Analysis Of “Knowledge, Attitude And Practice” Status Of Young Married Women In Cangzhou And Influencing Factors

Objective:This topic aims to learn the “Knowledge, Attitude and Practice” status of young married women in Cangzhou about reproductive tract infections(RTI) according to the survey of their “Knowledge, Attitude and Practice” status; then to analyze its influencing factors and formulate appropriate and targeted intervening strategies on the above basis, so as to achieve the objective to protect and promote reproductive health of women of childbearing age.Method:The cluster random sampling method was adopted to randomly draw one administrative area in Cangzhou(there are altogether two administrative areas in Cangzhou) and five blocks in this administrative area, where 500 women of childbearing age between 18-35 years old and living in this area for more than one year were collected as the research objects, with 100 women in each block. Uniform questionnaire survey was conducted for the research objects, the surveyors were all trained, and questionnaires were issued and then returned on the spot. The questionnaire could be divided into two parts, including the general information of research objects,and KAP questionnaire of women of childbearing age for RTI.The KAP questionnaire include 3 dimensions(knowledge、attitude、practice)and 53 items.Then database was established with EPidate3.1 and data analysis was conducted with SPSS17.0. Descriptive statistics analysis, single factor analysis of variance, multivariate stepwise regression, correlation analysis and many other statistical methods were adopted to analyze the “Knowledge, Attitude and Practice” status of young married women in Cangzhou and the influencing factors.Results:1 In this survey, 500 young married women in Cangzhou wereinvestigated and 471 efficient questionnaires were collected, and average age of the research objects was 28.70±4.43 years old; those with junior high school education or below were 153 cases, occupying 32.5%; those with the occupation of farmers were 133 cases, occupying 28.3%; those women whose husbands were with junior high school education or below were 143 cases, occupying 30.4%; and those women whose husbands were farmers were 124 cases, occupying 26.3%.2 The average of total points in the scale of RTI knowledge, attitude and practice of women of childbearing age was 123.29±14.15, and those with high scoring accounted for 62.84%, generally belonging to the higher degree. The RTI knowledge entries was 14.65±5.17 points, in which the scoring average of RTI symptom “pruritus vulvae, vaginal pain or burning sensation” was the highest(0.86±0.35); the scoring average of route of transmission for RTI “transfusion and selling blood” was the lowest(0.30±0.46). The average of Cangzhou young married women for the RTI belief entries was 71.26±8.10 points, in which the scoring average of “do you wish for regular gynecologic examination in the future?” was the highest(4.05±0.84), while the scoring average of “shy, uncomfortable or afraid of gynecologic examination” was the lowest(3.06±1.24). The average of Cangzhou young married women for the RTI behavior entries was 37.37±5.89 points, in which the scoring average of “the underpants are dried in the sun after washing” was the highest(3.61±0.67), while that of “have sex during menstrual period” was the lowest(1.34±0.77).3 The results from single factor analysis of variance indicated that the occupations, education degrees, family incomes, access to reproductive health education, time of reproductive health education, contraceptives, payment mode of hospitalization costs, education degree and occupation of husbands were all of statistical significance to the total points in scale and scoring at various dimensions(P<0.05)4 The results of multivariate stepwise regression showed that, the education degree of women, education degree of theirhusbands, access to reproductive health education, payment mode of hospitalization costs and contraceptives were the main influencing factors to RTI.5 The relevant analysis results of Spearman indicated that, there is positive correlation mong the RTI knowledge, attitude and practice of Cangzhou young married women(P<0.01), but the correlation is not close(r< 0.5).Conclusions:1 The survey results of this paper indicated that the total points of Cangzhou young married women in RTI knowledge, attitude and practice were all in the higher level.2 The occupation, education degree of the women, as well as whose of their husbands, their family income, and the contraceptives are all influencing factors for the RTI of young married women.3 The scoring of young married women in understanding of knowledge was low, and the young married women had little knowledge about the RTI general information and transmission routes.4 The attitude for RTI prevention were still poor, and health education needed to be strengthened.5 The practice of RTI behavior was not standard, and misunderstandings existed in the daily behaviors and health seeking behaviors.6 There was positive correlation between the correct reproductive health practice and the reproductive health knowledge and attitude.