深圳市工厂女工生殖道感染干预模式探讨及效果评价

目的建立以计划生育服务网络为主的生殖道感染干预模式,并对干预人群生殖道感染知识、行为和患病率等指标进行评价。方法选取规模、性质、人数、受教育水平相当的2家工厂进行干预并设立另2家工厂作为对照。干预前后分别对工厂女工进行KAP问卷和患病率调查。结果干预组总知识得分较干预前明显上升,RTI总知识水平明显高于终点调查时的对照组;干预组阴道冲洗的比例由24.93%下降到10.72%,干预组明显低于对照组(37.28%);干预组RTI总患病率由18.43%下降为9.88%,明显低于对照组(16.75%)。结论以计划生育服务网络为主的健康教育和普查普治可以提高女工的生殖道感染知识水平,改善其就医行为和日常卫生行为,降低生殖道感染患病率,是一种行之有效的RTI干预手段。

Evaluation of Impact of Reproductive Tract Infection Intervention Model on Female Factory Workers in Shenzhen City

Objective: To set up RTI(reproductive tract infection) intervention model for female factory workers and to evaluate short-term impacts of RTI-related knowledge, health-seeking, health-care practice and RTI incidence of female workers in Shenzhen city. Methods: Two intervention and two control factories were selected which were similar on scale, education, characters, and worker number. The KAP questionnaire and RTI prevalence survey were conducted among female workers before and after intervention. Results: After intervention, the total score of RTI knowledge in intervention group was significantly higher than before as well as control group in the end-point survey t(P<0.05) . Before intervention, 24.93% of female workers in intervention group and 28.41% in control group carried out vaginal douching more than 1 time per month. After intervention, the rates of vaginal douching were 10.72% and 37.28%, respectively, which showed significantly different(P<0.05). After intervention, the incidence of RTI disease in intervention group(9.88%) was lower than that in control group (16.75%) t(P<0.05), which were 18.43% and 17.78% before, respectively. Conclusion: Health education and general survey of common RTI diseases on female factory workers initiated by family planning system appear an effective intervention method, which could improve the level of knowledge on RTI, health-care seeking, behavior of seeing a doctor and health habits. Thereby incidence of common RTI diseases can be decreased.