目的：探讨中山市小榄地区已婚妇女保健服务利用的影响因素。方法随机选取中山市小榄地区20~54岁已婚育龄妇女530例，采用流行病学调查方法进行问卷调查，调查妇女保健服务利用状况与健康状况，分析妇女保健服务利用状况与妇科疾病发生的关系，以及影响妇女保健服务利用的因素。结果530例妇女中利用保健服务者164例，占30.94%(利用组)，未利用保健服务者366例，占69.06%(未利用组)。利用组妇科疾病发病率为13.41%(22/164)，明显低于未利用组的46.17%(169/366)，差异具有统计学意义(P<0.05)。Logistic回归分析结果显示，收入水平、就医便利程度、医疗保障、保健意识对妇女保健服务利用具有明显影响(P<0.05)。结论中山市小榄地区已婚妇女保健服务利用率较低，应加强妇女保健服务宣传力度，增强保健意识，提供便利就医环境，提高医疗保障水平，降低医疗花费，以降低妇科疾病发病率，提高妇女健康水平。%Objective To explore the influence factors of women's health care service utilization in Xiaolan area of Zhongshan city. Methods A total of 530 women aged 24~54 years old in Xiaolan area of Zhongshan city were randomly selected. Questionnaire survey with epidemiological investigation method were conducted for the sta-tus of women's health care service utilization and health status, and then the relationship between health care service utilization and gynecological disease was analyzed. Furthermore, the influence factors of women's health care service utilization were summarized. Results 164 women (30.94%) used the health care services were grouped as the use group, and 366 women (69.06%) did not use the health care services were grouped as unused group. Incidence of gyne-cological disease of the use group (22/164, 13.41%) was lower than that in unused group (169/366, 46.17%) with a sta-tistically significant difference (χ2=4.394, P<0.05). Logistic regression analysis results showed that the degree of in-come level, medical facilities, medical security, and health care consciousness had significant effects on the women's health care service utilization (P<0.05). Conclusion The rate of women's health care service utilization is low in this area. In order to reduce the incidence of gynecological diseases and increase women's health, a series of effective mea-sures should be performed to strengthen women's health care service propaganda and the consciousness of health care, facilitate the medical environment, improve the level of medical care, and reduce medical costs.
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