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中国重庆流动女工生殖健康保健服务利用的相关因素

Factors associated with utilization of reproductive healthcare services among migrant women workers in Chong Qing, China.

作者信息

Su Shu, Zhang Fan, Liu Qin, Wang Yang, Wen Jing, Tang Xiaojun, Zhang Lei

机构信息

School of Public Health and Management, Chong Qing Medical University, Chong Qing, China.

School of Public Health and Management, Chong Qing Medical University, Chong Qing, China.

出版信息

Int J Gynaecol Obstet. 2014 Oct;127(1):66-8. doi: 10.1016/j.ijgo.2014.04.005. Epub 2014 May 28.

Abstract

OBJECTIVE

To investigate the use of reproductive healthcare services among migrant women workers in Chong Qing, China, and provide suggestions to improve the utilization of these services by young women.

METHODS

In a qualitative interview-based study between March, 2013 and June, 2013, personal in-depth interviews were conducted among young women workers, factory doctors, healthcare service providers, and policy-makers in Chong Qing, China.

RESULTS

Women workers seldom visited hospitals and did so only when their pain became unbearable. The workers' use of reproductive healthcare services was particularly influenced by the high cost of hospitalization and long waiting periods. Factory doctors could only solve minor problems. Public healthcare providers stated that migrant women had a higher morbidity rate from reproductive tract infections as compared with local women. The policy-makers considered that the health system was beneficial to women's reproductive health; however, few workers had good comprehension of government policies.

CONCLUSION

Migrant women workers are vulnerable owing to lack of reproductive health care. The government and both social and health enterprise should consider the convenience of these women and the affordability of treatments when formulating reproductive healthcare policies. Effective measures should be taken to improve the use of these services by migrant women workers.

摘要

目的

调查中国重庆流动女工对生殖健康服务的利用情况,并为提高年轻女性对这些服务的利用率提供建议。

方法

在2013年3月至2013年6月进行的一项基于定性访谈的研究中,对中国重庆的年轻女工、工厂医生、医疗服务提供者和政策制定者进行了个人深入访谈。

结果

女工很少去医院,只有在疼痛难以忍受时才会去。住院费用高和等待时间长对工人利用生殖健康服务的影响尤为明显。工厂医生只能解决小问题。公共医疗服务提供者表示,与当地女性相比,流动女工的生殖道感染发病率更高。政策制定者认为卫生系统对女性生殖健康有益;然而,很少有工人对政府政策有很好的理解。

结论

由于缺乏生殖保健,流动女工很脆弱。政府以及社会和卫生企业在制定生殖健康政策时应考虑这些女性的便利性和治疗费用的可承受性。应采取有效措施提高流动女工对这些服务的利用率。

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