【摘要】 目的:了解免费孕前优生健康检查(简称免费孕检)目标人群优生知识及对免费孕检服务的态度,为完善和推广免费孕检服务工作提供依据。方法:在宝山区各街道或镇范围内符合免费孕前健康检查政策、接受过免费孕前健康检查宣教和动员的人群中抽取参加(参加组)或未参加(未参加组)免费孕检者各600人。问卷调查收集对象一般情况、相关知识知晓度、对免费孕检的满意度、参加或不参加免费孕检的动机、意愿、原因等。使用单因素χ2检验结合多因素logistic回归进行分析。结果:除参加组居住偏南部、文化程度较高之外,两组其余一般情况分布均衡。多因素分析显示,参加组在孕前检查必要性、政府提供免费孕前健康检查、叶酸促进胎儿神经发育、男女酗酒危害、非处方药须咨询等问题上知晓率均高于未参加组。参加免费孕检的动机主要为优生优育(96.2%),对免费孕检服务非常满意的占51.4%,基本满意的占46.4%。未参加的原因中,缺乏时间占45.7%,想接受更高层次服务占35.8%,了解不够占20.6%。有92.3%的调查对象表示会向他人推荐免费孕检服务。结论:免费孕检目标人群具有良好的优生知识,但对酗酒、高温、噪声等风险认知不足,知识水平与参加孕检与否的相关性有待进一步研究。相关部门在免费孕检服务基础上,尝试与收费服务相结合,进一步提升服务层次和服务内容,以适应群众的需求。更多还原

【Abstract】 Objective:To know the characteristics of free pre-pregnancy health exam’s target population including eugenic knowledge and to understand motivation,satisfaction of participation,main causes of non-participation and to provide inspiration for future work.Methods:Two groups of individuals living in Baoshan district who ever participated in or did not participated in the free pre-pregnancy exam(participation group or no-participation group)were enrolled in this study.There were approximately 600 individuals in each group.A questionnaire survey was conducted to collect demographic information,knowledge level,awareness,satisfaction,participation motivation,willingness,and reasons for non-participation.Statistical differences were confirmed by both univariateχ2 test and multivariate Logistic regression for analyzing the association between participation and knowledge level.Results:Individuals in the participation group were more likely to live in south sector of Baoshan district and also experienced higher level of education.Other demographic characteristics were not significantly different between groups.The individuals in participation group had higher awareness in the necessity of pre-pregnancy exam,government’s providing of free exam,folic acid’s effect on nerve growth,hazards of over-drinking,and the necessity of consulting before administration of over the counter drugs(OTCs).Most common motivation of individuals participated in the free pre-pregnancy exam was for eugenic consideration(96.2%).There were 51.4% of individuals who were very satisfied with this service and 46.4%who were basically satisfied.Lacking of time accounted for 45.7% of all causes of non-participated in the free pre-pregnancy exam,preferring higher level of service accounted for 35.8% of all causes,and lacking of knowledge accounted for 20.6% of all causes.There were 92.3% of all subjects willing to recommend this service to others.Conclusion:The target population who accepted free pre-pregnancy exam has good knowledge of eugenics,but has cognitive deficiencies on the risk of alcoholism,high temperature,and noise.The knowledge level is correlation to participation or non-participation free pre-pregnancy exam,which should be further researched and interpretation.Based on the free service well known,related government can try to combine with free charging services for enhancing current service quality and comprehensive service to meet the need of individuals.更多还原