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郭素芳, Oratai Rauyajin, Vanawipha Pasand hanatorn, Thawatchai Boonchote, 王临虹. 中国农村生殖道感染妇女卫生服务需求情况调查[J]. 中国公共卫生, 2001, 17(5): 441-443. DOI: 10.11847/zgggws2001-17-05-45
引用本文: 郭素芳, Oratai Rauyajin, Vanawipha Pasand hanatorn, Thawatchai Boonchote, 王临虹. 中国农村生殖道感染妇女卫生服务需求情况调查[J]. 中国公共卫生, 2001, 17(5): 441-443. DOI: 10.11847/zgggws2001-17-05-45
GUO Su-fang, . Health Service Utilization of Women with Reproductive Tract Infections in Rural China[J]. Chinese Journal of Public Health, 2001, 17(5): 441-443. DOI: 10.11847/zgggws2001-17-05-45
Citation: GUO Su-fang, . Health Service Utilization of Women with Reproductive Tract Infections in Rural China[J]. Chinese Journal of Public Health, 2001, 17(5): 441-443. DOI: 10.11847/zgggws2001-17-05-45

中国农村生殖道感染妇女卫生服务需求情况调查

Health Service Utilization of Women with Reproductive Tract Infections in Rural China

  • 摘要: 目的 为研究影响患生殖道感染的妇女利用卫生服务的心理社会因素.方法 采用Aday和Andersen的社会行为模式,在1998~1999年对河北省迁安县有生殖道感染症状的已婚妇女共378例进行了横断面调查.采用SPSS/PC75进行统计分析.结果 46.8%的已婚妇女自述至少有一种生殖道感染的症状,其中26.7%的妇女去医疗机构就医.在就医的妇女中,69.3%就诊1次.未就诊的妇女中,53.8%采用自我治疗的方法,46.2%妇女未采用任何治疗措施.Logistic回归分析显示:妇女有关自我治疗生殖道感染的知识、患病的时间、自我感觉自述有生殖道感染后社会的不良看法、家庭经济收入、对生殖道感染严重性的认识、以及既往患生殖道感染的情况是影响自述有生殖道感染的妇女利用卫生服务的因素.结论 提示很有必要给育龄妇女以及男性提供有关生殖道感染方面的知识,减少社会对生殖道感染的不良看法,给妇女更多的社会支持,提高妇女的地位,提高保健服务的质量.

     

    Abstract: Objecitves The objective of this study is to provide insight into psychosocial factors underlying utilisation of health services of women who perceived RTI symptoms and to describe health-seeking behaviour of women with RTIs.Methods A cross-sectional study,adopted Aday and Andersen's Social Behaviour Model was conducted in 1998~1999 in China.Hebei province of China was purposively chosen as the research site.All eligible married women aged 21 to 60,378 subjects,were face to face interviewed.Results The findings show that the percentage of self-reported symptoms of RTIs was 46.8 and the proportion of women with RTIs who utilised health services was only 26.7 percent.Concerning the users of governmenthealth services,most women sought care only once at the suggestion of their husbands.More than half(53.8%) of the non-users of governmenthealth services used self-medication and more than one-third(46.2%) of them did not seek any kind of care at all.The results of logistic regression analysis show that knowledge about self-medication,duration of RTIs,perceived social stigma of getting RTIs,family income,perceived severity of RTIs,and prior experience of RTIs are predicators of RTI women's utilisation of health services.Conclusions These findings show that there is a need for great emphasis on offering reproductive health education,alleviating women's social stigma related to RTIs,giving women social and moral support,empowering of women,and improving the quality of health services.

     

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