Study On Status Of Reproductive Care Among Floating Married Women At Reproductive Age In Guangzhou

Objective To understand the status of reproductive care(RC) among floating married women(FMW) at reproductive age and study some influential factors of RC in Guangzhou, and to provide some reasonable suggestions and measures for enhancing the level of reproductive health among FMW .Methods Stratified random sampling was employed to select FMW who were checked pregnancy. IUD in Guangzhou family planning and guidance unit from September in 2003 to October in 2004. The main content of questionnaire include demographical information, knowledge and behavior of RC, self-reported symptoms of RTIs, prenatal care and demands of RC. All data were analyzed by SPSS 10.0. Results1.Demographical information: The mean age of the FMW was 29.01 ±4.45 years old. and their education were mostly junior high school. Most of them worked in the factory and earned a little. They came from Hunan, Henan, Sichuan province in China. 2. RC related knowledge: Findings showed 66.6% of the FMW had received RC knowledge. Take the knowledge of contraception, STDs, transmission routes of AIDS as RC knowledge, the mean score was 16.12 ± 4.27 among the total score which was 25. Logistic regression showed the influential factors of the total score were whether they had received RC education, their education, their husband education, occupation, income.3.RC related behavior: The rate of contraception was 91.8% of the FMW, most of them selected IUD, condom, female sterilization. The abortion rate was 40.9%, 34.9% of them had gynecologic syndrome. Most of them had ill behavior, such as tubbing, sexual intercourse during menses etc.4.Self-reported symptom of RTIs: 52.8% of FMW reported they had one or more self-reported symptom of RTIs in the last year, the rate of pudendum itch, leucorrhoeaabnormity, ulcer in pudendum, ache in waist or back, urine too much or ache duringemiction were 15.8%, 38.0%, 2.8%, 31.9%, 6.8% respectively. Logistic regressionshowed the influential factors of the self-reported symptom of RTIs were abortion,gynecologic diseases/STDs, tubbing, clean backwards after stool, sexual intercourseduring menses.S.Prenatal care: The rate of birth living-child was 81.0% in the first pregnancyamong the FMW, 56.8% of them had received antenatal check. Most of themdelivered at home (52.4%) and in hospital (41.8%).6. Health care sevices: Among the all FMW. the rate of regular gynecologic checkwas 24.1% in the last year. 44.1% of them were checked gynecologic disease and therate of medical insurance, receiving RC knowledge in Guangzhou, satisfied withgovernment were 10.3%, 65.2%, 77.2% respectively.Conclusionsl.The study showed FMW"s knowledge of RC was not very high and they hadincomplete and incorrect knowledge about RC.2.In order to debase the rate ofRTis. detection earlier, diagnoses earlier, cure earlierby checking regularly is indispensable, thus the FMW's self-care and demands of RCcould be promoted.3.Based on community, in order to improve female's reproductive health, it isnecessary to innovate the managing mode of FMW , to found and perfect the newmode which is the same education, supervising and service as local, to supply somefavourable policy for FMW and enhance men's concern about female's reproductivehealth.