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目的了解深圳市宝安区流动人口中未婚女性生殖健康现状,采取干预措施,降低流产发生率,保障该人群生殖健康。方法采用自行设计问卷对深圳市宝安区流动人口女性生殖健康状况进行调查,并按是否对对象进行干预分为干预组(1 958人)和对照组(461人),对干预组女性采取同伴教育为主的方法进行1年干预。比较两组干预前后生殖健康知识、态度及行为情况。结果干预后干预组知识得分(82.23±6.11)分高于同期对照组(60.73±5.28)分,且高于干预前(59.82±5.39)分(P<0.05)。态度和生殖高危行为均有较大改善,尤其有婚前性行为采取避孕措施但发生意外妊娠发生率(19.91%)低于同期对照组(29.60%),且明显低于干预前(30.26%)(P<0.05)。结论流动人口中未婚女性意外妊娠带来个人生理、心理损害和社会的负性影响。针对该人群,采取有效干预措施,让接受服务的过程从被动变为主动,保障其生殖健康。
Objective To understand the current status of reproductive health of unmarried women in floating population in Bao’an District of Shenzhen City and to take interventions to reduce the incidence of miscarriage and ensure the reproductive health of the population. Methods A questionnaire was designed to investigate the female reproductive health status of floating population in Bao’an District of Shenzhen City. The intervention group was divided into intervention group (1 958) and control group (461) Based approach to one year intervention. The knowledge, attitude and behavior of reproductive health before and after intervention were compared between the two groups. Results After intervention, the knowledge score (82.23 ± 6.11) in intervention group was higher than that in control group (60.73 ± 5.28) and higher than that before intervention (59.82 ± 5.39) (P0.05). (19.91%) were lower than the control group (29.60%) in the same period and significantly lower than the pre-intervention (30.26%) (P <0.05) P <0.05). Conclusions Unintended pregnancy among unborn women in floating population brings personal physical and psychological damage as well as negative social impact. For this population, take effective interventions to make the process of receiving services from passive to active, to ensure their reproductive health.