喀什地区城乡育龄期妇女生殖健康知识认知、获取途径与需求指向情况调查分析  

Investigation and research on the cognitive attitude,knowledge acquisition approaches and demand orientation of reproductive health among women of childbearing age in urban and rural areas of Kashi region

作　　者：热伊麦·穆太力普 阿丽耶·麦麦提吐尔孙 胡尔西代姆·艾尔肯 古丽米热·阿布杜瓦依提 Reyimai·Mutailipu;Aliye·Maimaitituersun;Huerxidan·Aierken;Gulimire·Abuduwayiti(Department of Scientific Research,The Second People′s Hospital of Kashi,Xinjiang 844000,China;Department of Obstetrics,The Second People′s Hospital of Kashi;Department of Hospital Sensory,The Second People′s Hospitalof Kashi)

机构地区：[1]喀什地区第二人民医院科研科,新疆844000 [2]喀什地区第二人民医院产科 [3]喀什地区第二人民医院院感科

出　　处：《预防医学论坛》2024年第12期899-904,共6页Preventive Medicine Tribune

基　　金：2019年度新疆维吾尔自治区创新环境(人才、基金)建设专项项目(2019Q146)。

摘　　要：目的探讨新疆维吾尔自治区喀什地区城乡育龄期妇女的生殖健康知识认知态度、获取途径与需求指向,为改善当地育龄期妇女生殖健康服务及水平提供科学依据与实践参考。方法采用方便抽样的方法,2020年4-8月抽取新疆维吾尔自治区喀什地区城乡887名育龄期妇女作为研究对象,用自行设计的生殖健康现状调查表进行问卷调查,使用SPSS 21.0统计软件进行数据分析。结果95.4%(846/887)的育龄期妇女认为非常有必要或应该接受生殖健康相关知识。出现生殖健康问题时85.6%(759/887)的育龄期妇女会选择去医院看病,且64.4%(571/887)妇女选择去综合医院妇科门诊就诊,其中城市妇女选择综合医院妇科门诊比例高于农村(χ^(2)=17.273,P<0.001)。城市妇女做生殖道感染检查时害羞比例高于农村(χ^(2)=15.288,P<0.001)。农村开设生殖健康教育课程比例高于城市(χ^(2)=66.986,P<0.001)。生殖健康相关知识获取途径主要以学校教育(55.5%,492/887)和咨询医疗卫生机构(50.8%,451/887)为主,并且育龄期妇女都倾向于通过医疗卫生机构(59.6%,529/887)和生殖健康知识讲座(54.9%,487/887)等权威的方式获取生殖健康知识。育龄期妇女想了解的生殖健康知识以青春期生理变化(81.8%,726/887)、女性生殖器官解剖结构及生理功能(67.8%,601/887)、孕育及避孕知识(67.8%,601/887)、月经问题(65.7%,583/887)为主。结论喀什地区城乡育龄期妇女均对生殖健康的重视度相对较高,但仍有部分育龄期妇女在某些问题上存在认知误区,且对生殖健康问题存在害羞和回避的态度;知识获取途径有待优化,无论在城市还是在乡村,大众媒体在传播生殖健康知识方面的作用尚未得到充分发挥;城乡育龄期妇女均表现出对生殖健康的强烈需求。Objective To explore the awareness,attitudes,access channels,and demand orientation of reproductive health knowledge among women of childbearing age in urban and rural areas of Kashi,Xinjiang Uygur autonomous region,so as to provide scientific basis and practical references for improving reproductive health services and standards for women of childbearing age in the region.Methods Using convenient sampling,887women of childbearing age from urban and rural areas of Kashi,Xinjiang Uygur autonomous region,were selected as study participants from April to August 2020.A self-designed questionnaire on the current status of reproductive health was used for the survey,and data analysis was conducted using SPSS 21.0statistical software.Results A total of 95.4%(846/887)of women of childbearing age believed it was very necessary or appropriate to receive knowledge about reproductive health.When facing reproductive health issues,85.6%(759/887)of women of childbearing age would choose to seek medical care at hospitals,and 64.4%(571/887)would opt for gynecological clinics at general hospitals.Among them,the proportion of urban women choosing gynecological clinics at general hospitals was higher than that of rural women(χ^(2)=17.273,P<0.001).The proportion of urban women who felt shy when undergoing reproductive tract infection examinations was higher than that of rural women(χ^(2)=15.288,P<0.001).The proportion of reproductive health education courses offered in rural areas was higher than that in urban areas(χ^(2)=66.986,P<0.001).The main sources of reproductive health knowledge were school education(55.5%,492/887)and consultation with healthcare institutions(50.8%,451/887).Women of childbearing age preferred to obtain reproductive health knowledge through authoritative channels such as healthcare institutions(59.6%,529/887)and reproductive health knowledge lectures(54.9%,487/887).The reproductive health knowledge that women of childbearing age wished to learn about primarily included physiological changes during puberty(8

关 键 词：育龄期妇女 生殖健康 健康知识 健康需求 

分 类 号：R711.3[医药卫生—妇产科学] R181.37[医药卫生—临床医学]