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目的:了解上海市闵行区已婚流动人口的避孕节育知情选择情况,探讨潜在的影响因素。方法:共招募到1197名流动人口,其中应用避孕措施的对象1032名,采用面对面的结构式问卷调查流动人口的避孕节育知情选择情况,统计分析以χ2检验及Logistic回归分析进行。结果:已婚流动人口对计划生育部门提供的避孕方法以及相关方法的费用知晓情况并不十分理想,虽有超过70%的对象主动听说过宫内节育器和男用避孕套,但对其免费获得的知晓率均只有40%左右。就现用避孕方法的选择,46.12%的流动人口由夫妻双方共同决定,20.83%的对象由本人决定,由计划生育人员决定的比例高达22.67%。CMH检验和Logistic回归分析均显示:流动人口避孕节育知情选择情况受性别、学历及年龄的影响,其中女性、学历越高、年龄越大者更能自主选择避孕方法。CMH检验还显示:不同的流动人口流出地和来到流入地后是否才开始用现用避孕方法对自主选择也存在影响,但多因素分析未显示差异。另外,避孕方法的效果、使用是否方便和获得的容易程度是流动人口选择避孕方法时考虑的主要因素。结论:流动人口的避孕节育知情选择的比例仍较低;对常用避孕方法的知晓率有待提高;避孕节育知情选择工作力度有待进一步加大。
Objective: To understand the informed choice of contraceptive contraception in married floating population in Minhang District of Shanghai and to explore the potential influencing factors. Methods: A total of 1197 floating population were enrolled, including 1032 subjects using contraceptive methods. Informed questionnaires were used to investigate the informed choice of contraception for the floating population. Statistical analysis was performed using χ2 test and Logistic regression analysis. Results: Married floating population did not know the cost of contraceptive methods and related methods provided by the family planning department. Although more than 70% of the subjects heard about IUDs and male condoms for free, they were free The awareness rate is only about 40%. With regard to the choice of current contraceptive methods, 46.12% of floating population are jointly decided by both spouses, 20.83% of whom are determined by themselves and up to 22.67% by family planning personnel. CMH test and Logistic regression analysis showed that the informed choice of contraception in floating population was affected by gender, educational background and age. Among them, the higher the education level of women, the older were more able to choose the method of contraception. The CMH test also showed that different migrants started using the current method of contraception to influence their choice of spontane- ous choice even after they came out of the country and came to the influx, but multivariate analysis showed no difference. In addition, the effectiveness of contraceptive methods, ease of use and ease of access are key considerations in migrant population selection of contraceptive methods. Conclusion: The proportion of informed choice of contraception in floating population is still low; the awareness rate of common contraception methods needs to be improved; the choice of informed choice of contraception should be further strengthened.