上海市闵行区已婚流动人口避孕节育知情选择状况分析

目的:了解上海市闵行区已婚流动人口的避孕节育知情选择情况,探讨潜在的影响因素。方法:共招募到1197名流动人口,其中应用避孕措施的对象1032名,采用面对面的结构式问卷调查流动人口的避孕节育知情选择情况,统计分析以χ2检验及Logistic回归分析进行。结果:已婚流动人口对计划生育部门提供的避孕方法以及相关方法的费用知晓情况并不十分理想,虽有超过70%的对象主动听说过宫内节育器和男用避孕套,但对其免费获得的知晓率均只有40%左右。就现用避孕方法的选择,46.12%的流动人口由夫妻双方共同决定,20.83%的对象由本人决定,由计划生育人员决定的比例高达22.67%。CMH检验和Logistic回归分析均显示:流动人口避孕节育知情选择情况受性别、学历及年龄的影响,其中女性、学历越高、年龄越大者更能自主选择避孕方法。CMH检验还显示:不同的流动人口流出地和来到流入地后是否才开始用现用避孕方法对自主选择也存在影响,但多因素分析未显示差异。另外,避孕方法的效果、使用是否方便和获得的容易程度是流动人口选择避孕方法时考虑的主要因素。结论:流动人口的避孕节育知情选择的比例仍较低;对常用避孕方法的知晓率有待提高;避孕节育知情选择工作力度有待进一步加大。

Study on Informed Choice of Contraception among Married Migrants in Minhang District of Shanghai

Objective： To understand the current situation of informed choice on contraception among married migrants in Minhang District of Shanghai, and to explore the potential influencing factors. Methods： There were 1 032 qualified migrants who had been interviewed face to face by the trained interviewers about the status of informed choice on contraception. The method of chi-square test and Logistic regression were employed to analyze the collected data to explore potential influence factors. Results： In our study, up to 40% of married migrants had no idea of the fee of contraceptives, though mainly 70% subject had known of the popular method which contained IUD and condom. About 46.12% of married migrants＇ current using contraceptives were decided by themselves and their spouses together, 20.83% were decided by themselves, and it is worth noting that the rate of migrants＇ current using contra- ceptives decided by family planning workers was as high as 22.67%. The influencing factors of informed choice on contraceptive included sex, age, educational level, contraceptive knowledge acquired. Efficacy of the selected contraceptive, easy to use and accessibility were the main factors migrants would consider when selecting contraception. Condusion： The rate of informed choice on contraception among married magrants is low which indicated it is important to provide more comprehensive service to meet the personalized needs of migrants.