraceptive method. IUD is the most frequently used method among Bai women (62. 03% ),while sterilization among Miao (76. 62% )- Logistic regression anal ysis revealed that childbearing intention,sex preference and FP service are the main factors for chOosing sterilization. Women who know less about contraceptives and have used more methods are more likely to accept sterilization. The FP service in Yunnan is rnore far-extended than that in Guizhou. In Yunnan,women have more knowledge about contraceptive methods,and more fre-quently practice contraception of their own free will. It is suggested that while long-term meth-ods (sterilization,IUD) are provided, FP services should be emphasized on contraceptive educa-tion and gradually switched to "informed choicenmodel.