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流动人口生殖健康服务满意度影响因素分析

Influencing factors of satisfaction to reproductive health service in migrant population:a cross-sectional study

  • 摘要: 目的 探讨重庆市育龄流动人口生殖健康服务满意度影响因素。方法 2014年3—5月,采用二阶段随机整群抽样方法抽取1 342名育龄流动人口,采取结构式问卷进行调查。结果 单因素分析结果显示,年龄大(χ2=13.05,P=0.000 3)、女性(χ2=15.36,P=0.000)、服务业和其他职业(χ2=62.89,P=0.000)、低学历(χ2=50.13,P=0.000)、农业户口(χ2=17.99,P=0.000)、未婚有性生活(χ2=17.13,P=0.000 2)、未参加医保(χ2=7.91,P=0.004 9) 的研究对象对服务的满意率相对较高;不同避孕方法选择中,选择结扎的满意率最高,为94.65%(53/56);不同避孕方法选择主体中,本人决定避孕方法的满意率最高,为92.82%(414/446);不同服务场所中,在医院和社区/单位/工厂卫生服务中心的满意率最高,分别为91.88%(385/419)和91.96%(412/448);多因素分析结果表明,性别、学历、职业、婚姻状况和生殖健康服务场所对生殖健康服务满意度均有影响。结论 重庆市育龄流动人口对生殖健康服务的满意度受到年龄、性别、职业、婚姻状况和生殖健康服务提供场所的影响。

     

    Abstract: Objective To explore potential influential factors of satisfaction to reproductive health service (RHS) in migrant population in Chongqing municipality.Methods Two-stage random cluster sampling was adopted and a total of 1 342 migrant people at childbearing age were selected for a questionnaire survey.Results Higher satisfaction proportion was associated with older age (χ2=13.05,P=0.000 3),female (χ2=15.36,P=0.000),being service workers or other occupation (χ2=62.89,P=0.000),low education level (χ2=50.13,P=0.000),rural residence registration (χ2=17.99,P=0.000),unmarried but having sexual behavior (χ2=17.13,P=0.000 2),and having no medical insurance (χ2=7.91,P=0.004 9) among the participants.For the participants with different selection of contraceptive methods,the proportion of satisfaction to RHS was the highest(94.65%,53/56)among those selecting sterilization;the participants selecting the contraceptive method by themselves had the highest proportion of satisfaction to RHS (92.82%,414/446) compared to other participants;most of the participants (91.88%,385/419 and 91.96%,412/448) reported satisfaction to RHS provided by hospitals and healthcare centers in communities,factories or other administrative units.Multivariate analyses showed that general satisfaction to RHS of the participants was correlated to gender,educational attainment,occupation,marital status,and type of RHS providers.Conclusion Satisfaction to RHS is influenced by age,gender,occupation,marital status,and type of RHS providers among reproductive migrant people.

     

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