流动人口计划生育管理、宣教与服务干预效果分析——外来已婚育龄妇女紧急避孕知识、态度及使用情况  

Impact of Family Planning Management, Education and Service Providing on Emergency Contraception Knowledge, Attitude and Practice of Female Migrants

作　　者：陈爱民[1] 武俊青[1] 高尔生[1] 

机构地区：[1]上海市计划生育科学研究所,上海200032

出　　处：《生殖与避孕》2001年第6期346-352,共7页Reproduction and Contraception

基　　金：国家计划生育委员会基金资助

摘　　要：目的 :探讨减少流动人口人工流产率的有效方法。方法 :在上海市闵行区 2个乡镇开展以社区为基础的“以现居地为主”的流动人口计划生育管理、宣教、服务干预对外来已婚育龄妇女紧急避孕知识、态度及使用情况影响的评价。干预前调查实验组 5 18名、对照组336名对象 ;干预后调查实验组 44 0名、对照组 2 63名对象。结果 :干预前实验组和对照组紧急避孕知晓率分别为 9.46%和 7.74% ;干预后实验组和对照组分别为 44 .77%和 12 .93%。干预后实验组愿意采用紧急避孕、认为应该推广紧急避孕的比例也明显高于对照组。多因素 L ogistic回归分析表明 :与干预前对照组相比 ,干预后实验组紧急避孕的知晓率、意愿采用率、意愿推广率均较高 ,OR值分别为 9.788,2 .0 94和 1.871。结论 :开展“以现居地为主”的流动人口管理、宣教、服务干预可以提高外来已婚育龄妇女的紧急避孕知晓率、意愿采用率和意愿推广率 。Objective: To explore the effective methods to decrease the induced abortion rate among female floating population in large cities. Methods:A community based intervention study was carried out in two towns of Minhang District, Shanghai, China. The present residence based intervention integrate family planning management, education and service providing for floating population. The major results are on the knowledge, attitude and practice of emergency contraception (EC). A total of 518 subjects in experiment group and 336 in control group were investigated before intervention, and 440 in experimen group tou and 263 in control group were surveyed after intervention .Results:Before intervention, only 9.46% of experiment group and 7.74% of control group knew EC; while after intervention, this proportion was 44.77% and 12.93%, respectively. After intervention, more subjects inclined to use EC if necessary or agreed to expand the use of EC as compared with the subjects before intervention. The result of multiple Logistic regression analysis showed that after intervention the experiment group had a higher awareness of EC, tendency to use EC and inclination to expand EC use; the odds ratios were 9.788, 2.094 and 1.871 respectively. Conclusion:The present residence based intervention that integrated family planning management, education and service providing can largely promote the awareness of EC, the tendency to use EC and the inclination to expand EC use in the urban migrants. It may also be helpful to decrease the unwanted pregnancy and subsequeutly, decrease the induced abortion rate in migrants.

关 键 词：流动人口 紧急避孕 干预 计划生育管理 

分 类 号：R169[医药卫生—公共卫生与预防医学]