目的:了解安徽农村已婚育龄妇女的生殖健康相关知识、态度和行为现状,为进一步制订改善农村妇女生殖健康状况的措施提供依据。方法:采用多级抽样的方法抽取1398名农村已婚育龄妇女,用结构化的问卷进行人户调查。结果:共收集有效问卷1221份,应答率为87.3%。生殖健康相关知识总体知晓率为44.99%,年龄越小或文化程度越高知晓率越高。其中性卫生、安全套、生育和性病知识的知晓率分别为74.02%、48.76%、41.11%和20.56%,文化程度越高知识掌握情况越好。90%以上的妇女反对婚外性行为和商业性行为,主张女性从一而终,75%左右的妇女反对婚前性行为。性卫生和性伴交流行为得分率都在80%以上,而安全套相关行为得分率仅为43.4%,不同年龄(P〈0.01)和不同文化(P〈0.01)妇女问的行为得分有高度显著性差异。结论:农村已婚育龄妇女的生殖健康相关知识还有待提高,尤其是年长者和文化程度低者。安全套的使用比例很低,应在农村地区开展节育工作的同时促进其安全性行为的转变。
Objective: To explore reproductive health - related KAB of married women in fertiliazation age in rural areas of Anhui province. Methods: 1 398 women were surveyed at their households using structured questionnaire. Results: A total of 1 221 women were interviewed accounting for a response rate of 87. 3%. Their responses to reproductive health - related knowledge questions were 44. 99% correct. The lower their age, and the higher their education level, the better correct rate of reproductive health - related knowledge. The percentage of correct answers about sex hygiene, condom, maternity and STD were 74.02%, 48.76%, 41.11% and 20. 56% , respectively. Over 90% of them were against extra -marital sex and commercial sex, and believed that women should marry only one man in lifetime, and 75% disapproved sex before marriage. The score rate of behaviors on sex hygiene and sex - partner communication was all over 80% , and condom was 43.4%. Significant relationship was found among age and education groups on behavior score (P 〈 0. 01 ) . Conclusion: Women in rural Anhui are little educated about reproductive health - related knowledge in general, especially elder and less educated women. Women in rural Anhui had a low frequency of condom use, which indicate that future family planning departments should not only emphasize on birth control but also promote women behavior modification.