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目的了解泰安市社区围绝经期妇女生殖道感染(RTI)现状,分析利用保健服务的主要影响因素。方法采用简单随机抽样方法,自设问卷对980名社区围绝经期妇女进行问卷调查,内容包括:一般人口学特征、生殖道感染症状、医疗费用的支出情况、社区医院妇科检查、医疗技术水平、医务人员服务态度、保健服务知晓率、保健服务反应性、就诊的便利性、生殖道感染认知、家庭成员对疾病的重视程度等项内容。结果围绝经期妇女RTI的患病率为38.16%,社区保健服务利用率为43.32%。多因素logistic回归分析显示:文化程度高、社区医院有妇科检查、医疗技术水平高、医务人员服务态度好、RTI病情轻者,趋于利用社区保健卫生服务。结论泰安市社区围绝经期妇女保健服务利用率偏低,社会重视不够。加大生殖健康宣传教育力度和服务水平;强化社区卫生专业技术人员的培训及技术的提高;建立新型的社区生殖健康服务模式是提高围绝经期妇女保健服务利用的关键。
Objective To understand the status of reproductive tract infections (RTI) in perimenopausal women in Tai’an community and to analyze the main influencing factors of using health care services. Methods A total of 980 community-based perimenopausal women were surveyed by simple random sampling method. The questionnaires included general demographic characteristics, symptoms of reproductive tract infection, expenditure on medical expenses, gynecological examination in community hospitals, medical skills, Medical staff attitude, awareness of health services, health service reactivity, the convenience of treatment, cognition of reproductive tract infections, the degree of family members’ attention to the disease and so on. Results The prevalence of RTI in perimenopausal women was 38.16% and that of community health services was 43.32%. Multivariate logistic regression analysis showed that: a high degree of education, gynecological examination in community hospitals, a high level of medical technology, medical staff, good attitude, RTI severity mild, tend to make use of community health services. Conclusion The utilization rate of health service in perimenopausal women in Tai’an community is low, and the society lacks enough attention. Increase the level of publicity, education and training of reproductive health services and services; strengthen the training and technical improvement of community-based health professional technicians; and establish a new model of community reproductive health services is the key to improving the utilization of health services for perimenopausal women.