实施计划生育优质服务干预项目对北京市东城区流动人口避孕方法使用的影响  

The impact of intervention of quality of care in family planning on contraceptive methods use among migrants in Dongcheng district of Beijing

作　　者：韩颖 李玉艳[2] 周颖[2] 孙亚坤 于传宁[2] 武俊青[2] HAN Ying LI Yuyan ZHOU Ying SUN Yakun YU Chuanning WU Junqing(The Second Maternal and Child Care Hospital of Dongcheng District, Beijing , 100061 Institute of Reproduction and Development, Fudan University,Shanghai Institution of Planned Parenthood Research, Key Lab. of Reproduction Regulation of National Populatin and Family Planning Comnission)

机构地区：[1]北京市东城区第二妇幼保健院,100061 [2]复旦大学生殖与发育研究院上海市计划生育科学研究所国家人口计生委计划生育药具重点实验室

出　　处：《中国计划生育学杂志》2017年第8期519-523,共5页Chinese Journal of Family Planning

基　　金：国家十二五科技支撑计划(2012BAI32B08)

摘　　要：目的:分析计划生育优质服务干预项目的实施对北京市东城区流动人口避孕方法使用的影响,评估干预措施的效果。方法:采取多阶段整群随机抽样方法,抽取北京市东城区流动人口集中的工厂/企业、建筑工地、服务娱乐场所等3类工作场所各4个,每类场所再随机分为干预组和对照组,纳入所有符合条件的流动人口。对干预组对象除了常规的计划生育服务外,还通过项目干预活动进行计划生育/生殖健康相关的培训和宣教,并由计划生育服务人员提供咨询服务、技术服务、随访服务和必要的转诊服务,对对照组进行常规的计划生育服务。基线调查和终末评估调查采用问卷调查的方式收集研究所需要的信息。采用χ~2检验和logistic回归方法分析干预效果。结果:两组基线调查时避孕方法使用者1634人(占81.3%),终末评估调查时避孕方法使用者1849人(占89.0%)。终末调查时干预组避孕方法使用率(90.6%)高于对照组(87.5%),差异有统计学意义(χ~2=5.15,P<0.05)。基线和终末评估调查时,避孕方法的选择以夫妻双方共同决定为主,占53%~67%。终末调查时干预组夫妻决定避孕方法的比率(66.7%)高于对照组(63.3%),多因素logistic回归分析表明,接受干预的对象由夫妻决定避孕方法的可能性是未接受干预对象的1.56倍(95%CI 1.24~1.97)。结论:干预项目的实施取得一定成效,提高了流动人口的避孕方法使用率和夫妻决定避孕方法的能力。Objective： To understand the impact of intervention of quality of care about family planning on contraceptive methods using among migrants from Beijing Dongcheng district. Methods： This study was conducted in Beijing Dongcheng district. Research sites, including four factories and enterprises, four construction sites and four service places where floating population relatively concentrated were selected by multi stage cluster sampling. The intervention and control groups were selected by sites,respectively. In the intervention group, IEC and training about family planning and reproductive health for migrants were conducted. Moreover, counseling service, technical service and follow- up （including necessary referral） were also conducted in the intervention group. In the control group, the routine family planning services were conducted for migrants. Structured questionnaires surveys were carried out among all eligible subjects in the baseline and in the end line. χ^2 and Logistic were used to analyze data. Results： In the baseline, the proportion of contraceptive methods use was 81.3%（1634）. In the end line, the proportion of contraceptive methods use was 89.0% （1849）, and the proportion in the intervention group was 90.6%, which was significant higher than that of control group （87.5 %）. The contraceptive use was mainly decided by couple, the proportion was about 53% to 67 %. In the end line, the proportion of couple making decision in the intervention group was 66.67 %, which was high er than that of control group （63.3%）. The multi-logistic regression found that the OR of intervention group was 1.56 （95%CI： 1.24-1.97）. Conclusion： The intervention of family planning for migrants was effective, which can improve the proportion of contraceptive use and the proportion of couple making decision.

关 键 词：流动人口 避孕方法使用 夫妻决定 计划生育优质服务干预 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]