我国中西部4省(自治区)农村已婚女性生殖道感染知信行现状及影响因素分析  

Analysis on KAP status and its influence factors of reproductive tract infection among married rural females in 4 provinces in Middle and West of China

作　　者：张晓华[1] 侯芊 曾彦[2] 韩璐[2] 郭伟龙[2] 王蕾[1] 王超[1] 崔颖[1] 

机构地区：[1]中国疾病预防控制中心全国12320管理中心 [2]中国疾病预防控制中心党委办公室

出　　处：《中国健康教育》2014年第2期99-102,共4页Chinese Journal of Health Education

基　　金：卫生部-嘉道理慈善基金会"农村社区健康促进项目"(CHI004)

摘　　要：目的了解我国中西部4省（自治区）农村已婚女性生殖道感染相关知识的知信行状况。方法采用多阶段整群抽样方法对在甘肃、青海、山西和新疆4个省（自治区）16个项目县抽取的2174名农村已婚女性进行问卷调查,分析生殖道感染知信行现状以及影响的因素。结果知识中＂不是所有的性传播病人都有症状＂认知率最低（65.4%）;态度中＂认为男性生理健康会影响妇科病＂形成率最低（21.3%）;行为中有82.6%的人不能做到经常清洗外阴,76.6%的人不能做到1-2天换洗1次内裤。27-38岁年龄段较高得分比例最高（25.88%）;汉族较高得分比例最高（30.59%）;文化程度越高,较高得分的比例越大;未患生殖道感染的（30.35%）得较高分数的比例高于患有者（12.30%）;生产次数较少的（24.71%）得较高分数比例高于生产次数较多的（17.45%）;孕期有并发症的（32.72%）得较高分数的比例高于无并发症的（23.45%）;家庭年总收入5001-8000元组获得较高得分的比例最高（29.58%）。多因素分析结果显示,年龄（OR=1.015）、民族（OR=2.140）、文化程度、是否患生殖道感染（OR=2.737）、孕期是否有并发症（OR=0.386）和家庭年总收入（OR=1.613）对知信行有影响。结论我国中西部4省（自治区）农村已婚女性生殖道感染知信行现状不容乐观,应根据人群特点开展行之有效的生殖道感染健康教育。Objective To study KAP of reproductive tract infection （RTI） among married rural female in 4 provinces in Middle and West of China. Methods Multiple stage cluster sampling method was used to select study population and 2174 married rural females in the project counties were investigated with a questionnaire in Gansu, Qinghai, Shanxi and Xinjiang. Results 65.4%o of respondents gave correct answer to the question of ＂Not all the patients with STD have some symptoms＂ , which was the lowest correct rate. The correct rate of ＂The physical health of men can affect gynaecopathia＂ was the lowest formation rate （21.3%）. 82. 6% of respondents didn＇ t wash their vulva often. 76. 6% of them didn＇ t change their underpants every day or two days. Respondents aged 27 - 38 had the highest proportion of higher scores （25.88%）. Han nationality had the highest proportion of higher scores （30. 59% ）. The higher respondents＇ education backgrounds were, the more proportions of higher scores they had. Respondents not infected by RTIs （30. 35% ） had the higher proportion of higher scores than those infected （12. 30% ）. Respondents with minimum productive times （24. 71% ） had higher proportion of higher scores than those had more productive times （ 17. 45% ）. Respondents with pregnancy com- plications （32. 72% ） had more proportion of higher scores than those without complications （23.45%）. Respondents of annual family income 5001 -8000 yuan group had the highest proportion of higher scores （29.58%）. Multi-factor logistic regression analysis showed that age （ OR = 1. 015 ）, nationality （ OR = 2. 140）, education background, infection with RTIs （ OR = 2. 737 ） , pregnancy complications （ OR = 0. 386 ） and annual family income （ OR = 1. 613 ） can affect KAP score. Conclusion The KAP for RTIs among married rural females in 4 provinces in Middle and West is not very good. We should pay much more efforts on health education for RTIs in married rural females.

关 键 词：农村已婚女性 生殖道感染 认知 行为 

分 类 号：R193[医药卫生—卫生事业管理] R173[医药卫生—公共卫生与预防医学]