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陈海楠, 许洁霜. 医务人员向未生育青少年提供长效可逆避孕措施的知信行研究[J]. 中国妇幼卫生杂志, 2020, 11(5): 16-20,26. DOI: 10.19757/j.cnki.issn1674-7763.2020.05.004
引用本文: 陈海楠, 许洁霜. 医务人员向未生育青少年提供长效可逆避孕措施的知信行研究[J]. 中国妇幼卫生杂志, 2020, 11(5): 16-20,26. DOI: 10.19757/j.cnki.issn1674-7763.2020.05.004
CHEN Hai-nan, XU Jie-shuang. Knowledge,attitudes and behaviors of providing Long Acting Reversible Contraceptive to nulliparous youth among service providers[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2020, 11(5): 16-20,26. DOI: 10.19757/j.cnki.issn1674-7763.2020.05.004
Citation: CHEN Hai-nan, XU Jie-shuang. Knowledge,attitudes and behaviors of providing Long Acting Reversible Contraceptive to nulliparous youth among service providers[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2020, 11(5): 16-20,26. DOI: 10.19757/j.cnki.issn1674-7763.2020.05.004

医务人员向未生育青少年提供长效可逆避孕措施的知信行研究

Knowledge,attitudes and behaviors of providing Long Acting Reversible Contraceptive to nulliparous youth among service providers

  • 摘要: 目的 分析医务人员向未生育青少年提供长效可逆避孕(LARC)措施的知信行。方法 2018年9-12月采用随机整群抽样方法抽取上海市41家医院的410名医生进行调查。结果 参加过“未生育青少年使用LARC”相关培训的比例仅为21%,总体上医生的LARC知晓度较高,对向未生育青少年提供LARC持较积极态度。加强培训虽然对她们知识态度都有积极影响(P<0.05),但对她们的行为无影响(P>0.05)。来自医务人员、服务对象和社会环境的因素都可能阻碍医务人员向未生育青少年提供LARC。结论 加强培训更新医务人员知识,在知情选择的前提下将LARC作为第一线的避孕措施向已婚未生育但2年内无生育计划,或者未婚未生育反复做流产的青少年推荐,同时医院要增加避孕药具服务种类、提供人员和岗位的政策保障,扩大社会宣传和青少年人群健康教育。

     

    Abstract: Objective To analyze knowledge,attitudes and behaviors of providing Long Acting Reversible Contraceptive(LARC)to nulliparous youth among service providers.Methods A total of 410 doctors from 41 hospitals were selected using cluster random sampling,and self-administered questionnaire was used to collect information during September to December 2018.Results Only 21% service providers participated in training of‘provision of LARC to nulliparous youth'. Generally,their awareness of LARC was acceptable; their attitudes towards “provision of LARC to nulliparous youth ” was positive. Although training could affect their knowledge and attitudes positively(P<0.05),it couldn't affect their behaviors(P>0.05). The factors from service providers,clients and social environment could prevent doctors from providing LARC to nulliparous youth.Conclusion Training of service providers should be improved to update their knowledge. LARC should be the first line contraceptives recommended to married nulliparous youth who haven't birth plan within 2 years and unmarried nulliparous youth undergoing repeated abortions under the circumstance of informed choice. At the same time,hospital should provide policy to ensure human resource and working post,increase the variety of contraceptives,and the society should strengthen advocacy and adolescent health education.

     

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