【摘要】 目的:分析广东省育龄妇女生殖健康服务水平及其影响因素,为提高生殖健康服务效益提供参考。方法:依据专家咨询及资料可获得性原则,确定广东省育龄妇女生殖健康评价指标及影响指标框架;两两比较后建立评价指标的判断矩阵,并确定评价指标的权重;运用多元回归分析综合评价指标及与影响指标间关系。结果:评价指标中人工流产率权重(0.3329)最大,其次是出生缺陷儿发生率权重(0.2167),再次是人工流产手术事故发生率权重(0.1319)和孕产妇死亡率权重(0.1319),而围产儿死亡率权重(0.0785)、15～19岁女性生育率权重(0.0605)及婴儿死亡率权重(0.0476)较低。影响广东省育龄妇女生殖健康水平的因素从大到小依次是:住院分娩率、综合节育率、婚前医学受检率、产后访视率和产前检查率。各评价指标受影响指标影响的程度有差异。结论:广东省育龄妇女生殖健康水平有了明显的提高;降低人工流产率、出生缺陷儿发生率及孕产妇死亡率等仍面临挑战;政府需从资金投入、管理体制、医疗技术及宣传等多方面着手,着重提高住院分娩率和综合节育率,特别要关注广东省东西两翼和北部山区的育龄妇女生殖健康。更多还原

【Abstract】 Objective:In order to provide the basis for improving reproductive health service benefits,the status of service delivery and the factors influencing reproductive health in childbearing women of Guangdong Province were comprehensively analyzed.Methods:Delphi method and data available principle were used to build the evaluation and influence indicator framework for evaluating the reproductive health service benefits of childbearing women;the judgment matrix was built based on the pairwise comparison of evaluation index of reproductive health in childbearing women;the relationship between comprehensive index and influence indicators was analyzed by multiple regression,and the relationship between each evaluation indicator and influence indicators was analyzed by the same method as well.Results:For the reproductive health service benefits,the weights of evaluation indicators were in the descending order of induced abortion rate(0.3329),birth defect rate(0.2167),accident rate of surgical induced abortion(0.1319),maternal mortality(0.1319),perinatal mortality(0.0785),fertility rate of the girls aged 15-19(0.0605),infant mortality(0.0476).The influence factors on the reproductive health of childbearing women were in the descending order of hospital delivery rate,comprehensive birth control rate,premarital check-up rate,follow-up rate after delivery,prenatal examination rate.The impact of influence indicators on each evaluation indicator was inconformity.Conclusion:The reproductive health level of the childbearing women in Guangdong Province has a distinct increase,but there are grand opportunities and great challenges to reduce the induced abortion rate,birth defect rate and maternal mortality.It should be focused to improve hospital delivery rate and comprehensive birth control rate,especially to care about reproductive health of the childbearing women in West and East Guangdong and Northern Mountain Area of Guangdong.更多还原