Effect of intervention on clinic visiting rate of woman with gynecological diseases after disease census among retired or poverty-stricken women

Objective To evaluate the effect of in tervention on improving chinic visiting rate of women with gynecolological diseases after disease census among retired or poverty-stricken women in a community of Shanghai.Methods The prospective intervention study was executed in 714 subjects selected with cluster sampling from all retired or poverty-stricken women registered in the community.Data were collected through a questionnaire survey and physical examination.Results Among the 714 women with at least one gynecological disease, 36.27% sought medical treamtent during six months after the disease survey.After a face-to-face intervention on clinic visit by community doctor, 54.48% of the women soughtmedical treamtent.A decreased clinic visiting base line rate was detected in the poverty-stricken women(13.04%).An increased clinic visiting rate after the intervention of community doctor was observed in the women with education of college and above(48.84%) and middle school(33.33%).There was a positive correlation between the self-reported severity of diseases and base line clinic-visiting rate(odds ratioOR=2.45, 95% confidence intervalCI: 1.82-3.30) and clinic visiting rate after the intervention(OR=5.0, 95% CI: 3.21-8.10).Conclusion The prevalence rate of gyneco logical disease was high among retired or poverty-stricken women, but the clinic-visiting rate was low.The in tervention on clinic visiting by community doctor could increase clinic-visiting rate.