摘要
目的了解流动育龄妇女妇科检查服务利用现状及其影响因素,为改善流动育龄妇女生殖健康质量提供依据。方法利用2005年北京、南京、厦门、深圳和重庆5城市流动人口生殖健康抽样调查数据,分析5 399名流动育龄妇女妇科检查情况,采用logistic回归分析其影响因素。结果未做和做过妇科检查者分别为3 112人（57.64%）和2 287人（42.36%）,其中在流入地、户籍地和其他地方做妇科检查者分别为1 805人（78.92%）、445人（19.46%）和37人（1.62%）;已婚者或有过婚姻者做妇科检查可能性分别是未婚者的7.46倍（95%CI=5.45~10.21）和4.86倍（95%CI=2.33~10.15）;生育1胎者做妇科检查可能性是未生育者的1.47倍（95%CI=1.13~1.90）;有婚育证明者做妇科检查可能性是无婚育证明者的1.41倍（95%CI=1.24~1.61）;签订计划生育管理协议者做妇科检查可能性是未签订者的1.33倍（95%CI=1.17~1.52）;参加过宣教活动者做妇科检查可能性是未参加者的1.56倍（95%CI=1.38~1.76）;自身状况一般和差者做妇科检查的可能性分别是自身状况良好者的1.25倍（95%CI=1.08~1.44）和1.80倍（95%CI=1.25~2.60）。结论已婚或有过婚姻、生育胎数少、有婚育证明、签订计划生育管理协议、参加计生部门宣教活动、自身健康状况差对流动育龄妇女的妇科检查具有保护作用。
Objective To examine the utilization of health care service and its related factors among floating women of childbearing age and to provide evidences for improving the quality of reproductive health for the women. Methods With the data from the reproductive health survey in floating population conducted in Beijing,Nanjing,Xiamen,Shenzhen,and Chongqing municipality in 2005,the status of gynecological examination（ GE） among 5 399 floating women was observed. Multivariate logistic regression was performed to analyze the factors related to the utilization of GE. Results The results of regression showed that the proportion of having GE among married women and women with other marital status（ widowed and divorced） was 7. 46-fold（ 95% confidence interval[95% CI]= 5. 45- 10. 21） and 4. 86-fold（ 95% CI = 2. 33- 10. 15） higher than that among unmarried women. The proportion of having GE in the women with one parity was 1. 47-fold（ 95% CI = 1. 13- 1. 90） higher than that in the women without childbearing history. The proportion of having GE in the women with the certificate of marriage and fertility for floating population was 1. 41-fold（ 95% CI =1. 24- 1. 61） higher than that in the women without the certificate. The proportion of having GE in the women who had signed family planning management agreement for floating population was 1. 33-fold（ 95% CI = 1. 17- 1. 52） higher than that in the women did not signed the agreement. The proportion of having GE in the women participating in the education program organized by family planning departments was 1. 56-fold（ 95% CI = 1. 38- 1. 76） higher than that in the women not participating in the program. The proportion of having GE in the women with self-reported normal or poor health condition was 1. 25-folder（ 95% CI = 1. 08- 1. 44） and 1. 80-folder（ 95% CI = 1. 25- 2. 60） higher than that in the women with self-reported good health condition. Conclusion Married or ever married,having less parities,with certificate of marriage and fertility
出处
《中国公共卫生》
CAS
CSCD
北大核心
2015年第3期260-263,共4页
Chinese Journal of Public Health
基金
国家自然科学基金(41271439)
2010年教育部人文社会科学规划项目基金(10YJA840030)
中国流动人口生殖健康服务状况调查(国人口调[2005]4号)
关键词
流动育龄妇女
妇女保健
妇科检查
floating women of childbearing age
women health care
gynecological examination
