| 徐双飞,武俊青,于传宁,李玉艳,赵瑞,周颖,李亦然,金梦华,张俊国.中国3个直辖市育龄流动人口接受生殖健康服务情况及其特征的相关分析[J].中华流行病学杂志,2018,39(10):1303-1308 |
| 中国3个直辖市育龄流动人口接受生殖健康服务情况及其特征的相关分析 |
| Analysis on reproductive health service, demographics and characteristics of internal migrant population in three municipalities of China |
| 收稿日期:2017-11-22 出版日期:2018-10-23 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.10.003 |
| 中文关键词: 育龄流动人口 生殖健康服务 相关因素 非线性典型相关 |
| 英文关键词: Internal migrant population Reproductive health service Related factors Nonlinear canonical correlation analysis |
| 基金项目:国家科技支撑计划（2012BAI32B08） |
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| 中文摘要: |
| 目的 了解北京、上海和重庆3个直辖市育龄流动人口接受生殖健康服务情况及其相关因素。方法 采用多阶段整群随机抽样，于2014年8月至2015年8月在3个直辖市开展横断面调查。采用绝对数和构成比描述计数资料，非线性典型相关分别分析基本人口特征、流动特征与生殖健康服务获得状况的相关性。结果 共调查育龄流动人口6 545人，其中41.76%在最近1年内接受过生殖健康服务。非线性典型相关发现育龄流动人口接受生殖健康服务情况分别与基本人口特征（r1a=0.28，P<0.000 1）和流动特征（r1b=0.21，P<0.000 1）存在正相关关系。基本人口特征指标的第一典型变量L1主要受地区、职业和最高学历影响，生殖健康服务获得状况指标的第一典型变量M1主要受避孕药具领取、避孕/生殖健康知识宣教和查孕/孕期保健影响；人口流动特征指标的第一典型变量U1主要受流动目的、现居住地的主要居住方式和平均每年在现居住地居住月数影响，生殖健康服务获得状况指标的第一典型变量V1主要受避孕药具领取、生殖道感染检查、避孕/生殖健康知识宣教和查孕/孕期保健的影响。结论 育龄流动人口生殖健康公共服务使用率较低，卫生计生部门应从相关基本人口特征和流动特征入手，使该人群重视生殖保健。 |
| 英文摘要: |
| Objective To investigate the utilization of reproductive health services and relating factors among internal migrant population in Beijing, Shanghai and Chongqing. Methods A multi-stage cluster sampling method was adopted in this cross-sectional study, conducted in Beijing, Shanghai and Chongqing from August 2014 to August 2015. Standard methods on statistics and nonlinear canonical correlation were applied. Results Out of the 6 545 internal migrant persons, 41.76% ever used the reproductive health services in the past year. Results from the nonlinear canonical correlation analysis revealed that the utilization of reproductive health services was correlated with the demographic features (r1a=0.28, P<0.000 1) and characteristics of the population mobility (r1b=0.21, P<0.000 1), respectively. For the above said demographic features, canonical variable L1 which represented the demographic features was mainly determined by area, occupation and education attainment. Canonical variable M1 that reflected the utilization of reproductive health services, was mainly determined by factors as free contraceptives, education on contraception/reproductive health, and pregnancy diagnosis/antenatal care. As for the characteristics of the population mobility, canonical variable U1, which represented population mobility characteristics, was mainly determined by factors as purpose of migration, current pattern of residence and the length of annual stay in the area. Again, the canonical variable V1, reflecting the use of reproductive health services was mainly determined by factors as free contraceptives, check-up on reproductive tract infection, education on contraception/reproductive health, and pregnancy diagnosis/antenatal care. Conclusions The utilization of reproductive health services was low among the internal migrant population under study. Responsible departments for health and family planning in those cities should make internal migrants attach importance to reproductive health. |
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