干预项目对流动人口避孕节育需求的影响  

Impacts of Intervention Project on Contraception Demands of Family Planning for Migrants in Sichuan Province

作　　者：李玉艳[1] 武俊青[1] 张玉凤[1] 黄萍[2] 刘伟信[2] 郑晓瑛[3] 詹绍康[4] 杨廷忠[5] 

机构地区：[1]复旦大学,上海市计划生育科学研究所,上海200032 [2]四川省成都市计划生育技术指导所 [3]北京大学人口研究所 [4]复旦大学公共卫生学院 [5]浙江大学

出　　处：《国际生殖健康／计划生育杂志》2010年第6期448-450,456,共4页Journal of International Reproductive Health/Family Planning

基　　金：国家"十一五"科技支撑计划项目(2006BAI15B03)

摘　　要：目的:评估计划生育/避孕节育干预项目对流动人口的避孕节育服务需求的影响。方法:采用流行病学干预研究方式将四川省成都市和攀枝花市作为研究现场,利用结构式问卷对2197名18～49岁流动人口进行干预前后的调查。研究对象采用多阶段随机整群抽样方法调查,并随机分为2组,其中干预组1198人,对照组999人。采用卡方检验及二分类Logistic回归分析干预对流动人口避孕节育需求的影响。结果:2组对象最希望获得的服务是咨询和宣传教育服务。评估调查时希望获得宣传教育服务和咨询服务的比例,干预组分别为82.71%和83.26%,对照组分别为74.10%和76.88%,2组差异均有统计学意义(P<0.01)。Logistic回归分析发现,干预活动对研究对象避孕节育宣传教育和咨询服务需求的影响有统计学意义,干预组比对照组对象有更多的宣传教育服务需求(OR=1.62,95%CI为1.29～2.04)和咨询服务需求(OR=1.70,95%CI为1.34～2.15)。结论:干预措施有助于提高研究对象避孕节育宣传教育、咨询服务的需求,提示避孕节育干预对提高流动人口避孕节育需求,转变观念具有积极意义。Objective： To evaluate the impacts of intervention project on contraception demands of family planning for migrants of Sichuan province. Methods： The study was an epidemiological intervention study. A total of 2 197 migrants, including 1 198 in the intervention group and 999 in the control group, who were aged between 18 and 49 years were selected by multi-stage random cluster sampling and interviewed in Chengdu and Panzhihua of Sichuan Province. The chi-square test and logistic regression were used to analyze the data. Results： The most wanted family planning services in both groups were counseling and information, education and communication （IEC） service. After the evaluation survey was conducted, we found that the proportions of subjects wanting to get IEC service and counseling service in intervention group were 82.71% and 83.26%, respectively, which were both higher than those of control group （74.10% and 76.88%,P〈0.000 1, P=0.000 6）. Moreover, the multi-logistic analysis found that the intervention activities promoted the demands for IEC and counseling service significantly. Compared with the subjects of control group, those of intervention group had more demands of IEC and the OR value was 1.62（95% CI： 1.29-2.04）. The demands of counseling service of intervetnion group also were higher than that of control group （OR =1.70, 95%CI： 1.34-2.15）. Conclusions： Comprehensive intervention measures could help to raise migrants＇ demands of IEC and consulting services about contraception.

关 键 词：人口 居住流动性 避孕 计划生育服务 卫生服务需求 干预性研究 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]