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目的了解本区城中村流动人口育龄妇女生殖健康现状及服务需求,为进一步开展计划生育维权服务、生殖健康服务、避孕药具服务和生育关怀服务提供依据。方法制定生殖健康调查实施方案和调查问卷,组织、培训调查人员,从流动人口较多的9个城中村中,随机抽取1500例流动人口育龄妇女,进行匿名填卷调查。结果调查对象性生活满意度59.6%,二胎率42.5%,引产及流产率17.7%;阴道炎64.4%,宫颈炎40.2%,盆腔炎29.5%,月经不调24.9%,乳腺增生12.4%;首选就诊:个体诊所50.9%,妇幼保健站21.6%,民营专科医院14.2%;影响生殖健康的主要问题:经常患妇科疾病48.4%,经济困难29.0%,居住工作环境差16.4%,家庭矛盾大2.1%,夫妻感情不和1.1%;服务需求:生殖健康科普知识、避孕节育措施和生殖保健服务。结论本区流动人口育龄妇女性生活满意度较低,二胎率、引产流产率、妇科疾病发病率较高,生殖健康知识较缺乏,应加强对流动人口育龄妇女的生殖健康教育、关怀,在防病治病、避孕药具等方面提供更优质的服务,以提高流动人口育龄妇女的生殖健康水平。
Objective To understand the status quo of reproductive health and service needs of women of childbearing age in floating villages in this district and provide basis for further carrying out family planning rights protection services, reproductive health services, contraceptives services and childbirth care services. Methods Develop reproductive health survey implementation plan and questionnaire, organize and train investigators, and randomly select 1,500 migrant women of childbearing age from 9 villages with large floating population for anonymous survey. Results The satisfaction rate of sexual life was 59.6%, the rate of second birth was 42.5%, the rate of induced abortion and abortion was 17.7%, the incidence of vaginitis was 64.4%, cervicitis 40.2%, pelvic inflammatory disease 29.5%, irregular menstruation 24.9% and mammary gland hyperplasia 12.4%. 50.9% of individual clinics, 21.6% of maternal and child health centers, and 14.2% of private specialized hospitals. The main problems affecting reproductive health are: 48.4% of gynecological diseases, 29.0% of economic difficulties, 16.4% of poor working conditions and 2.1% of family conflicts. , Marital relationship and not 1.1%; service needs: knowledge of reproductive health science, contraceptive measures and reproductive health services. Conclusion The sexual life expectancy of floating population women of childbearing age in this area is relatively low. The incidence of second birth rate, abortion rate and gynecological diseases is high, and the knowledge of reproductive health is scarce. The education and care of reproductive health of floating women of childbearing age should be strengthened. Disease prevention and treatment, contraceptives and other aspects of providing better services to improve the reproductive health of women of reproductive age floating population.