Reproductive and family planning history, knowledge, and needs: a community survey of low-income women in Beijing, China.
Reproductive and family planning history, knowledge, and needs: a community survey of low-income women in Beijing, China.
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DOI：
10.1186/1472-6874-9-23
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发表时间：
2009-08-10
期刊：
影响因子：
--
通讯作者：
Daltveit AK
中科院分区：
文献类型：
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作者：
He H;Ostbye T;Daltveit AK
中国城市低收入妇女生殖健康状况较差。因此，了解她们的生育史和需要并改进服务的提供非常重要。然而，很少有研究评估这一低收入人口的生殖健康状况、知识和需求。本研究的目的是广泛评估低收入城市妇女的生殖和计划生育史、知识和健康需求，旨在为卫生服务干预提供信息。北京市海淀区1642名18-49岁的低收入女性被试。所有人都在2006年通过标准化问卷进行了访谈。大多数妇女报告至少有一次怀孕和分娩（97.7%，98.3%）。医务人员（98.5%）在医院（97.3%）接生是常见的，接受产前护理（86.0%）也是常见的。近一半的妇女至少有过一次堕胎，大多数（56.0%）是在地区医院由医生（95.6%）进行的，费用自付（64.4%）。几乎所有人（97.4%）都采取了避孕措施，通常是宫内节育器或避孕套。生殖知识有限。与会者强调的保健需求包括普及生殖健康信息、能够讨论其生殖健康关切、免费生殖健康保险、检查和治疗。在北京的城市贫困妇女中，产前保健和避孕药具的使用很普遍。然而，堕胎也很常见。有关生殖健康的知识有限。需要更好的生殖健康教育、免费医疗和社会支助。
The reproductive health status of China's low-income urban women is believed to be poor. Therefore, understanding their reproductive history and needs and improving services provision is very important. However, few studies have been done to assess reproductive health status, knowledge and needs in this low-income population. The purpose of this study is to broadly assess reproductive and family planning history, knowledge and health needs among low income urban women with an aim to informing health services interventions. 1642 low-income women age 18–49 from Haidian district, Beijing were selected. All were interviewed via a standardized questionnaire in 2006. Most women reported at least one pregnancy and delivery (97.7%, 98.3%). Deliveries in hospitals (97.3%) by medical personnel (98.5%) were commonplace, as was receipt of antenatal care (86.0%). Nearly half had at least one abortion, with most (56.0%) performed in district hospitals, by physicians (95.6%), and paid for out-of-pocket (64.4%). Almost all (97.4%) used contraception, typically IUDs or condoms. Reproductive knowledge was limited. Health needs emphasized by the participants included popularizing reproductive health information, being able to discuss their reproductive health concerns, free reproductive health insurance, examination and treatment. Among poor urban women in Beijing, antenatal care and contraceptive use were common. However, abortions were also common. Knowledge about reproductive health was limited. There is a need for better reproductive health education, free medical care and social support.