Study On Health And Influencing Factors Among Rural Reproductive Women

Objective: The health condition and influencing factors among rural reproductive women were investigated for providing a guideline on improving their health level and performing further general intervention.Methods: These women with the age from 30 to 49 were choosed randomly by cluster sampling in Majie Town of Longnan City, Gansu Province and the questionnaires were carried out through interview face to face, and the data was collected and analyzed.Results: The gynecological diseases at the top five prevalence rate were cervical erosion(15.8%), cervicitis(10.0%), urinary tract infection(8.7%), trichomonal vaginitis (5.6%) and cervical cancer(1.4%) respectively. The morbidity rates were different at the same age group, and that of cervical erosion was the highest at each age group, and the same to each income levels; With the increasing of income levels, the morbidity rates raised gradually. The morbidity rate at the top five of common disease among reproductive women were 23.4%(gallbladder disease), 3.6%(hepatitis), 3.1%(beriberoid disease and arthrosis), 1.3%(tuberculosis) and 0.8%(allergic asthma) respectively, and they were different at the same age group and income level, yet that of gallbladder disease was the highest. When the women became sick, the percentages to city hospital, county hospital, rustic and village clinics were 6.6%, 28.7%, 15.7% and 14.2% respectively, but there were 34.5% of them who did not go anywhere for therapy. The places received medical treatment were diversity in different age groups and income levels. Among 61.5% of them with the symptoms of vagina excretion or pruritus vulvae or vagina itching, only 42.9% went to hospital. The average menarche age was 16.35±1.73 years old. During menstrual period, 32.4% used sanitation towel, and 67.2% used toilet paper, additionly the use of sanitation supplies in menstrual period were different with diversity age groups and income levels. The morbidity rate of reproductive tract infections was higher in the women who used sanitation towel than those who didn't use it. 0.6% women and 5.6% husbands had other sexual companion. The rate of delivery in hospital was 21.1%, and it dropped with the increasing of ages and it raised with the increasing of incomes. The average gestational age was 20.42±2.445, and 1.0% of them still had gestational behavior beyond 35. 26.0% and 14.5% of them had sexual life in the first and the last three months of gestation period respectively, while 26.7% of them had sexual activity within 1 month after delivery. The later they finished sexual activity in gestation peroid, the earlier they started in puerperium, the prevalence rate of cervicitis was higher. Tubal ligation was used by 93.0% women. 63.0% of them did not go any medical institution for prenatal diagnosis. The frequence of sexual activity was different in different age peroid, with the increasing of it in middle-aged peroid, the prevalence rate of cervicitis increased accordingly. The hygiene behavior was not better pre and post women's sexual life. The women who often washed, washed sometime sand seldom washed before the sexual activity accounted for 12.0%, 63.7% and 24.3% respectively; the women who often washed, washed sometimes and seldom washed after the sexual activity accounted for 8.9%, 49.6% and 41.6% respectively, the vulva washing frequency of the women in different ages and income before and after sexual activity was different. 77.8% of the women hadn't heard of cervical cancer; 85.5% of them did not know the fact that it was malignant tumour which endangered women. Among the 306 people hearing of it, 32.0% of them obtained information by media such as the broadcast, TV, newspaper, etc., and 65% of the them were told by others. 98.8% of the women did not know that cervical cancer could be detected in early period, and 1.2% of them just knew it after hearing from others; 14.5% of them thought that cervical cancer couldn't be managed well, and 19.8% of them thought it could be cured; In the reason who did not participating, the women unwilling to check accounted for 74.8%; 89.0% of the them thought it could make the unwilling women to check by more propaganda; If early pathological change was found, 19.7% people wished be treated free.Conclusions: It is anxious about the health condition and outstanding of unsatisfied health behaviors among rural reproductive women. The health policy should be prioritied and the health education should be strengthened, to make the health level improved overall.