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目的了解甘南藏区已婚育龄妇女生殖健康的相关知识和需求,为进一步制定健康教育干预策略提供依据。方法采取分层整群抽样的方法对5667名已婚育龄妇女进行问卷调查和定性访谈。结果知晓4~5种避孕方法的妇女占29.6%;对艾滋病传播途径的知晓率为11.7%~29.4%。不同文化程度的妇女对避孕方法知晓率和艾滋病传播途径的正确回答率不同。妇女希望获得生殖健康知识的传播途径依次为专业人员面对面地咨询、朋友间交流和电视节目录像等。60%以上的妇女希望获得妇幼保健和生殖道感染方面的知识。结论已婚育龄妇女生殖健康知识缺乏,应采取灵活多样的、有针对性的健康教育形式,加强对育龄妇女的生殖健康教育。
Objective To understand the related knowledge and needs of reproductive health of married women of childbearing age in Gannan Tibetan area and provide basis for further development of health education intervention strategies. Methods A stratified cluster sampling method was used to conduct questionnaires and qualitative interviews with 5667 married women of childbearing age. Results The number of women who knew about 4 ~ 5 contraceptive methods accounted for 29.6%. The awareness rate of AIDS transmission was 11.7% ~ 29.4%. Women of different educational levels have different rates of correct understanding of contraceptive methods and HIV transmission. Women’s access to reproductive health knowledge is disseminated in the order of face-to-face consultation by professionals, exchange of friends and video recording of television programs. More than 60% of women want access to maternal and child health and reproductive tract infections. Conclusion Reproductive health knowledge of married women of childbearing age is lacking. Flexible and targeted forms of health education should be adopted to strengthen reproductive health education for women of childbearing age.