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目的:研究自述有生殖道感染的中西部农村地区育龄妇女就医行为及其利用生殖健康服务的影响因素。方法:采用整群随机抽样方法,从甘肃、青海、山西和新疆维吾尔自治区4个省16个项目县抽取15～49岁农村育龄妇女2 610名,调查人员入户面对面进行问卷调查。结果:20.9%的育龄妇女自述有1种生殖道感染症状,16.7%的妇女自述有3种及以上症状,47.9%有生殖道感染症状的妇女曾到医疗机构就诊。因素分析显示,生殖道感染知识对妇女就医行为有重要影响,但妇女的生殖道感染知识十分欠缺,年龄、民族和文化程度对妇女的就医行为有影响。结论:当前中西部农村地区育龄妇女生殖道感染患病率较高,但生殖健康服务利用率却较低。
OBJECTIVE: To study the medical behaviors of women of childbearing age and their influencing factors in using reproductive health services in rural areas of central and western China who read reproductive tract infections. Methods: A total of 2 610 rural women of reproductive age aged 15-49 years were collected from 16 project counties in 4 provinces of Gansu, Qinghai, Shanxi and Xinjiang Uygur Autonomous Region by cluster random sampling method. The investigators interviewed each other face-to-face. Results: 20.9% of women of childbearing age reported one symptom of reproductive tract infection, 16.7% of women reported three or more symptoms, and 47.9% of women with symptoms of reproductive tract infection had visited the medical institutions. Factor analysis shows that knowledge of reproductive tract infection has an important impact on the medical treatment of women, but women’s reproductive tract infection knowledge is very lacking, and age, ethnicity and education have an impact on the medical treatment of women. Conclusion: The current prevalence of reproductive tract infection among women of childbearing age in rural areas in the central and western regions is high, but the utilization rate of reproductive health services is low.