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目的了解广州市天河区流动人口的生殖健康现状。方法采用匿名问卷的形式对广州市天河区1244例15～45岁流动人口的生殖健康知识、态度、行为以及主要生殖健康问题进行横断面调查。结果获取有效问卷1206份。受调查的流动人口平均年龄为29.82岁;文化程度主要是初中及以下(58.1%);职业以工人、商贸餐饮业和社会服务业为主(80.6%);流动人口对受孕知识知晓率不高,正确率仅占44.9%,已婚人群正确率远高于未婚人群(P<0.05);流动人口对艾滋病3种传播途径回答正确率为56.4%,非传播途径回答正确率为33.5%;已婚人群和未婚人群对计划生育服务政策知晓率分别为69.0%和42.6%(P<0.05);已婚人群进行生殖健康咨询的比例高于未婚人群(P<0.05);未婚女性和男性在避孕措施上主要选择使用避孕套(分别占75.2%和89.1%);绝大多数已婚女性(94.0%)和已婚男性(93.9%)采取的前三位避孕措施为宫内节育器、输卵管结扎、避孕套。结论流动妇女对生殖健康相关知识及政策了解不足,自我保健意识薄弱。积极采取有效措施提高流动已婚妇女的生殖健康认知水平是迫切需要解决的问题。
Objective To understand the status of reproductive health of floating population in Tianhe District, Guangzhou City. Methods Anonymous questionnaires were used to conduct a cross-sectional survey of reproductive health knowledge, attitude, behavior and major reproductive health issues among 1244 floating population aged 15-45 in Tianhe District, Guangzhou. Results A total of 1206 valid questionnaires were obtained. The average age of the floating population surveyed was 29.82 years old; the educational level was mainly junior high school and below (58.1%); the occupations were mainly workers, commerce and catering industry and social service industry (80.6%); the floating population’s awareness of conception knowledge was not high , The correct rate was only 44.9%, the correct rate of married people was much higher than that of unmarried people (P <0.05); the correct rate of floating population to AIDS three kinds of transmission was 56.4%, and the correct rate of non-transmission was 33.5%; The awareness rate of family planning service policy on married and unmarried were 69.0% and 42.6% respectively (P <0.05); the proportion of married people in reproductive health consultation was higher than that of unmarried people (P <0.05); unmarried women and men in pregnancy control The main choices were condoms (75.2% and 89.1% respectively); the first three contraceptives taken by the vast majority of married women (94.0%) and married men (93.9%) were IUDs and tubal ligation ,condom. Conclusion Migrant women lack knowledge of reproductive health and policies, and their self-care awareness is weak. Actively adopting effective measures to raise the reproductive health awareness of married women is an urgent problem to be solved.