摘要
目的评价工厂途径对流动人口进行避孕药具推广干预活动的效果,并比较基本干预模式与全面干预模式间效果差异。方法流行病学现场干预试验。在深圳市和东莞市各选择2个工厂,基线调查后进行避孕药具推广干预,基本干预模式实施避孕节育/生殖健康知识宣教和推荐可获得免费避孕服务的地点,全面干预模式同时整合了面对面咨询及药具发放服务,半年后开展终线调查及效果评价。结果干预前后调查对象人口学特征具有可比性;干预后调查对象的避孕相关知识水平有所提高(P=0.000),且全面干预组及格率高(P=0.000);调查对象自我报告最常使用的避孕措施为安全套,干预前使用比例为69.7%,购买过比例为67.7%,干预后使用比例和购买过比例上升(P=0.000),基本和全面干预组使用比例分别提高为84.9%和87.1%,购买过比例分别提高为90.2%和95.1%;实施两种干预后坚持使用避孕措施的比例由35.7%分别上升至38.1%和42.9%,且全面干预组坚持使用率高(P=0.000)。结论对工厂流动人口避孕药具推广干预取得一定效果,整合了咨询及药具发放服务效果更佳,建议持续开展并在其它类似人群中推广。
Objective To evaluate the effectiveness of an intervention program on promoting the use of contraceptives in migrant population working in factories,and to compare the difference of results between the basic intervention mode and the comprehensive intervention mode.Methods This was an epidemiologic intervention study carried out in each 2 factories in Shenzhen and Dongguan among migrant workers by comparing the effectiveness of a baseline survey and a end-line survey.The basic intervention mode was composed of spreading contraceptives and reproductive health information,conducting education and communication and providing references to access free services from family planning clinics（IEC）.The comprehensive intervention mode provided more services on face to face counseling and distributing free contraceptives.Results The demographic characteristics of subjects before and after surveys were comparable.Whether in the basic group or comprehensive mode group,the awareness of contraceptive /reproductive health knowledge was increased significantly after intervention（P = 0.000）,and the pass rate was higher in the comprehensive intervention group（P = 0.000）.The self-reported most frequently used contraceptives was condoms.The proportion of using condoms and purchasing condoms was increased after intervention（P = 0.000） from 69.7% and 67.7% before intervention to 84.9% and 90.2% after basic intervention and 87.1% and 95.1% after comprehensive intervention.The proportion of using contraceptives every time was increased from 35.7% before intervention to 38.1% after basic intervention（P = 0.018） and to 42.9% after comprehensive intervention（P = 0.000）.Conclusion Intervention measures based on implementing in factories were effective in promoting contraception among migrant workers,and the integration of counseling and free contraceptive services with IEC was better.Carrying on and extending this kind of interventionmeasures to other migrant population in similar conditions is suggested.
出处
《卫生研究》
CAS
CSCD
北大核心
2011年第1期82-85,共4页
Journal of Hygiene Research
基金
国家"十一五"科技支撑计划课题(No.2006BAI15B03)
关键词
流动人口
避孕药具
计划生育
migrant workers
contraceptives
intervention
