全面两孩政策下北京市免费短效避孕药具使用分析

目的分析全面两孩政策下北京市免费短效避孕药具使用状况及其影响因素。方法选取2018年北京市基本公共卫生(药具)服务需求调查数据库中,使用短效避孕方法且对免费短效避孕药具有需求的15~49岁育龄群众2341人作为研究对象,分析免费短效避孕药具使用一般情况,应用χ²检验和二分类Logistic回归法分析免费短效避孕药具使用的影响因素。结果育龄群众对免费短效避孕药具的知晓率为92.1%,但使用率仅为67.4%,其中所用短效避孕药具全部是免费的占40.8%。受教育程度在本科及以上、务农及其他就业、家庭月均收入在4000元及以下、已婚、在北京居住3年及以上的育龄群众更倾向于使用免费短效避孕药具(P<0.05)。不愿意使用免费短效避孕药具的主要原因包括质量差、种类少及使用不舒服等。结论针对未婚、在京居住时间短、受教育程度低、非农就业等重点人群加大免费短效避孕药具政策宣传力度,完善互联网发放渠道,合理配置自动取套机,在政府招标采购时注重提高短效避孕药具的质量和舒适度。

Analysis on the Use of Free Short-Acting Contraceptives in Beijing under the Comprehensive Two-Child Policy

Objective After the comprehensive two-child policy was implemented in China,the use of free shor-tacting contraceptives in Beijing and its influencing factors were analyzed to provide a basis for implementing the comprehensive two-child policy supporting measures.Methods A total of 2341 people using short-acting contraceptives and requiring free short-acting contraceptives were analyzed from the basic public health(pharmaceutical)service demand survey database of Beijing in 2018.The influencing factors on the use of free short-acting contraceptives were analyzed by chi-square test and binary Logistic regression.Results The awareness rate of free short-acting contraceptives among people of childbearing age was 92.1%,but the utilization rate was only 67.4%,of which 40.8%were all free short-acting contraceptives.People of child-bearing age with a bachelor's degree or above,agricultural and other employment status,average monthly household income of 4000 yuan or less,married and living in Beijing for 3 years or more were more likely to use free short-acting contraceptives(P<0.05).The main reasons for not using free short-acting contraceptives were poor quality,few types and discomfort.Conclusion For the unmarried,short time in Beijing,low education,non-agricultural employment and other key groups,more efforts should be made to publicize the policy of free short-effect contraceptives,improve the distribution channels on the Internet,rationally allocate automatic condom collection machines,and pay attention to improving the quality and comfort level of short-effect contraceptives in government bidding and procurement.