| Objective:This article investigate to human rural women of childbearing age genital infection status by the baseline survey, and analysis the factors which influence child-bearing age femela's KAP (Knowledge, Belief and Attitude, Practice) of genital tract infection; and based on the investigation of the intervention plans pertinence intervene, verify the validity of the intervention plans.Methods:This paper based on the theory of health plans and beliefs, the action theory as guidance obtain cross-sectional survey of hunan rural women of childbearing age reproductive tract infection status of knowledge, used the T test, and the single factor analysis of variance and multi-factor linear regression analysis affect the region rural women of childbearing age genital infection knowledge, beliefs and behavioral factors, adopted parallel control design, by repeated measurements of variance analysis comparing with two intervention group control in before and after the intervention of the reproductive tract infection helps change.In July-August 2010, carried a pre-surveys on 60 reproductive age female in rural area with "women of childbearing age with the knowledge of reproductive tract infections, behavior and health belief questionnaire" to determine the questionnaire for women of reproductive age in rural areas of reproductive tract infection KAP investigation.In September-November 2010, investigation the reproductive tract infection KAP of 500 reproductive age women in rural areas of Liuyang,Yiyang, Hengyang, Shaoyang in Hunan Province by the methods of cluster sampling.In November 2010-February 2011, selected 90 childbearing age wo wen in Qijiang village of Shaoyang city for the study, and randomly divided into a control group and two intervention group (n= 30). On the basis of baseline survey result, I developed intervention programs of KAP. The first intervention group provided health-related material and lectures of reproductive tract infections, mainly for improved the health knowledge and beliefs; The second intervention group has provided special consultation and regular follow-up telephone or visits, and established discussion group of genital tract infections other than the first intervention group, which improved knowledge and attitude,prictice in all. In the One month and three months of intervention, I surveyed the intervention group and control group by questionnaire, compared the scores before and after intervention to assess the intervention effect.Results:(1) The baseline survey results show the average KAP score for reproductive tract infections of childbearing age women in Hunan rural area is 122.68, and the total highest score is 168.00, the KAP level is general and should be improved. (2) ANOVA analysis showed that childbearing age women in Hunan rural area with different age groups, occupation and her husband with different educational level and occupation, and with different family income, medical expenses payment whose total scale scores and scores on some dimensions were significant differences (P<0.05), with statistically significant; Multiple linear regression analysis showed that educational level, husband education, family income, medical expenses payment are the main factors affecting the reproductive tract infection KAP of childbearing age women in rural areas (P<0.01), with statistically significant. (3) ANOVA analysis showed after one month intervention, comparing with the control group, the first and the second group in dimension and total score have significantly difference (p<0.01). The significantly difference between the first group and the second group in dimension of total score, beliefs and behavior has statistical significance. After three months intervention, the first and the second group in dimension and total score have significantly difference comparing with the control group (p<0.05).Repeated measures analysis of variance showed the significantly difference of total score and in dimension lead by time or intervention effect, between the intervention and time effect has an interaction (P<0.05).Conclusions:(1)This study shows the reproductive tract infection KAP lever of childbearing age female in rural areas of Hunan Province in is general; and the age, educational level, occupation, educational level and vocational of her husband, household income, medical expenses payment was the main effect factor. (2) Intervention Integrated knowledge, attitude and practice can improved the reproductive tract infection KAP level of childbearing age female in rural areas effectively. The intervention is able to improve the reproductive tract infection in women of reproductive age in rural areas KAP level by over one month intervention. |
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