多部门合作促进青少年友好型生殖健康服务利用的干预研究  

Interventional research on the promotion of youth friendly service utilization through multi-sectoral cooperation

作　　者：冯宁[1] 金曦[1] 杨琦[1] 汪金鹏[1] 罗荣[1] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100101

出　　处：《中国学校卫生》2015年第2期177-181,共5页Chinese Journal of School Health

基　　金：中国-联合国人口基金青少年生殖健康应用性科研课题项目(CHN6R51B)

摘　　要：目的观察多部门合作促进青少年友好型生殖健康服务提供和利用的综合干预措施对促进青少年友好服务利用的效果,为建立相关长期工作机制提供依据。方法以黑龙江、江苏、山东3个城镇地区作为对照地区,在另外广东、重庆、贵州3个城镇地区实施《多部门合作促进青少年友好服务提供和利用的行动方案》1.5 a后观察干预效果。调查对象为12-24岁未婚校内、外青少年,干预前分别为1 104,1 149名,干预后分别为983,962名。采用χ2检验比较干预地区和对照地区干预前后的差异。结果干预后干预地区青少年在遇到生殖健康问题时就医频率、在当地妇幼保健院就诊的比例及对服务的满意度较干预前均显著增加,分别由19.2%（男）和25.8%（女）增至41.6%（男）和56.6%（女）,32.2%增至68.1%,49.2%（县医院）和64.4%（县妇幼保健院）增至73.6%（县医院）和88.0%（县妇幼保健院）,并且均高于对照地区。干预地区干预后青少年友好服务的数量增加了3倍,由1 525人次增至6 816人次;而对照地区仅由140人次增至340人次。干预地区青少年遇到生殖健康问题时常见的5个未就医原因是＂不认为是个问题＂（45.6%）、＂害羞,担心遇到熟人＂（17.9%）、＂不需要看医生＂（15.2%）、＂不知道哪个医院更好＂（14.1%）＂没有时间＂（13.4%）,比例和顺位在干预后未呈现统计学意义的改变。结论在我国现有卫生服务体系中所实施的行动方案对于促进青少年友好服务的利用是必要可行、有效的,可为政策制定者提供相关参考。Objective To investigate the effect of comprehensive interventional measures named as the promotion of delivery and utilization of youth friendly service through multi-sectoral cooperation on the utilization of youth friendly service（ YFS） in China＇s town areas,thus to provide evidence for policy makers for the formulation of related long-term working mechanism. Methods Three towns were selected as control areas. Action Plan on the Promotion of Delivery and Utilization of YFS through MultiSectroal Cooperation developed by research team was implemented in 3 interventional towns for 1. 5 years and investigate effect. The subjects for survey were unmarried in-school and out-school male and female young people aged 12- 24 year-old. Percentages（ %）were used to describe the incidences of each variable in interventional and control,in-school and out-school male and female young people respectively. Chi-square test was used to analyze the differences between before and after intervention in interventional areas,and those between interventional and control areas after the interventional period. Results After the intervention,the frequency of seeing-doctor when encountering reproductive health（ RH） problems,percentage of seeing-doctor in YFS clinic of local Maternal and Child Health hospital and satisfaction degree on this service in the young people of interventional areas increased statistically significantly and were higher than those of control areas（ P〈0. 05）. They increased from 19. 2%（ boys） and 25. 8%（ girls）to 41. 6%（ boys） and 56. 6%（ girls）,from 32. 2% to 68. 1%,and from 49. 2%（ county hospital） and 64. 4%（ county maternal and children＇s health hospital） to 73. 6%（ county hospital） to 88. 0%（ county maternal and children＇s health hospital）. The number of YFS delivered increased by more than 3 times,from 1 525 person times to 6 816 person times. However,the conditions of those variables did not show systematic and obvious improvement in interventional areas.

关 键 词：干预性研究 青少年 健康服务 

分 类 号：G479[文化科学—教育学] R195[文化科学—教育技术学]