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目的抽样研究育龄妇女避孕失败原因,相应疏导方案以及其对计生服务意愿的需求。方法自行设计调查定量问卷,从我区的常住育龄人口中选取420例,发放问卷,将不合格与不满足需要的人群剔除后得到300人,年龄为18-43岁,并未采取长期有效避孕措施。调查后进行问卷访谈,现场每位调查人员进行过程中都经过调查员、质量控制人员进行审核。审核后当场录入SPSS统计学数据库中进行汇总,并将访谈对象的内容进行录音(在得到当事人的同意后)而后将录音转为文字记录,列出表格,撰写报告。结果年龄18-42岁,所有调查人群中21.3%曾出现避孕失败的情况。另外对于避孕服务的意愿同年龄组、文化差异、是否婚姻及收入方面具有显著的统计学差异(χ2=245.551、198.119、138.897、432.345、216.510,P<0.01)。已婚人口的避孕意识更强,最后根据统计显示,对于计生服务意愿方面期望得到计生服务医生的服务的需求高于生殖健康体检服务及医院妇产机构。结论我国的计生服务方面还存在一定的问题,应当主动结合人群的需求,尤其是满足一部分特殊年龄人群进行宣教服务,提高避孕的成功率,保护妇女的权益。
Objective To study the causes of contraceptive failure among women of childbearing age, the corresponding counseling programs and their needs for family planning services. Methods A questionnaire was designed and surveyed by itself. 420 cases were selected from the resident population of childbearing age in our district. Questionnaires were sent out to 300 people who were aged from 18 to 43 years old after removing the unqualified and unmet needy people and did not take long-term effective contraception Measures. After the investigation, a questionnaire interview was conducted. During the process, each investigator at the scene was examined by investigators and quality control personnel. After the audit, they should be collected on the spot in the SPSS statistical database and the contents of the interviewees should be recorded (with the consent of the parties) and then transcribed into transcripts, tabulated and complied with the report. Results Aged 18-42 years old, 21.3% of all surveyed patients had contraceptive failure. In addition, the willingness of contraceptive services has significant statistical difference with age group, cultural difference, marriage and income (χ2 = 245.551, 198.119, 138.897, 432.345, 216.510, P <0.01). Married people have a stronger sense of contraception, and finally, according to statistics, the demand for services of family planning doctors for family planning services is higher than that of the reproductive health examination services and hospital maternity organizations. Conclusions There are still some problems in family planning service in our country. We should take the initiative to combine the needs of the population, especially to meet the missionary service of some special age groups, increase the success rate of contraception and protect the rights and interests of women.