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  本文選題：孕前健康 + 健康素養(yǎng)��； 參考：《昆明醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的：了解昆明市晉寧縣成人孕前健康素養(yǎng)具備情況,探索影響成人孕前健康素養(yǎng)的影響因素,為更好的推進(jìn)優(yōu)生促進(jìn)工程,降低出生缺陷發(fā)生率提出政策建議。 方法：依托于在云南省開展的“優(yōu)生健康促進(jìn)工程”,在目前孕前優(yōu)生促進(jìn)工程開展現(xiàn)狀的基礎(chǔ)上,采用立意抽樣從昆明市晉寧縣18～60歲的成人中選擇500位調(diào)查對象,對其進(jìn)行問卷測評,問卷內(nèi)容從健康素養(yǎng)的角度,以孕前保健內(nèi)容為基礎(chǔ),分為孕前健康素養(yǎng)的知識、態(tài)度和技能三個維度。對市、縣級計生部門的領(lǐng)導(dǎo)和工作人員進(jìn)行個人訪談,以探索健康素養(yǎng)在優(yōu)生促進(jìn)工程開展過程中的切入點和可行性。用Epidata3.0建立數(shù)據(jù)庫,并采用SPSS13.0對數(shù)據(jù)進(jìn)行統(tǒng)計分析。 結(jié)果：調(diào)查對象中有261人具備孕前健康素養(yǎng),具備率為53.08%；知識方面、態(tài)度方面和技能方面的具備率分別為55.08%、95.73%和49.39%。晉寧縣成人對于孕前檢查內(nèi)容、最佳生育年齡、葉酸增補的劑量和方法掌握較差。單因素分析顯示性別、年齡、職業(yè)、婚姻狀況和月收入的人群,孕前健康素養(yǎng)有顯著性差異(P0.05)。Logistic回歸分析顯示婚姻狀況、性別、月平均收入和年齡是孕前健康素養(yǎng)的影響因素,通過偏回歸系數(shù)的絕對值可以看出,影響強(qiáng)度最大的因素是婚姻狀況(OR=1.288),其次是性別(OR=0.563),影響強(qiáng)度最小的是年齡(OR=0.048)。個人訪談顯示基層計生部門工作人員普遍希望獲得專業(yè)孕前健康知識的培訓(xùn),而提高孕前健康素養(yǎng)對于優(yōu)生促進(jìn)工程的開展有促進(jìn)作用。 結(jié)論：目前昆明市晉寧縣成人孕前健康素養(yǎng)具備水平總體一般,并且存在薄弱環(huán)節(jié),孕前健康素養(yǎng)的影響因素有婚姻狀況、性別、月平均收入和年齡。在優(yōu)生促進(jìn)工作中應(yīng)以男性、主要生活在城鎮(zhèn)的高收入人群和未婚成年人群為重點干預(yù)對象,加強(qiáng)孕前健康宣傳和健康教育：引入更加現(xiàn)代化的宣傳方式；加強(qiáng)對基層計生工作人員的專業(yè)知識培訓(xùn)。
[Abstract]:Objective: to understand the status of pre-pregnancy health literacy of adults in Jinning County, Kunming City, and explore the influencing factors of adult pre-pregnancy health literacy, so as to better promote eugenics and reduce the incidence of birth defects.Methods: based on the present situation of eugenic health promotion project carried out in Yunnan province, 500 subjects were selected from 1860 years old adults in Jinning County, Kunming City.From the perspective of health literacy, the questionnaire is divided into three dimensions: knowledge, attitude and skills of pre-pregnancy health literacy based on pre-pregnancy health care content.In order to explore the cut-in point and feasibility of health literacy in the process of promoting eugenics, the leaders and staff of city and county family planning department were interviewed.Epidata3.0 was used to establish database and SPSS13.0 was used to analyze the data.Results: 261 subjects had pre-pregnancy health literacy (53.08%), knowledge, attitude and skill were 55.08% and 49.39%, respectively.In Jinning County, the content of pre-pregnancy examination, the best reproductive age, the dosage and method of folic acid supplementation were poor.Univariate analysis showed that sex, age, occupation, marital status and monthly income had significant differences in pre-pregnancy health literacy. Logistic regression analysis showed that marital status, sex, monthly average income and age were the influencing factors of pre-pregnancy health literacy.Through the absolute value of partial regression coefficient, it can be seen that the most influential factor of the intensity is the marital status, the second is the gender, and the least is the age.Personal interviews showed that the staff of the grass-roots family planning department generally wanted to obtain professional pre-pregnancy health knowledge training, and the improvement of pre-pregnancy health literacy to promote the development of eugenics promotion project.Conclusion: at present, the health literacy of adults before pregnancy in Jinning County of Kunming City is general and weak. The influencing factors of pre-pregnancy health literacy are marital status, sex, average monthly income and age.In the promotion of eugenics, we should focus on men, high-income people living in cities and towns and unmarried adults, and strengthen pre-pregnancy health promotion and health education: introduce more modern publicity methods;Strengthen professional knowledge training for grass-roots family planning workers.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R174

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