上海市某看守所及拘留所育龄女性羁押人员生殖健康相关知识、态度及行为调查
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摘要
目的了解监管场所育龄女性羁押人员生殖健康相关知识知晓情况,为制定有效的健康干预措施提供理论依据。方法采用匿名问卷调查法,对所内育龄女性羁押人员进行生殖健康相关知识、态度及行为调查。结果共调查看守所及拘留所育龄女性羁押人员286人,根据是否有高危行为将其分为高危组(197人)和普通组(89人)。两组人员对生殖健康相关知识特别是性传播疾病知识及避孕节育和人流等问题知晓率较低,均小于50%。67.83%的调查对象最望获得生殖健康相关知识教育与咨询方面帮助,可望接受的服务方式以互联网和提供避孕药具为主,分别为27.27%和28.33%。高危组与普通组在生殖健康保健行为表现即生殖卫生习惯行为养成(43.65%,88.76%)和定期进行妇检(38.58%,76.40%)、求医行为表现如曾作过生殖健康咨询检测(41.12%,75.28%)和出现生殖系统感染症状就医(44.67%,65.17%)以及高危行为表现如意外怀孕(67.51%,42.69%)、做过人流(64.47%,50.53%)、有性病史(53.29%,31.46%)、注射吸毒史(57.87%,12.36%)、近1年发生不安全性行为(63.45%,35.96%)等方面比较差异均有统计学意义(均P<0.01)。结论看守所及拘留所育龄女性羁押人员生殖健康相关知识知晓率较低,对不同人群需采取有针对性的健康干预措施,减少疾病传播。
[Objective]To investigate the situation of reproductive health related knowledge among women of childbearing age in detention places,provide a theoretical basis for developing effective health interventions. [Methods] An anonymous questionnaire survey was conducted to investigate the knowledge,attitude and behavior of reproductive health among women of childbearing age in a detention house and detention center. [Results] Totally 286 women of childbearing age in the detention house and detention center were investigated,and they were divided into high-risk group(197 persons) and common group(89 persons) according to whether they had high risk behaviors. The awareness rates of the reproductive health related knowledge of respondents in two groups were low,in especial the awareness rates of sexually transmitted diseases and contraception and abortion,which all were lower than 50%. 67.83% of respondents hope to get help from reproductive health related knowledge education and consultation.The acceptable services were internet and contraceptive devices,which was 27.27% and 28.33% respectively. There were statistically significant differences between the high-risk group and the common group in the performance of reproductive health care behavior such as the cultivation of habitual behavior of reproductive health(43.65%,88.76%)and regular gynecologic examination(38.58%,76.40%),the performance of seeking medical treatment behavior such as having done reproductive health counseling and testing(41.12%,75.28%),and the emergence of reproductive system infection symptoms(44.67%,65.17%),and the performance of high risk behavior such as unwanted pregnancy(67.51%,42.69%),abortion(64.47%,50.53%),history of sexual illness(53.29%,31.46%),history of injecting drug abuse(57.87%,12.36%) and unsafe sexual behavior in the past year(63.45%,35.96%)(all P<0.01).[Conclusion] The awareness rate of the reproductive health related knowledge among women of childbearing age in the detention house and detention center is not high,and targeted health interventions should be taken to reduce the spread of the disease.
[Objective]To investigate the situation of reproductive health related knowledge among women of childbearing age in detention places,provide a theoretical basis for developing effective health interventions. [Methods] An anonymous questionnaire survey was conducted to investigate the knowledge,attitude and behavior of reproductive health among women of childbearing age in a detention house and detention center. [Results] Totally 286 women of childbearing age in the detention house and detention center were investigated,and they were divided into high-risk group(197 persons) and common group(89 persons) according to whether they had high risk behaviors. The awareness rates of the reproductive health related knowledge of respondents in two groups were low,in especial the awareness rates of sexually transmitted diseases and contraception and abortion,which all were lower than 50%. 67.83% of respondents hope to get help from reproductive health related knowledge education and consultation.The acceptable services were internet and contraceptive devices,which was 27.27% and 28.33% respectively. There were statistically significant differences between the high-risk group and the common group in the performance of reproductive health care behavior such as the cultivation of habitual behavior of reproductive health(43.65%,88.76%)and regular gynecologic examination(38.58%,76.40%),the performance of seeking medical treatment behavior such as having done reproductive health counseling and testing(41.12%,75.28%),and the emergence of reproductive system infection symptoms(44.67%,65.17%),and the performance of high risk behavior such as unwanted pregnancy(67.51%,42.69%),abortion(64.47%,50.53%),history of sexual illness(53.29%,31.46%),history of injecting drug abuse(57.87%,12.36%) and unsafe sexual behavior in the past year(63.45%,35.96%)(all P<0.01).[Conclusion] The awareness rate of the reproductive health related knowledge among women of childbearing age in the detention house and detention center is not high,and targeted health interventions should be taken to reduce the spread of the disease.
引文
[1]张淑婷,余丽,刘立,等.年轻生育期女性生殖健康现况调查[J].中国性科学,2017,26(3):132-137.
[2]张萍,赵燕,欧阳玉,等.女性生殖系统感染性疾病流行病学调查[J].临床心身疾病杂志,2018,24(2):134-136,143.
[3]何丽,黄琳娟,徐冬梅,等.妊娠期阴道微生态与阴道感染性疾病相关性的研究进展[J].中华医院感染学杂志,2015,25(16):3838-3840.
[4]叶润华,许娟,项丽芬,等.云南省德宏州2005—2012年看守所羁押人员HIV感染率及其影响因素[J].中国艾滋病性病,2014,20(5):331-334.
[5]梁伟涛,柯昌文,旷翠萍,等.东莞市看守所及收教所羁押妇女艾滋病相关知识、态度和行为调查分析[J].中国性科学,2014,23(12):93-96.
[6]吴波,曾牧云.深圳市福田区在押人员艾滋病相关知识认知情况调查及干预[J].齐鲁护理杂志,2015,21(14):59-60.
[7]王英,马进,王瑾,等.上海市流动人口未婚女性IMB生殖健康量表的效度和信度分析[J].上海交通大学学报(医学版),2013,33(2):209-213,219.
[8]KERUBO E,LASERSON KF,OTECKO N,et al.Prevalence of reproductive tract infections and the predictive value of girls'symptom-based reporting:findings from a cross-sectional survey in rural western Kenya[J].Sex Transm Infect,2016,92(4):251-256.
[9]朱海平,郦秀丽.改良的宣传干预对流动人口未婚女性生殖健康的改善效果[J].中国妇幼保健,2013,28(6):985-987.
[10]周珠莲,胡素云,麦小珊.关于流动人口对生殖健康的认知程度分析[J].医药与保健,2014,22(5):106,94.
[11]黄健初,张力,彭晚莲,等.广东省流动人口生殖健康知识状况及影响因素分析[J].广东医学,2012,33(9):1316-1319.
[12]罗阳,李梦玲.女性流动人口生殖健康知信行现状及其影响因素的研究进展[J].中华现代护理杂志,2016,22(17):2499-2502.
[13]LYONS T,OSUNKOYA E,ANGUH I,et al.HIV prevention and education in state prison systems:an update[J].J Correct Health Care,2014,20(2):105-115页.
[14]聂世娇,俄木阿呷,杨爱辉,等.四川省凉山艾滋病高发地区育龄妇女和妇幼工作者AIDS/HIV相关知识知晓情况和态度调查[J].复旦大学学报(医学版),2013,40(6):645-652.
[15]买吾拉尼·买买提依明,马玲,李翔.乌鲁木齐市2015年监管场所羁押人员HIV感染状况及危险行为调查分析[J].中国初级卫生保健,2017,31(2):60-61,82.
[16]李永兴,潘丽红,梁晓婷.2014—2016年化州市新羁押人员艾滋病感染及健康教育情况调查分析[J].河南预防医学杂志,2017,28(3):165-167.
[17]张秀娟.2007—2011年信阳地区监管场所新羁押人员HIV感染状况[J].职业与健康,2012,28(10):2524-2525.
[18]吴韶彬,陈舸,潘蕴蛟,等.福建省部分地区暗娼人群艾滋病相关知识行为调查[J].中国社会医学杂志,2012,29(4):264-265.
[19]谢四化.2008年—2014年赣西北某县哨点监测与新羁押人员梅毒、丙肝及艾滋病疫情分析[J].预防医学,2017,26(7):532-535.
[2]张萍,赵燕,欧阳玉,等.女性生殖系统感染性疾病流行病学调查[J].临床心身疾病杂志,2018,24(2):134-136,143.
[3]何丽,黄琳娟,徐冬梅,等.妊娠期阴道微生态与阴道感染性疾病相关性的研究进展[J].中华医院感染学杂志,2015,25(16):3838-3840.
[4]叶润华,许娟,项丽芬,等.云南省德宏州2005—2012年看守所羁押人员HIV感染率及其影响因素[J].中国艾滋病性病,2014,20(5):331-334.
[5]梁伟涛,柯昌文,旷翠萍,等.东莞市看守所及收教所羁押妇女艾滋病相关知识、态度和行为调查分析[J].中国性科学,2014,23(12):93-96.
[6]吴波,曾牧云.深圳市福田区在押人员艾滋病相关知识认知情况调查及干预[J].齐鲁护理杂志,2015,21(14):59-60.
[7]王英,马进,王瑾,等.上海市流动人口未婚女性IMB生殖健康量表的效度和信度分析[J].上海交通大学学报(医学版),2013,33(2):209-213,219.
[8]KERUBO E,LASERSON KF,OTECKO N,et al.Prevalence of reproductive tract infections and the predictive value of girls'symptom-based reporting:findings from a cross-sectional survey in rural western Kenya[J].Sex Transm Infect,2016,92(4):251-256.
[9]朱海平,郦秀丽.改良的宣传干预对流动人口未婚女性生殖健康的改善效果[J].中国妇幼保健,2013,28(6):985-987.
[10]周珠莲,胡素云,麦小珊.关于流动人口对生殖健康的认知程度分析[J].医药与保健,2014,22(5):106,94.
[11]黄健初,张力,彭晚莲,等.广东省流动人口生殖健康知识状况及影响因素分析[J].广东医学,2012,33(9):1316-1319.
[12]罗阳,李梦玲.女性流动人口生殖健康知信行现状及其影响因素的研究进展[J].中华现代护理杂志,2016,22(17):2499-2502.
[13]LYONS T,OSUNKOYA E,ANGUH I,et al.HIV prevention and education in state prison systems:an update[J].J Correct Health Care,2014,20(2):105-115页.
[14]聂世娇,俄木阿呷,杨爱辉,等.四川省凉山艾滋病高发地区育龄妇女和妇幼工作者AIDS/HIV相关知识知晓情况和态度调查[J].复旦大学学报(医学版),2013,40(6):645-652.
[15]买吾拉尼·买买提依明,马玲,李翔.乌鲁木齐市2015年监管场所羁押人员HIV感染状况及危险行为调查分析[J].中国初级卫生保健,2017,31(2):60-61,82.
[16]李永兴,潘丽红,梁晓婷.2014—2016年化州市新羁押人员艾滋病感染及健康教育情况调查分析[J].河南预防医学杂志,2017,28(3):165-167.
[17]张秀娟.2007—2011年信阳地区监管场所新羁押人员HIV感染状况[J].职业与健康,2012,28(10):2524-2525.
[18]吴韶彬,陈舸,潘蕴蛟,等.福建省部分地区暗娼人群艾滋病相关知识行为调查[J].中国社会医学杂志,2012,29(4):264-265.
[19]谢四化.2008年—2014年赣西北某县哨点监测与新羁押人员梅毒、丙肝及艾滋病疫情分析[J].预防医学,2017,26(7):532-535.
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