国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2010, Vol. 29 ›› Issue (6): 448-450.

• 论著 • 上一篇    下一篇

干预项目对流动人口避孕节育需求的影响

李玉艳,武俊青,张玉凤,黄萍,刘伟信,郑晓瑛,詹绍康,杨廷忠

  

  1. 200032 上海，复旦大学，上海市计划生育科学研究 所（李玉艳，武俊青，张玉凤）；四川省成都市计划生育技术指导所（黄 萍，刘伟信）；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）；浙江大学（杨廷忠）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-11-15 发布日期:2010-11-15
  • 通讯作者: 武俊青

Impacts of Intervention Project on Contraception Demands of Family Planning for Migrants in Sichuan Province

LI Yu-yan, WU Jun-qing, ZHANG Yu-feng, HUANG Ping，LIU Wei-xin，ZHENG Xiao-ying，
ZHAN Shao-kang，YANG Ting-zhong   

  1. Shanghai Institute of Planned Parenthood Research, Shanghai 200032， China （LI Yu-yan, WU Jun-qing, ZHANG Yu-feng）；Chengdu Institute of Family Planning Technical Guidance, Sichuan 610031，China（HUANG Ping，LIU Wei-xin）; Institute of Population Research, Peking University，Beijing 100871，China（ZHENG Xiao-ying）; School of Public Health, Fudan University，Shanghai 200032，China（ZHAN Shao-kang）; Zhejiang University，Hangzhou 310007，China（YANG Ting-zhong）
  • Received:1900-01-01 Revised:1900-01-01 Published:2010-11-15 Online:2010-11-15
  • Contact: WU Jun-ing,

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摘要： 目的：评估计划生育/避孕节育干预项目对流动人口的避孕节育服务需求的影响。方法：
采用流行病学干预研究方式将四川省成都市和攀枝花市作为研究现场，利用结构式问卷对2 197 名
18~49岁流动人口进行干预前后的调查。研究对象采用多阶段随机整群抽样方法调查，并随机分为2 组，
其中干预组1 198 人，对照组999 人。采用卡方检验及二分类Logistic回归分析干预对流动人口避孕节育
需求的影响。结果：2 组对象最希望获得的服务是咨询和宣传教育服务。评估调查时希望获得宣传教育服
务和咨询服务的比例，干预组分别为82.71%和83.26%，对照组分别为74.10%和76.88%，2 组差异均有统
计学意义（P＜0.01）。Logistic回归分析发现，干预活动对研究对象避孕节育宣传教育和咨询服务需求的影
响有统计学意义，干预组比对照组对象有更多的宣传教育服务需求（OR=1.62，95%CI 为1.29~2.04）和咨
询服务需求（OR=1.70，95%CI 为1.34~2.15）。结论：干预措施有助于提高研究对象避孕节育宣传教育、咨
询服务的需求，提示避孕节育干预对提高流动人口避孕节育需求，转变观念具有积极意义。

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 impacts of intervention project on contraception demands of
family planning for migrants of Sichuan province. Methods：The study was an epidemiological intervention
study. A total of 2 197 migrants，including 1 198 in the intervention group and 999 in the control group, who
were aged between 18 and 49 years were selected by multi鄄stage random cluster sampling and interviewed in
Chengdu and Panzhihua of Sichuan Province. The chi鄄square test and logistic regression were used to analyze
the data. Results: The most wanted family planning services in both groups were counseling and information,
education and communication （IEC）service. After the evaluation survey was conducted, we found that the
proportions of subjects wanting to get IEC service and counseling service in intervention group were 82.71%
and 83.26%, respectively, which were both higher than those of control group（74.10% and 76.88%，P＜0.000 1, P=0.000 6）. Moreover, the multi鄄logistic analysis found that the intervention activities promoted the demands
for IEC and counseling service significantly. Compared with the subjects of control group, those of intervention
group had more demands of IEC and the OR value was 1.62（95% CI: 1.29-2.04）. The demands of counseling
service of intervetnion group also were higher than that of control group （OR =1.70, 95%CI: 1.34-2.15）. Conclusions：Comprehensive intervention measures could help to raise migrants’demands of IEC and
consulting services about contraception.

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