成都市居民婚检意愿、行为现状及其相关因素分析

目的 了解取消强制婚检后，成都市居民的意愿、行为现状及其相关因素，为完善成都市婚检政策提供借鉴。方法 采用目的抽样，抽取成都市3个区的18～49岁居民共645人，进行问卷调查。结果 成都市未婚居民婚检意愿率为74.8%，已婚居民婚检率为49.5%。阻碍婚检的原因顺位为:平时体检健康没必要婚检、婚检会伤害彼此的信任、害怕有病对方不会结婚、检出有病很丢脸、婚检花费大；经Logistic回归分析表明，知晓婚检（OR = 2.694，95%CI:1.565～4.639）、支持婚检（OR = 9.945，95%CI:2.010～49.211 ）是已婚居民婚检行为的促进因素；年龄（OR = 1.112，95%CI:1.020～1.214）、高学历（OR = 1.889，95%CI:1.045～3.415）和支持婚检（OR = 17.082，95%CI:7.289～40.030）是未婚居民婚检意愿的促进因素；结论 现阶段成都市居民婚检行为的发生仍缺乏一定行动力；在改进婚检项目的基础上尝试免费婚检并且强制执行可能是提高成都市婚检率的一项有力措施。

Analysis of the willingness and behavior of premarital check-up and their relevant factors among residents in Chengdu City

Objective The study was conducted to assess the willingness and behavior of premarital check-up and their relevant factors among residents in Chengdu City after withdrawal of the compulsory premarital check-up policy, and thus to provide a reference for improving the related policies. Methods Purposive sampling was used to select a total of 645 residents aged between 18 and 49 from 3 districts in Chengdu for questionnaire survey. Results The willingness rate of premarital check-up among unmarried residents in Chengdu was 74.8%, and the premarital check-up rate among married residents was 49.5%. The reasons hindering premarital check-up willingness included considering premarital check-up unnecessary since regular physical check-up was normal, considering premarital check-up as damaging mutual trust, afraid of failing to get married if any disease is detected, feeling disgraceful if any disease is detected, and high cost of premarital check-up. Logistic regression analysis showed that awareness of premarital check-up (OR=2.694, 95%CI: 1.565-4.639) and being supportive of premarital check-up (OR=9.945, 95%CI: 2.010-49.211) were the promoting factors for conducting premarital check-up among married residents; and age (OR=1.112, 95%CI: 1.020-1.214), high education level (OR=1.889, 95%CI: 1.045-3.415), and being supportive of premarital check-up (OR=17.082, 95%CI: 7.289-40.030) were the promoting factors for willingness to take premarital check-up among unmarried residents. Conclusion At present, lack of motivation to conduct premarital check-up is a common issue among Chengdu residents. In addition to improving the check-up items, offering free but compulsory premarital check-up may be a powerful measure for boosting premarital check-up rate in Chengdu City.