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目的了解梅毒孕妇的生殖保健知识及其影响因素。方法采用1∶2配对病例对照研究,对675例梅毒孕妇和1353例非梅素孕妇进行调查,内容包括年龄、婚姻、胎产次、受教育程度及家庭总收入等一般情况;婚前检查、婚前教育、生殖道感染/性传播疾病及优生优育等生殖保健有关知识行为等。经条件Logistic回归分析筛选影响梅毒孕妇的生殖保健知识,用比值比(oddsratio,OR)表示影响因素与梅毒的关系。结果多因素条件Logistic回归分析结果表明,文化程度、经济情况、进行婚检及接受婚前健康教育生殖保健相关知识、获得生殖保健相关知识途径、年龄别与妊娠期梅毒的关联有统计学意义。结论生殖保健知识和婚检对梅毒孕妇有影响,应采用综合措施提高人群的生殖保健知识水平及婚检率,进而降低梅毒的发生率。
Objective To understand the reproductive health knowledge of syphilis pregnant women and its influencing factors. Methods A 1: 2 matched case-control study was conducted to investigate the prevalence of 675 syphilis pregnant women and 1353 non-melanoma pregnant women, including age, marital status, birth parity, education level and total family income. Premarital examination, premarital Education, genital tract infections / sexually transmitted diseases and prenatal and postnatal care reproductive health related knowledge and behavior. Logistic regression analysis was used to screen the reproductive health knowledge that affects syphilis pregnant women. The odds ratio (odds ratio) was used to express the relationship between syphilis and syphilis. Results The multivariate Logistic regression analysis showed that there was a significant correlation between educational level, economic status, premarital examination and prenuptial health education reproductive health knowledge, access to reproductive health-related knowledge, age and gestational syphilis. Conclusion Reproductive health knowledge and premarital examination have an impact on pregnant women with syphilis. Comprehensive measures should be taken to raise the population’s awareness of reproductive health and the rate of premarital examination, thus reducing the incidence of syphilis.