健康教育对甘肃省甘南州藏区育龄妇女生殖健康相关行为的影响

目的评价综合性健康教育措施对甘南藏区育龄妇女生殖健康相关行为的影响。方法采用分层整群抽样的方法获得样本。对干预组进行为期14个月的多种形式生殖健康教育干预，采用同一问卷调查，比较干预前后干预组和对照组已婚育龄妇女的生殖健康相关行为的改变。结果干预后干预组和对照组生殖健康相关行为的形成率分别较干预前提高了46．65％和10．98％，干预组的干预效果好于对照组（X2=327．618，P〈0．01）。农区、藏族、年龄在15—25岁间、文化程度为文盲、丈夫文化程度为文盲的干预组妇女生殖健康相关行为形成率好于其他地区、民族、年龄和文化程度的妇女，分别提高了46．44％、37．71％、41．34％、39．88％和45．16％。干预后干预组不同地区、民族、年龄、文化程度和丈夫文化程度的妇女的干预效果均好于对照组。结论综合性生殖健康教育干预措施使目标人群生殖健康相关行为形成率明显提高。

Effectiveness evaluation of health education on reproductive health behaviors among childbearing age women in Tibetan region in Gannan Autonomy State, Gansu Province

Objective To evaluate the effectiveness on comprehensive health education regarding the reproduc, tire health behaviors among married childbearing age women in Tibetan region in southern Gansu. Methods A questionnaire survey was conducted among married childbearing age women with stratified cluster sampling technique. Comprehensive health education for 14 months was distributed to the intervention group. The same questionnaire survey was used to compare the changes of reproductive health behaviors before and after the intervention. Results After health education period, reproductive health behavior forming rates in the intervention group and the control group increased by 46. 65% and 10. 98%, respectively. The intervention gained more improvement （ X2 = 327. 618, P 〈0. 01 ）. The forming rate of reproductive health behaviors in rural areas, Zangzu, 15 -25 ages, illiterate, and illiterate husband groups increased by 46. 44%, 37. 71%, 41.34%, 39. 88% , and 45..16% respectively, and every improvement was better than the corresponding comparison group. Women in any intervention subgroup showed more reproductive health behaviors than those in the control subgroups. Conclusion Intervention measures of comprehensive reproductive health education could promote health behaviors among married childbearing age women in Tibetan region.