基于多水平模型的流动育龄妇女生殖健康教育的影响因素分析  

Analysis of influencing factors of reproductive health education for floating women of childbearing age based on multi-level model

作　　者：李珍 LI Zhen(School of Customs and Public Administration,Shanghai Customs College,Shanghai 201204,China)

机构地区：[1]上海海关学院海关与公共管理学院,上海201204

出　　处：《现代预防医学》2023年第19期3506-3511,共6页Modern Preventive Medicine

基　　金：国家重点研发计划项目(2022YFC2602400);上海海关学院科研启动经费项目资助(2315014A2020)。

摘　　要：目的 了解流动育龄妇女接受生殖健康教育的现状并探讨其影响因素,为推进流动人口卫生计生基本公共服务均等化服务和提高流动人口的健康素养水平提供参考。方法 选取2018年全国流动人口动态监测调查中61 086名15~49岁流动育龄妇女为研究对象,同时考虑地区间异质性的事实,建立多水平logistic模型分析。结果 流动育龄妇女占全部流动人口调查对象的40.18%,其生殖健康教育接受率为49.39%,中部地区、西部地区的生殖健康教育服务接受率高于东部地区和东北地区。多水平logistic模型分析结果表明,流动育龄妇女生殖健康教育接受率在社区水平上存在聚集性,社区健康教育服务管理合格(OR=1.305,95%CI:1.182~1.440)以及居住社区类型为居委会(OR=1.756,95%CI:1.567~1.969)是流动育龄妇女接受生殖健康教育服务的促进因素;个体水平上,年龄30~39岁(OR=1.598,95%CI:1.346~1.897)、在婚(OR=1.751,95%CI:1.591~1.927)、大专及以上受教育程度(OR=2.059,95%CI:1.877~2.259)、参加医疗保险(OR=1.386,95%CI:1.267~1.516)、有工作(OR=1.242,95%CI:1.171~1.317)、生育过子女(1个:OR=1.662,95%CI:1.514~1.824;≥2个:OR=1.715,95%CI:1.544~1.905)、过去一年没有人工流产(OR=1.207,95%CI:1.070~1.362)、现孕(OR=2.143,95%CI:1.870~2.455)、自评健康(OR=1.222,95%CI:1.134~1.317)的流动育龄妇女获得生殖健康教育的可能性更高。结论 流动育龄妇女接受生殖健康教育与个体因素、社区因素有关,生殖健康教育服务要重点关注非在婚、受教育程度较低、未生育过子女、过去一年有人工流产经历的流动育龄妇女。Objective To investigate the current situation of reproductive health education among floating women of childbearing age and to explore its influencing factors, to provide reference for promoting the equalization of basic public services for health and family planning and improving the level of health literacy of floating population. Methods In total, 61 086 floating women aged 15 to 49 years in the 2018 national floating population dynamic monitoring survey were selected as the research subjects, a multi-level logistic model was established and considering the fact of inter-regional heterogeneity. Results Floating women of childbearing age accounted for 40.18% of the respondents of the floating population, and the acceptance rate of reproductive health education was 49.39%. The acceptance rate of reproductive health education services in the central and western regions were higher than those in the eastern and northeast regions. The results of multi-level logistic model analysis showed that the acceptance rate of reproductive health education for floating women of childbearing age was aggregated at the community level, and that qualified management of community health education services (OR=1.305, 95%CI: 1.182-1.440) and neighborhood committee (OR=1.756, 95%CI: 1.567-1.969) were promoting factors for receiving reproductive health education services. At the individual level, women who were aged 30 to 39 years (OR=1.598, 95%CI: 1.346-1.897), married (OR=1.751, 95%CI:1.591-1.927), with college eduction (OR=2.059, 95%CI:1.877-2.259), enrolled in health insurance (OR=1.386, 95%CI: 1.267-1.516), employed (OR=1.242, 95%CI:1.171-1.317), and had children (1 child: OR=1.662, 95%CI:1.514-1.824;more than 2 children: OR=1.715, 95%CI:1.544-1.905), did not undergo induced abortion (OR=1.207, 95%CI: 1.070-1.362), currently pregnant (OR=2.143, 95%CI:1.870-2.455), and self-rated health (OR=1.222, 95%CI: 1.134-1.317) in the past year were more likely to receive reproductive health education. Conclusion Reproductive health educatio

关 键 词：流动育龄妇女 生殖健康教育 多水平模型 

分 类 号：R169[医药卫生—公共卫生与预防医学] R173