山西省百姓生殖健康促进工程试点地区育龄群众生殖健康状况基线调查

目的:了解山西省百姓生殖健康促进工程试点地区育龄群众生殖健康知识水平和生殖健康状况,以期提高项目工作的针对性和有效性。方法:2016年4-8月在山西省百姓生殖健康促进工程试点地区的基层计划生育妇幼服务机构,采用方便抽样,对15~65岁的人群进行问卷调查。结果:共调查964人,不同文化程度、年龄、户籍和人工流产史组生殖健康相关知识的正确率有统计学差异(均P0.05)。生殖健康相关知识的5个部分中,妇幼保健知识正确率较高(86.3%),性传播疾病/艾滋病知识正确率较低(56.0%)。在不同性别、年龄、文化程度以及人工流产史组生殖系统疾病患病率有统计学差异(均P0.05)。多因素logistic回归分析显示,调查人群中女性生殖系统疾病患病率与年龄和人工流产史有关(P0.001)。男性曾患生殖系统疾病与年龄有关(P0.05)。结论:年龄和文化程度偏低人群生殖健康知识较差,调查人群对性传播/艾滋病知识的了解相对较少。青少年、有人工流产史的女性生殖系统疾病患病率较高。提示基层服务机构应有针对性开展生殖健康咨询服务,提高教育覆盖面,改善育龄人群的生殖健康状况。

Baseline Investigation of reproductive health status in pilot areas of reproductive health promotion project in Shanxi Province

Objective:To investigate the reproductive health knowledge and status among people with reproductive age from the pilot areas of reproductive health promotion project in Shanxi Province for improving the pertinence and effec tiveness of the project.Methods:From Apr.2016 to Aug.2016,convenient sampling method was used to select the subjects from the grass-roots level maternal and child health care and family planning service stations in the pilot areas of reproductive health promotion project in Shanxi Province.The questionnaires investigation was conducted in subjects with 15-65 years old.Results:964 people were investigated.The rate of correct answering reproductive health related knowledge had significantly different(P＜0.05) in people with different educational backgrounds,age,household registration and history of abortion.The rate of correct answered about knowledge of women and children health was 86.3 ％,and the rate of correct answered about knowledge of sexually transmitted/HIV/AIDS were 56.0 ％.The prevalence of reproductive system diseases of people with different sex,age,educational backgrounds and history of abortion were statistical significant different (P＜0.05).Multivariate logistic regression analysis showed that the disease of reproductive system was related to the induced abortion history (P ＜0.001),and was also associated with age both in male and female (P =0.023,P =0.031).Conclusion:Reproductive health knowledge is poor in populations with lower age and lower education level.And knowledge of sexually transmitted HIV/AIDS is deficiency for the investigated people.Adolescents and women with abortion history have higher risk of reproductive system-related disease.Primary health care institutions should carry out the corresponding reproductive health services,increase the reproductive health education coverage and improve the reproductive health status of the people.