广西出生缺陷高危育龄妇女的出生缺陷预防知识、态度和行为现状调查  

Investigation on knowledge, attitude and behavior regarding birth defects prevention among child-bearing age women with high risk of birth defects in Guangxi: a cross-sectional study

作　　者：刘湘红[1] 韦朋海 丘小霞[1] 韦萍[1] 姚慧[1] 吴丹华[1] 黄旭华 LIU Xiang-hong;WEI Peng-hai;QIU Xiao-xia;WEI Ping;YAO Hui;WU Dan-hua;HUANG Xu-hua(Department of Health Care,the Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530003,China)

机构地区：[1]广西壮族自治区妇幼保健院保健部,南宁市530003

出　　处：《广西医学》2021年第5期582-586,共5页Guangxi Medical Journal

基　　金：广西医疗卫生适宜技术研究与开发项目(S2015-42);广西医药卫生科研课题(Z20170791)。

摘　　要：目的了解广西出生缺陷高危育龄妇女的出生缺陷预防知识、态度和行为情况。方法采用现况调查的研究方法,对1432名出生缺陷高危育龄妇女进行问卷调查,分析其出生缺陷预防知识、态度和行为的现状。结果1432名高危妇女的优生优育知识知晓率为71.30%(1021/1432),其中对于生活中危险因素的知晓率均高于80%,对于产前产后相关检查的知晓率均低于60%。不同年龄、职业、民族、收入以及生育史的调查对象的出生缺陷知识得分差异均有统计学意义(均P<0.05)。高危妇女对于预防出生缺陷相关服务态度的认同率均在87%以上,行为形成率为72.0%(1031/1432)。结论广西出生缺陷高危妇女对优生优育知识知晓率较低,尤其是对产前筛查、诊断以及新生儿疾病筛查方面的知识;不同年龄、生育状况、职业、民族、经济收入的高危妇女对出生缺陷知识知晓率有差异,应针对重点人群进行健康宣传教育。Objective To understand the status of knowledge,attitude and behavior regarding birth defects prevention among child-bearing age women with high risk of birth defects in Guangxi.Methods A cross-sectional study and questionnaire survey was conducted among 1432 child-bearing age women with high-risk of birth defects to analyze the current status of their knowledge,attitude and behavior with respect to birth defects prevention.Results About 71.30%(1021/1432)of 1432 high-risk women were aware of knowledge about prenatal and postnatal care,more than 80%were aware of risk factors in daily life,and less than 60%were aware of relevant prenatal and postnatal examinations.There was statistically significant difference in scores for knowledge about birth defects between responders with different age,different occupations,different nationalities,different incomes,or different childbearing history(all P<0.05).More than 87%of high-risk women were agreed with relevant service attitude towards birth defects prevention,and 72.0%(1031/1432)developed the habit.Conclusion Guangxi women with high risk of birth defects have a lower awareness rate of knowledge about prenatal and postnatal care,especially knowledge about prenatal screening,diagnosis and neonatal diseases screening.High-risk women′s awareness rate of knowledge about birth defects differs by age,fertility,occupation,nationality,or economic income.Health propaganda and education should be carried out targeting major populations.

关 键 词：出生缺陷 高危人群 育龄妇女 优生优育知识 态度 行为 

分 类 号：R715.5[医药卫生—妇产科学]