少数民族地区已婚育龄妇女现用避孕节育措施知情选择状况及影响因素分析  

Study on status and influencing factors of informed choice for current contraceptive methods among women of reproductive age in ethnic minority areas

作　　者：龚双燕[1] 王晖[1] 刘鸿雁[1] 

机构地区：[1]中国人口与发展研究中心,北京100081

出　　处：《中国计划生育学杂志》2013年第11期724-728,共5页Chinese Journal of Family Planning

基　　金：联合国-西班牙千年发展目标基金(CHN7R22A);"十二五"国家科技支撑计划项目(2012BAI40B01)

摘　　要：目的：了解少数民族地区已婚育龄妇女现用避孕措施知情选择现状,分析相关影响因素.方法：采用流行病学横断面调查方法,2011年7月对贵州、云南和青海3省5县通过三阶段概率比例规模随机抽样方法,抽取1 375名＜3岁儿童监护人的已婚育龄妇女和135名调查所在地县乡两级计划生育技术服务人员进行结构式问卷调查.统计分析育龄妇女现用避孕方法知情选择状况和服务提供情况,应用CMH卡方检验对已婚育龄妇女的现用避孕方法知情状况进行单因素分析,多分类有序logistic分析方法进行多因素分析.结果：已婚育龄妇女中,17.04％的调查对象了解其现用避孕方法的特点或副作用;47.24％有权选择其他避孕方法;25.69％由夫妇共同决定现用避孕方法;34.33％的计划生育技术服务人员经常代替服务对象选择避孕方法.多因素logistic分析显示,与汉族相比,傣族妇女对避孕方法的了解程度较低（OR =0.675,95％ CI：0.453～1.006）;高中文化程度者了解现用避孕方法副作用及特点的可能性是未上学者的4.1倍（OR =4.116,95％ CI：2.254～7.515）.结论：应进一步加强少数民族地区避孕知识和避孕节育知情选择的宣传教育以及服务人员业务培训,特别需要重视提升在家看护孩子且文化程度较低的少数民族育龄妇女知情选择的能力和水平.Objective：To investigate the status of informed choice for current contraceptive methods among women of reproductive age in ethnic minority areas and its influencing factors.Methods：Using cross-sectional epidemiological study design with stratified three-stage PPS random sampling,a total of 1375 women of reproductive age who were caregivers for children under 3 years old and 135 medical staffs from the survey county-and town-level family planning service stations within 5 counties in the 3 provinces of Guizhou,Yunnan and Qinghai were investigated with a structural questionnaire in July 2011.The status of informed choice for current contraceptive methods among women of reproductive age and the status of service provision was analyzed using CMH chi-square test and ordinal logistic regression.Results：Among all the women investigated,17.04％ knew the characteristics and side-effects of the contraceptives they were using; 47.24％ had the right to choose other contraceptive methods ; 25.69％ of the contraceptive choices were made together by the married couple.About 34.33％ of the medical staffs from family planning station often made contraceptive choice for their clients.Women of Dai ethnicity knew less than Han women （OR =0.675,95％ CI：0.453-1.006）.The probability of knowing the characteristics and side-effects of contraceptives for women with high school education was 4.1 times the probability for women with no schooling （OR =4.116,95％ CI：2.254-7.515）.Conclusion：More attention should be paid to strengthen information,education and communication （IEC） strategy for informed choice of contraceptivesin ethnic minority areas.More training should be provided to medical staffs in family planning stations.Minority women who are taking care of children at home and less educated should be given more attention to improve their capability to make informed choice for contraception.

关 键 词：少数民族 已婚育龄妇女 避孕措施 知情选择 影响因素 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]