国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2011, Vol. 30 ›› Issue (1): 45-49.

• 论著 • 上一篇    下一篇

流动人口避孕节育干预对计划生育服务与需求的影响

武俊青, 李玉艳, 叶江枫, 张玉凤, 赵 瑞 ,郑晓瑛 ,詹绍康, 程建萍 ,杨廷忠   

  1. 200032 上海市计划生育科学研究所国家人口计生委计划生育药具重点实验室（武俊青，李玉艳，张玉凤，赵瑞）； 福建医科大学公共卫生学院（叶江枫）；北京大学人口研究所（郑晓瑛）；复旦大学公共卫生学院（詹绍康）；上海市闵行区人口计生委 （程建萍）；浙江大学医学院（杨廷忠）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-01-15 发布日期:2011-01-15

WU Jun-qing, LI Yu-yan, YE Jiang-feng， ZHANG Yu-feng， ZHAO Rui， ZHENG Xiao-ying， ZHAN Shao-kang， CHENG Jian-ping， YANG Ting-zhong   

  1. Shanghai Institute of Planned Parenthood Research, Shanghai 200032, China（WU Junqing, LI Yu鄄yan, ZHANG Yu鄄feng，ZHAO Rui）； School of Public Health，Fujian Medical University，Fuzhou 350108，China（YE Jiang鄄feng）；Institute of population，Peking University，Beijing 100871，China（ZHENG Xiao鄄ying）；School of Public Health，Fudan University，Shanghai 200433，China（ZHAN Shao鄄kang）；Minhang District Population and Family Planning Commission，Shanghai 200240，China（CHENG Jian鄄ping）；Medical School，Zhejiang University，Hangzhou， 310058，China（YANG Ting鄄zhong）
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-01-15 Online:2011-01-15

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摘要： 目的：了解流动人口避孕节育干预对计划生育/避孕节育、服务与需求的影响。方法：选择
上海市闵行区作为研究现场，采用多阶段整群抽样的方法，从流动人口集中的工厂、建筑工地、服务娱乐
场所抽取入选对象2 001 例，随机分为干预组和对照组。干预组除给予常规计划生育服务外，还进行包括
倡导、动员、管理、培训、宣传教育、咨询服务、技术服务、随访服务和转诊机制等各项干预活动。对照组仅
给予常规计划生育服务。分别在基线调查和干预活动开展12 个月后的评估调查时对服务对象进行面对
面的结构式问卷调查，调查内容包括一般人口学特征、流动特征、接受计划生育服务情况及需求情况。结
果：评估调查时随访到1 791 例（失访率10.49%）。评估调查时干预组办理《婚育证明》的比例增加（P＜
0.000 1），对照组2 次调查时差异无统计学意义；评估调查时干预组和对照组对象接受宣传教育、技术、随
访服务的比例均显著提高，且除宣传教育外，干预组显著高于对照组。学历、工作场所、平均月收入、流动
方式、户籍地均影响研究对象的宣传教育和咨询服务需求，婚姻状况、性别和在现居住地居住时间对宣传
教育服务也有影响。结论：以工作场所为基础的综合干预有助于提高流动人口接受计划生育宣传教育、咨
询、随访和技术服务，但未发现影响流动人口的宣传教育和咨询服务需求。

关键词: 人口, 居住流动性, 避孕, 计划生育服务, 卫生服务需求, 干预性研究

Abstract: Objective: To evaluate the effect of contraceptive intervention program on family planning/contraceptive management, service and demand among floating population in Minhang District, Shanghai. Methods: Through multi?鄄stage cluster sampling, 2000 migrants were selected. These migrants centralized in factories, constructive area and entertainment area of Minghang District， Shanghai City were recruited into control and intervention team， respectively. The control group received the ordinary contraceptive service. Besides the ordinary service, the intervention group also received many sorts of interventions, including training, advisory service, follow?鄄up service, and so on. Twelve months after the intervention, evaluation survey were conducted, to evaluate the effects of contraceptive intervention program on the service and demand of family planning. Results: Total 2 001 migrants were surveyed in the baseline and 1 791 migrants were followed in the evaluation survey. There was significant increase on terms of the proportion of who possessed marriage certification among the intervention group（P＜0.000 1）. Evaluation survey showed that, as regards the proportion of services received, the intervention group was higher than the control group including counseling, technology, and follow?鄄up services. Multi?鄄logistic regression analysis showed that education, the workplace, the average monthly income, flow patterns and the household registration were the influencing factors on demand for educational and counseling services, while marital status, gender, and residence time in the current place also had an impact on communication and education service. Conclusions: The workplace?鄄based integrated intervention can improve migrants to accept family planning communication and education, counseling, follow?鄄up and technical services, but no influence on demand for educational and consulting services can be found.

Key words: Population, Residential mobility, Contraception, Family planning service, Health services needs demand, Intervention studies