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社区干预对育龄妇女安全套使用行为的影响

Intervention on increase of condom use among married women of reproductive age
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摘要 目的:了解综合干预对育龄妇女安全套使用的影响,并探讨育龄妇女安全套使用行为的其他影响因素。方法:采用随机整群抽样方法抽取上海市徐汇区4个街道60个居委会,以其辖区内<49岁已婚育龄妇女为调查对象,随机分为干预组和对照组,对干预组育龄妇女在常规计划生育工作的基础上实施生殖健康知识、安全套使用宣传教育和免费发放的社区综合干预;对照组仅开展常规的计划生育服务;比较干预前后干预组和对照组安全套知识、安全套使用行为的变化。结果:干预组安全套使用频度提高的幅度大于对照组(OR=1.90,95%CI:1.34~2.45)。30~40岁年龄段育龄妇女较<30岁者干预后安全套使用频度提高幅度大、基线使用频率高者使用频度提高幅度小,研究对象的丈夫年龄较大、收入较高者干预后安全套使用频度提高的幅度较小。结论:宣教和服务等综合干预可提高已婚育龄妇女安全套的使用。干预效果受到安全套基线使用频率、妇女年龄、丈夫年龄和收入的影响。 Abstract Objective: To evaluate the results of general intervention on condom use in women of reproductive age and to ex- plore influential factors related to condom use. Methods: A community - based intervention study was conducted in Xuhui Dis- trict, Shanghai. Four streets (Fenglin, Hunan, Hongmei and Changqiao) were selected by cluster sampling. In the interven- tion group, health education and service of condom use were implemented, while routine family planning program was conduc- ted in the control group. Knowledge about reproductive tract infection and condom practices were compared before and after the intervention. Results : After the project, the increase of condom use frequency in the intervention group was higher than that in the control group ( OR = 1.90, 95% CI : 1.34 - 2.45). The women aged from 30 to 40 years old had a higher use of condom than those who were less than 30 years old after intervention. The increase in the condom use after intervention was low among the women who had a higher use of condom at the start, and had eider husbands and husbands who had higher incomes. Con- clusion: It is an effective way to conduct a community- based intervention to increase women's condom use frequency. The women~ use of condom at the baseline and their age, their husbands'age and incomes had impact on intervention effects. Key words Condom ; Married women of reproductive age; Community intervention ; Reproductive Health knowledge; Educa- tion
出处 《中国计划生育学杂志》 北大核心 2011年第5期263-266,共4页 Chinese Journal of Family Planning
基金 上海市人口和计划生育委员会资助项目(Y20070801)
关键词 安全套 已婚育龄妇女 社区干预 生殖健康知识 宣传教育 Condom Married women of reproductive age Community intervention Reproductive Health knowledge Education
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