目的:了解综合干预对育龄妇女安全套使用的影响,并探讨育龄妇女安全套使用行为的其他影响因素.方法:采用随机整群抽样方法抽取上海市徐汇区4个街道60个居委会,以其辖区内<49岁已婚育龄妇女为调查对象,随机分为干预组和对照组,对干预组育龄妇女在常规计划生育工作的基础上实施生殖健康知识、安全套使用宣传教育和免费发放的社区综合干预;对照组仅开展常规的计划生育服务;比较干预前后干预组和对照组安全套知识、安全套使用行为的变化.结果:干预组安全套使用频度提高的幅度大于对照组(OR=1.90,95%CI:1.34～2.45).30～40岁年龄段育龄妇女较<30岁者干预后安全套使用频度提高幅度大、基线使用频率高者使用频度提高幅度小,研究对象的丈夫年龄较大、收入较高者干预后安全套使用频度提高的幅度较小.结论:宣教和服务等综合干预可提高已婚育龄妇女安全套的使用.干预效果受到安全套基线使用频率、妇女年龄、丈夫年龄和收入的影响.%Objective: To evaluate the results of general intervention on condom use in women of reproductive age and to explore influential factors related to condom use. Methods: A community - based intervention study was conducted in Xuhui District, Shanghai. Four streets ( Fenglin, Hunan, Hongmei and Changqiao) were selected by cluster sampling. In the intervention group, health education and service of condom use were implemented, while routine family planning program was conducted in the control group. Knowledge about reproductive tract infection and condom practices were compared before and after the intervention. Results:After the project, the increase of condom use frequency in the intervention group was higher than that in the control group ( OR = 1.90, 95％ CI:1.34 - 2.45 ). The women aged from 30 to 40 years old had a higher use of condom than those who were less than 30 years old after intervention. The increase in the condom use after intervention was low among the women who had a higher use of condom at the start, and had elder husbands and husbands who had higher incomes. Conclusion: It is an effective way to conduct a community - based intervention to increase women's condom use frequency. The women's use of condom at the baseline and their age, their husbands'age and incomes had impact on intervention effects.
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