地氟病区女性氟暴露人群生殖健康状况及其影响因素  

Reproductive health status of female population under fluoride exposure in fluorosis endemic areas and its influencing factors

作　　者：金彦[1] 钱进[1] 刘克俭[2] 金珊[3] 刘富强[2] 何晓宏 俞兵 李华兵 

机构地区：[1]华中科技大学同济医学院附属同济医院,武汉市430030 [2]华中科技大学同济医学院公共卫生学院 [3]湖北省妇幼保健院 [4]恩施州疾病预防控制中心 [5]恩施州建始县疾病预防控制中心

出　　处：《职业与健康》2015年第23期3307-3309,共3页Occupation and Health

基　　金：国家自然科学基金项目(项目编号:81072255;项目编号:81372941)

摘　　要：目的研究地氟病区女性氟暴露人群生殖健康状况,并对存在的问题进行分析,为制定氟危害防护政策和有效的干预措施提供依据。方法选择湖北省恩施州建始县8个地氟病区,采用多阶段随机抽样的方法进行问卷调查。结果女性氟暴露人群妇科病占33.0%,妇科病未检查率为25.7%;生殖健康知识宣传讲座占生殖知识来源的比重低,为8.7%;对生殖健康服务条件不满意度较高,为47.9%;文化程度较低者,妇科病未检查和检出比例均较高;无妇科病组婚姻幸福比例高于妇科病组和未检查组,为58.0%。结论氟暴露人群的生殖健康总体状况一般,存在着生殖保健意识差、生殖健康知识缺乏、生殖健康服务水平低等问题。文化程度、自我保健意识、家庭经济状况、家庭关系等因素影响氟暴露人群女性生殖健康。[Objective]To study the reproductive health status of female population under fluoride exposure in fluorosis endemic areas,analyze the existing problems,and provide basis for formulating the protection policies and effective intervention measures of fluorine hazard.[Methods]The multi-stage random sampling method was adopted to conduct a questionnaire survey in 8 fluorosis endemic areas in Jianshi county of Enshi in Hubei province.[Results]In female population under fluoride exposure,the proportion of gynecological diseases was 33.0%,unchecked rate of it was 25.7%.The proportion of propaganda lectures of reproductive health knowledge was low in all reproductive knowledge sources（8.7%）.The dissatisfaction rate of reproductive health service condition was higher（47.9%）.The unchecked rate and detection proportion of gynecological diseases were higher in female population under fluoride exposure with lower education level.The proportion of happy marriage in population without gynecological disease was higher than that in population with gynecological disease and unchecked population（58.0%）.[Conclusion]The reproductive health status of female population under fluoride exposure is common,there are some problems,such as low reproductive health awareness,lack of reproductive health knowledge,low reproductive health service level,and so on.The education level,self-health awareness,family economic status and family relations are the influencing factors of reproductive health among female population under fluoride exposure.

关 键 词：氟 暴露 生殖健康 影响因素 

分 类 号：R181.34[医药卫生—流行病学]