深圳市流动已婚育龄妇女生殖健康现况调查

目的对深圳市流动已婚育龄妇女生殖健康现况及需求进行调查,以探讨流动人口生殖健康服务最佳实践模式。方法采用等比例分层抽样方法抽样,调查对象为15~49岁的非本市户籍已婚妇女。结果流动已婚妇女93.79%已落实各类节育措施,占已生育人数的99.41%,其中83.37%使用长效措施;72.20%的对象接纳婚前性行为,50.47%有过婚前性行为,42.78%首次性行为的年龄<20岁,11.33%有多个性伴;17.77%做过人工流产术,反复流产率高达28.29%,26.33%的人有过生殖道感染患病史;91.38%的人希望获得更多的生殖健康知识,90.15%希望在业余时间由计生或妇幼保健部门提供讲座、面对面咨询服务,91.61%认为男性也应该参加生殖健康教育;对于免费避孕药具,有50.15%的人会主动领取,43.67%的人愿意自己购买避孕药具并坚持使用。结论本市流动已婚育龄妇女生殖健康状况不容乐观。建议进一步加强流动人口生殖健康宣传教育和避孕方法的知情选择、药具等综合管理与服务,开展流动人口生殖健康促进项目。

Investigation on Status of Reproductive Health among Floating Married Women Aged Childbearing in Shenzhen

Objective: To investigate the status, demands and needs of reproductive health among floating married women aged childbearing so as to explore the best feasible procedure of reproductive health in floating population. Methods:Married and non-native women aged 15-49 years old were selected and analysed by geometric proportion delamination sample method. Results:93.79% married women took different birth control measures, accounting for 99.4% among ever-bearing women. Of them, 83.37% took long-term effective measures; 72.20% admitted antemarital sexual behaviours; 50.47% had sexual behaviours before marriage ever; 42.78% of less than 20-year-old women had the first sexual behaviours; 11.33% had several sexual partners; 17.77% underwent induced abortion; repetitive abortion rate was 28.29%; 26.33% underwent reproductive tract infection; 91.38% wished to get more information and knowledge on reproductive health; 90.15% wanted to listen to lectures and get face-to-face counseling from family planning organizations or women-children health care organizations in part time; 91.61% thought that male should also accept reproductive health education; 50.15% would like to get free contraceptives; 43.67% would rather buy contraceptives by themselves and insisted on using it. Conclusion: It is suggested that we should strengthen comprehensive management and service on reproductive health, contraception informed choice and contraceptives supply among floating population, and carry out some reproductive health programs.