摘要
目的 研究自诉有生殖道感染症状妇女的就医行为 ,分析影响妇女对卫生服务利用的社会心理因素 ,以便指导妇女采取正确的就医行为。方法 整群抽取北京市 462名已婚、年龄在 2 0～ 60岁、自诉有生殖道感染症状的妇女 ,运用Aday和Andersen的社会行为模式对她们进行面对面的问卷调查 ,应用SPSS 8 0软件进行统计分析。 结果 35 6 %的已婚妇女自述至少有一种生殖道感染的症状 ,其中 2 7 5 %的妇女去医疗机构就医。多因素分析显示影响城市妇女生殖道感染者就医行为的因素有医生的服务态度、医生提供信息的多少、既往患病情况和本次患病情况、医疗付费方式及职业等。结论 城市妇女生殖道感染的患病率高 ,就诊率低。很有必要对妇女尤其是对女工、大病统筹付费以及低收入者开展健康教育提高自我保健意识 ,并对女工定期体格检查 ,提高医疗服务质量及改善服务态度不断完善医疗体制的改革。
Objective To study psychosocial factors underlying health seeking behavior of women who perceived RTI symptoms and to describe health seeking behaviour of women with RTIs.Methods A cross sectional study,adopted Aday and Andersen's Social Behaviour Model was used in Beijing.All eligible married women aged 21 to 60,462 subjects who perceived symptoms of RTIs,were face to face interviewed.Results Findings showed that the percentage of self reported symptoms of RTIs was 35 6 percent and the proportion of women with RTIs who sought health services was only 27 5 percent.The results of Logistic analysis showed that medical staff's attitudes,the amount of health information about RTI received while they are seeking care,type of medical care coverage,prior experience of RTIs,current experience of RTIs,and occupation are predictors of RTI women's health seeking behavior.Conclusion These findings showed that the prevalence of RTIs is high,but the rate of seeking health service is low.There is a great need for emphasising on offering reproductive health education especially for women workers;low income workers.Regular medical check up for women workers is also important.Furthermore it is necessary to improve the quality of health service and the reform on health insurance system.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2002年第6期654-655,共2页
Chinese Journal of Public Health
