Research In Demands On Reproductive Knowledge Of Premarital-examined People In Beijing And Xi’an District

Objectives Through investigation on circumstances of knowledge of premarital-examined people on premarital health care and demand of reproductive health knowledge,to analyze existing issues in premarital health care education,and to give advice to propaganda and education work specific to demands of the audiences.To promote level of reproductive health of not-yet pregnant people,to lower sterility infertility,to provide basis for exploring premarital health education mode after new popularity policy and developing reproductive health knowledge materials,and to provide assistance for promoting health education work to premarital-examined people.Methods The research method that this research adopts combined both quantitative and qualitative research.During October to December 2016,quantitative research was conducted to premarital-examined people in Beijing Chaoyang Maternal and Child Health Hospital and Xi’an Lianhu Maternal and Children Health Care Planning Service Center,and the calculation sample size was 780.One-on-one questionnaire survey was conducted by trained medical staff,to investigate premarital-examined people’s knowledge regarding premarital health care.Qualitative research was conducted during December 2016,in which 10 research objects were elected from each health center(totally 20 people),investigating premarital-examined people’s demand circumstance of knowledge regarding premarital health care through communication with the research objects according to interview outline.Using EpiData software to recirculate and enter data,and using SPSS statistic software to resort and analyze data.Statistical analysis method:quantitative research using descriptive research,analyzing data’s frequency distribution and percentage circumstance,conduct chi-square test,t-test,and analysis of variance.Quantitative research deposits and analyzes materials adopting phenomenological analysis method.Results In this Investigation,780 questionnaires were distributed,in which 774 were collected back,the rate of collection is 99.2%.Questionnaire verified to be effective are about 763,theeffective rate is 97.8%.In age aspect:20 to 25 accounts 12.5%,26 to 30 accounts for 49.1%,31 to 35 accounts for 24.4%,and over 36 accounts for 14.0%.Males for late marriage accounts for 87.1%,females accounts for 93.9%.Males in best reproductive age accounts for 78.4%,females accounts for 48.9%.In education level aspect,bachelor degree accounts most for 50.7%,senior high school/junior college accounts for 24.5%,master degree and above accounts for 20.3%,and elementary school/junior high school accounts fewest for 3.8%.Since in Beijing and Xi’an,the people grouped upon education level are similar,there is no statistical difference(P>0.05)in comparison.Different grouping of males and female youth based on different ages has no statistical difference(P>0.05)in comparison on premarital health care knowledge,while there is remarkable difference(P<0.05)in comparison among groups divided upon different education level.A further T-test of pairwise comparison shows there is a remarkable difference(P<0.05)between average scores of elementary/junior high school group and senior high school/junior college group,and there is no remarkable difference between average score of bachelor degree group and master and above group.High accuracy questions on premarital health care knowledge(accuracy rates are above 60%):accuracy rate for knowledge on excessive smoking and drinking’s impact on semen quality and fetation is 96.6%;accuracy rate for knowledge on that infertility may be resulted from both male and female is 94.1%;accuracy rate for decease temporally not proper for marital is 83.4%;accuracy rate for sexually transmitted disease such as syphilis,gonorrhea that should be clinical cured under formally treatment only after which can get married is 68.6%;accuracy rate for unfavorable factors avoided by healthy pregnancy is 69.6%.Lower accuracy questions on premarital health care knowledge(accuracy rates are below 60%):for the attitude to obtain reproductive health knowledge,the rate of negative obtainer or the unconcerned among males(69.7%)is higher than females(30.3%),grouping upon males and females has statistic difference(P<0.05);for accuracy rate for choosing method not proper for short-term contraceptive is 57.9%;accuracy rate for choosing best reproductive age for males and females is 51.2%,accuracy rate for calculate oviposit period is 49.0%,and 51.0%for those not be able to calculate;accuracy rate for period required to limit sexual life is 26.7%;accuracy for knowledge of infertility is 23.2%,the unknown rate is 45.2%.Accuracy rate for choosing sexually transmitted diseases is 14.2%;accuracy rate for knowledge of hereditary disease is only 8.0%;accuracy rate for choosing contraceptive method with higher failure rate is 7.1%.Top 3 demands for reproductive knowledge are how to notice reproduction health,avoiding unfavorable eugenics factors and how to make pregnant plan,the bottom 2 are venereal disease route of transmission and best reproductive age.Top 3 demands for reproductive knowledge in Beijing district is how to notice reproduction health,period limiting sexual life and commonly used short-term contraceptive methods,which in Xi’an district are how to notice reproduction health,how to make pregnant plan and remedial measures after contraceptive failure.During interview,the investigated people have outstanding demands for reproductive health and eugenics knowledge.For major approaches to reproductive knowledge,most people obtained the knowledge from internet,accounting for 69.3%,which is followed by books,accounting for 40.9%.Propaganda brochure accounts for 27.4%,knowledge lecture accounts for 11.2%,and people who are more willing to have face to face consultation with doctors account for 30.2%.For selection of contraceptive methods,most people use condoms,accounting for 78.2%,which is followed by birth control pills,accounting for 20.1%.Contraception by calculating sale period accounts for 3.4%,and intrauterine device accounts for 2.7%.Conclusion Percentage of female in the best reproductive age is low;the level of investigated people’s knowledge on premarital health care is middle;males’ attitude to obtain reproductive health knowledge is sluggish;the investigated people have less knowledge on reproductive health with less propaganda and popularization but have outstanding demands in knowledge of reproductive health and eugenics.There exist wrong understanding and knowledge blind spots in unreasonable contraception,unintended pregnancy,unsafe abortion and remedial method;the knowledge obtained through general ways is lack of accuracy,and it is hard to approach to ideal obtaining way.Suggestion:strengthen propaganda and direction work of reproductive health knowledge of not-yet pregnant people,research and promote methods and means by which people can obtain reproductive knowledge;attach great attention to marital and reproductive knowledge with less propaganda and popularization;improve approach through which people can obtain knowledge,and make maximum advantage to health education clinic;pay attention to gender justice perspective in reproductive health service;popularize reproductive health knowledge in advance,and carry out publicity and education work in advance.