综合干预对四川省项目点流动人口宫内节育器使用的影响  

Effects of Comprehensive Intervention on Intrauterine Device Using Among Floating Population in Sichuan Project Communities

作　　者：周颖[1] 李玉艳[1] 赵洪鑫[2] 武俊青[1] 叶江枫[3] 王瑞平[4] 张玉凤[1] 

机构地区：[1]上海市计划生育科学研究所,200032 [2]复旦大学 [3]福建医科大学公共卫生学院 [4]上海市松江区疾病预防控制中心

出　　处：《国际生殖健康／计划生育杂志》2011年第6期433-435,443,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(2006BAI 15B03)

摘　　要：目的:评估避孕节育综合干预措施对四川省流动人口宫内节育器(IUD)有关的知识水平、使用、定期检查行为的影响。方法:采用流行病学干预研究方法。干预组开展倡导动员、规范管理、定期培训、宣传教育、综合咨询、技术服务、随访与转诊等综合干预措施,对照组进行常规工作。干预前后分别对2组进行结构式问卷调查,评估干预效果。结果:基线期调查流动人口2 197例,评估调查时随访到有效样本1 877例;干预组研究对象知晓自己所放置IUD类型的比例由干预前的39.17%上升至干预后的56.40%(χ2=22.292 8,P<0.000 1);到现居住地后查过IUD的比例由干预前的55.76%上升至干预后的79.27%(χ2=45.927 2,P<0.000 1)。Logistic回归分析发现,来自工厂、举家流动以及办理了《流动人口婚育证明》的对象,查IUD的可能性更大。综合干预能提高流动人口到现居住地查IUD的比例(OR=1.400,95%CI为1.123～1.745)。结论:综合干预能提高流动人口IUD知识水平,提高复查IUD率。Objective： To evaluate the effect of comprehensive contraception intervention on the intrauterine device（IUD）-related knowledge,usage and examination of IUD among floating population in Sichuan project communities.Methods： This study is a epidemiological intervention study.In intervention groups,comprehensive intervention measures including avocation,training,education,propaganda,integrated sexuality and reproductive health counseling,standard management,were implemented.Routine family planning work was conducted in control groups.By questionnaire survey pre-and post-intervention,the effects of intervention were evaluated.Results： 2 197 migrants were included in baseline survey,while 1 877 subjects were followed up.The awareness rate of IUD type of intervention group was increased from 39.17% to 56.40% by the integrated intervention（χ2=22.292 8,P0.000 1）.The proportion of subjects who had IUD examination in the current city was promoted from 55.76% to 79.27%（χ2=45.927 2,P0.000 1）.Logistic regression analysis showed that migrants in factory,migrants with whole family,migrants who were asked to provide certificates of marriage and procreation as the regulation of floating population by their current cities,had higher probability of IUD examination.Comprehensive intervention improved the probability of IUD examination（OR=1.400,95% CI：1.123～1.745）.Conclusions： Comprehensive intervention improved the knowledge of IUD,and promoted the probability of IUD examination.

关 键 词：人口 卫生服务 避孕 宫内避孕器 干预性研究 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]