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为了研究影响患生殖道感染的妇女就医行为的社会文化因素 ,采用 Andersen的社会行为模式 ,于 1998～ 1999年对河北省迁安县患生殖道感染的已婚妇女共 378例进行了横断面调查 ,并对 8例妇女进行了深入访谈 ,采用归类 -分析总结 -分析 -总结的方法进行分析。结果显示 :妇女的就医行为各不相同。有去正规医院诊所就医的、有采用自我治疗方法的 ,多数妇女未采用任何治疗措施。影响妇女就医行为的因素有妇女患生殖道感染的严重程度 ,妇女对生殖道感染严重性的认识、有关自我治疗生殖道感染的知识、妇女因患生殖道感染而感到的社会耻辱感、对生殖道感染病因的认识 ,家庭经济收入和药物价格、工作和家庭负担。很有必要给育龄妇女以及男性提供有关生殖道感染方面的知识 ,减少社会对生殖道感染的不良看法 ,给妇女更多的社会支持 ,提高妇女的地位 ,提高保健服务的质量
In order to study the social and cultural factors affecting the medical treatment of women with genital tract infection, Andersen’s social behavior model was used to survey 378 married women with genital tract infection in Qian’an County, Hebei Province from 1998 to 1999. Eight women were interviewed in depth, and the methods of classification-analysis-summary-analysis-summary were analyzed. The results show that women’s medical practice varies. There are those who go to a regular hospital clinic for medical treatment, and self-treatment methods are used, and most women do not take any treatment. The factors affecting women’s medical practice are the severity of reproductive tract infections in women, awareness of the seriousness of reproductive tract infections in women, knowledge of self-treatment of reproductive tract infections, social stigma in women with reproductive tract infections, Knowledge of the etiology of the infection, family income and drug prices, work and family burdens. There is a need to educate women of reproductive age and men about reproductive tract infections, to reduce negative perceptions of reproductive tract infections in society, to give more social support to women, to improve the status of women and to improve the quality of health services