城市流动人口未婚女性生殖健康促进模型和ROCCIPI循证卫生决策研究

我国越来越多的流动人口聚集到城市发达地区，而计划生育等生殖健康服务往往针对已婚对象，加上户籍制度壁垒，使得城市流动人口中未婚女性生殖健康问题日益突出，她们对性和生殖健康方面的认知极度贫乏，生殖道感染、意外妊娠、性病、艾滋病疾病传播风险日益增加。本研究首次在健康促进理论模型框架支持下（1）通过大规模不同大城市流动人口未婚女性的生殖健康基线研究，进行社会学、流行病学、行为环境等诊断，用多元和通径分析的方法，探索影响生殖健康的倾向因素、促成因素和强化因素（2）通过类实验的设计，评价符合目标人群需求的生殖健康干预措施的近期和中期效果，建立城市流动人口未婚女性的生殖健康促进模型。（3）用国际先进的ROCCIPI策略制定法，从目标人群、业主、政府管理部门和卫生服务提供部门四个角度出发，利用循证卫生决策的理念，最大限度地降低政策制定中的主观随意性，有据可依地制定生殖健康促进策略，提高目标人群的生殖健康

More and more people are migrating to urban areas now in China, however, female floating population who are lacking of cognition about sex and reproduction usually face more sexual and reproductive health risks, such as reproductive infection, sexually transmitted diseases, HIV/AIDs and unplanned pregnancies than city residents. It dues to the restrictive barriers of household registration system in the cities of China and female floating population cannot get the reproductive health services from family planning policy. Our research supported by framework of health promotion theory model aims to (1) Diagnose sociology, epidemiology, behavior environment, etc. with influence factors analyzing and path analysis by large samples from different big cities to determine the predisposing factors, enabling factors and reinforcing factors on reproductive health among unmarried women of urban floating population;(2) To set up and evaluate the intervention model on reproductive health promotion in accordance with the requirement of the target population; (3) To reduce subjective capriciousness in health policy formulation and make feasible policy on reproductive health promotion among unmarried women of urban floating population by the advanced international ROCCIPI strategy and evidence-based decision-making base on quantitative and qualitative research among unmarried women of floating population, service industry and the factory owner, the health service center and family planning care departments, floating population government management.