【摘要】：目的本研究選擇平?jīng)鍪械尼轻紖^(qū)、華亭縣、莊浪縣三縣區(qū)的育齡婦女為調查對象。目的是分析平?jīng)鍪杏g婦女健康現(xiàn)狀和健康需求;了解平?jīng)鍪杏g婦女的生育現(xiàn)狀以及對艾滋病知識的知曉情況;分析影響婦女健康主要的因素;從而為我市婦女衛(wèi)生決策提供依據(jù)。方法根據(jù)平?jīng)鍪袑嶋H情況,以縣區(qū)經(jīng)濟條件、城鄉(xiāng)、交通情況等特征進行分層抽樣,隨機抽取了崆峒區(qū)、華亭縣、莊浪縣三縣區(qū)作為調查地點,崆峒區(qū)代表城市,華亭縣和莊浪縣代表鄉(xiāng)村,每個縣區(qū)按經(jīng)濟情況分為好、中、差抽了三個鄉(xiāng)(鎮(zhèn)),每鄉(xiāng)(鎮(zhèn))隨機抽3個自然村(社區(qū)),每個村(社區(qū))隨機調查50人。以抽樣點15~49歲育齡婦女作為調查對象,共調查1378個育齡婦女。結果本文調查結果顯示:三縣區(qū)育齡婦女小學文化程度者為(42.31%),大專及大專以上文化程度僅占0.73%;育齡婦女的職業(yè)主要是農(nóng)民(93.83%);民族主要以漢族為主(86.87%);婚姻以已婚為主(99.56%);戶口主要是農(nóng)村戶口(70.46%)。1378例育齡婦女慢性病患病率51.51%,其中接受治療的比例為71.97%,三縣區(qū)的差異經(jīng)卡方檢驗,差異有統(tǒng)計學意義(P0.05);育齡婦女的兩周患病率77.21%,三縣區(qū)的差異經(jīng)卡方檢驗,差異有統(tǒng)計學意義(P0.05);兩周患病后,接受治療的比例71.80%,三縣區(qū)的差異經(jīng)卡方檢驗,差異無統(tǒng)計學意義(P0.05);接受婦科檢查率73.03%,三縣區(qū)的差異經(jīng)卡方檢驗,差異有統(tǒng)計學意義(P0.05);婦科疾病檢出患病率51.61%,三縣區(qū)的差異經(jīng)卡方檢驗,差異無統(tǒng)計學意義(P0.05)。婦科疾病接受治療率73.32%,三縣區(qū)的差異經(jīng)卡方檢驗,差異有統(tǒng)計學意義(P0.05)。1375例已婚或喪偶婦女中,沒有懷孕的25例(1.81%),懷孕一次的299例(21.70%),懷孕兩次的640例(46.44%),懷孕三次的237例(17.20%),懷孕四次的135例(9.80%),懷孕五次及五次以上的39例(2.83%),懷孕次數(shù)的構成比經(jīng)卡方檢驗,差異有統(tǒng)計學意義(P0.05),懷孕的1350例婦女中,生育情況和懷孕情況基本一致,但是懷孕3次及3次以上,生育的次數(shù)少于懷孕次,有可能是流產(chǎn)所致。三縣區(qū)生育次數(shù)的構成比經(jīng)卡方檢驗,差異有統(tǒng)計學意義(P0.05)。本文調查懷孕婦女產(chǎn)前建卡的比例為54.07%,三縣區(qū)的差異經(jīng)卡方檢驗,差異無統(tǒng)計學意義(P0.05),本文調查接受免費孕前優(yōu)生健康檢查比例為89.19%,三縣區(qū)的差異經(jīng)卡方檢驗,差異無統(tǒng)計學意義(P0.05)。本文調查的艾滋病總體知曉率為62.26%,華亭縣總體知曉率65.15%,崆峒區(qū)總體知曉率58.24%,莊浪縣總體知曉率63.99%,三縣區(qū)的差異經(jīng)卡方檢驗,差異無統(tǒng)計學意義(P0.05)。結論平?jīng)鍪杏g婦女的文化程度普遍不高,而慢性病和兩周患病率較高,但就診率不高,Logistic回歸模型顯示:育齡婦女的年齡、戶口類型、在外務工、健康狀況、到達醫(yī)療機構的方便程度等是就診的影響因素;婦女接受婦科檢查的比較低,育齡婦女婦科疾病接受治療率較低,婦女文化程度是影響婦女婦科病就診的主要影響因素,調查的婦女中大多數(shù)均懷孕兩次,生育兩孩,懷孕婦女產(chǎn)前建卡比例較低;育齡婦女對艾滋病知曉率不高。
[Abstract]:Objective to select the women of childbearing age in three counties of Kongtong, Huating and Zhuanglang counties in Pingliang. The purpose of this study is to analyze the health status and health needs of women of childbearing age in Pingliang, to understand the status of childbearing women in Pingliang and to understand the knowledge of AIDS, and to analyze the main factors affecting the health of women in Pingliang; thus, the main factors affecting the health of women in Pingliang are analyzed. According to the actual situation of Pingliang City, according to the actual situation of the city, the county economic conditions, urban and rural areas, traffic conditions and other characteristics of stratified sampling, random sampling Kongtong District, Huating County, Zhuanglang County three counties as the investigation site, Kongtong District representative cities, Huating county and Zhuanglang County represent the countryside, each county area according to the economic situation Three townships (towns) were pumped into 3 villages (communities) in each township (town), and 50 people were randomly investigated in each village (community). A total of 1378 women of childbearing age were investigated at a sample point of 15~49 years old women of childbearing age. The results of this survey showed that the primary school education of women of childbearing age in three counties was (42.31%), college and college or higher. The education level accounted for only 0.73%; the occupation of women of childbearing age was mainly farmers (93.83%); the main ethnic group was Han nationality (86.87%); marriage was married mainly (99.56%); the household registered permanent residence (70.46%).1378 cases of childbearing age women's chronic disease rate 51.51%, the proportion of receiving treatment was 71.97%, the difference of three counties was tested by chi square test, the difference was unified. Study significance (P0.05); the two week prevalence rate of women of childbearing age was 77.21%. The difference between three counties was statistically significant (P0.05). After two weeks of illness, the proportion of receiving treatment was 71.80%, the difference between three counties and counties was not statistically significant (P0.05); the rate of receiving gynecologic examination was 73.03%, and the difference between three counties was tested by chi square test, and the difference was poor. The difference was statistically significant (P0.05); the prevalence rate of gynecologic diseases was 51.61%, and the difference between three counties and counties was not statistically significant (P0.05). The rate of receiving treatment for gynecologic diseases was 73.32%, and the difference between three counties was statistically significant (P0.05) among married or widowed women, 25 cases (1.81%) had no pregnancy (1.81%), and one pregnancy was pregnant. 299 cases (21.70%), 640 pregnancies two times (46.44%), 237 pregnant three times (17.20%), 135 cases (9.80%), 135 pregnancies and more than five times, the number of pregnancies was compared to the card test, the difference was statistically significant (P0.05), the fertility situation and pregnancy were basically the same, but the pregnant women were basically the same, but the pregnancy situation and pregnancy were basically the same, but Pregnancy 3 times and more than 3 times, the number of childbirth is less than the pregnancy, may be caused by abortion. The number of birth times in three counties was compared with the card test, the difference was statistically significant (P0.05). The proportion of pregnant women in this paper was 54.07%, the difference between three counties was not statistically significant (P0.05). The proportion of health examination for free prenatal eugenics was 89.19%. The difference between three counties and counties was not statistically significant (P0.05). The overall awareness rate of AIDS was 62.26%, the overall awareness rate of Huating county was 65.15%, the overall awareness rate of Kongtong district was 58.24%, the overall awareness rate in Zhuanglang county was 63.99%, and the difference between three counties was tested by chi square test. No statistical significance (P0.05). Conclusion the educational level of women of childbearing age in Pingliang is generally not high, but chronic diseases and two weeks' prevalence rate is high, but the rate of medical treatment is not high. The Logistic regression model shows that the age of the women of childbearing age, the type of household registration, the health status, the convenience of the medical institution and so on are the influencing factors of the medical treatment. The rate of gynecologic examination is low, the rate of receiving treatment for gynecologic diseases in women of childbearing age is low, and the degree of women's education is the main influencing factor of women's gynaecologic disease. Most of the women in the survey are pregnant two times, have two children, and the proportion of pregnant women in the prenatal period is low, and the rate of AIDS awareness among women of childbearing age is not high.
【學位授予單位】：蘭州大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R173

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