流动育龄妇女放置及检查宫内节育器的现况研究  

A cross-sectional study on intrauterine device( IUD) use and examination among migrant women of childbearing age

作　　者：武俊青[1] 王克伟[2] 李玉艳[1] 赵瑞[1] 程建萍 周颖[1] 赵洪鑫 黄萍[5] 陈家鹏[6] 

机构地区：[1]上海市计划生育科学研究所,200032 [2]复旦大学公共卫生学院 [3]上海市闵行区人口计生委 [4]葛兰素史克 [5]成都市计划生育指导所 [6]中国人口与发展研究中心

出　　处：《中国妇幼保健》2014年第32期5274-5277,共4页Maternal and Child Health Care of China

基　　金：国家十一五科技支撑计划〔2006BAI15B03〕;十二五科技支撑计划〔2012BAI32B08〕

摘　　要：目的:了解宫内节育器(IUD)的使用情况及其影响检查宫内节育器的因素。方法:应用横断面调查的研究方法对流动育龄妇女进行结构式问卷调查,内容包括一般人口学特征、IUD放置及查环情况等。对流动育龄妇女人口学特征、IUD放置情况进行描述性统计分析,对有关影响检查IUD的因素进行单因素和多因素分析。结果:本次调查的1 856人使用宫内节育器作为避孕方法的流动育龄妇女中,63.42%不知道自己使用的宫内节育器种类,使用率最高的IUD是宫型IUD(10.02%),其次是O型165环(8.73%)和Tcu220C(8.35%)。Logistic回归分析发现:相对于工厂员工,白领的研究对象更倾向于查环;自租房、与他人合租、自购房的流动人口查环的可能性大于住集体宿舍的流动人口。结论:超过60%的流动育龄妇女不知道自己使用的宫内节育器种类;研究对象查环受到工作性质和居住条件的影响。今后应继续加强流动人口避孕节育知识宣传教育的同时还应广泛宣传检查IUD的重要性,以提高流动人口到现居住地检查IUD的比例。Objective： To understand intrauterine device （IUD） use and the influencing factors of IUD examination among migrant women of childbearing age. Methods： A cross - sectional survey was performed to investigate the migrant women of childbearing age by a structural questionnaire, the survey contents included general demographic characteristics, IUD use and IUD examination. The demographic characteristics and IUD use among migrant women of childbearing age were analyzed descriptively ; the influencing factors of IUD examination were analyzed by univariate analysis and multivariate analysis. Results： Among 1 856 migrant women of childbearing age using IUD as contraceptive method, 63.42% of them did not know the types of IUD, the use rate of palace - type IUD was the highest （ 10. 02% ）, followed by O -ring IUD （8.73 % , 165 women） and Tcu220C IUD （8. 35% ） . The results of logistic regression analysis showed that compared with factory workers, the white - collar workers were more likely to IUD examination ; the probabilities of IUD examination among the women who shared rooms with others and rented/purchased rooms by themselves were higher than that among the women living in dormitories. Conclusion： More than 60% of the migrant women of childbearing age did not know the types of IUD, IUD examination was affected by their types of work and living conditions. The propaganda and education about contraception knowledge should be strengthened, the importance of IUD examination should be enhanced to improve the proportion of IUD examination among the migrant women of childbearing age in current place of residence.

关 键 词：已婚妇女 流动人口 宫内节育器 影响因素 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]