Junqing Wu, Chuanning Yu, Yuyan Li
School of Public Health of Fudan University, Shanghai, China.
Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in Human Reproduction Unit of Epidemiology, Shanghai, China.
BMJ Open. 2017 Oct 10;7(10):e017621. doi: 10.1136/bmjopen-2017-017621.
Although family planning in China has changed gradually since 1994, there are few studies about family planning and women's reproductive rights. The main objective of this study was to examine awareness of sexual and reproductive healthcare rights (SRHCRs), and learn how factors related to family planning influence awareness of SRHCRs among married women of reproductive age in China.
Inner Mongolia, Chongqing, Guangdong and Henan were selected for the study, and a total of 2504 married women of reproductive age were recruited. A self-administered anonymous questionnaire was used to collect information on participants' awareness of SRHCRs.
There were a total of 10 843 (≤6×2504) responses, with a response rate of 72.17% (10 843/15 024) on average among participants regarding SRHCRs (a multiple response set). The highest response rate was for choice (Right 3) (90.64%, 95% CI 89.47%, 91.81%), followed by privacy (Right 5) (86.11%, 95% CI 84.72%, 87.50%) and information (Right 1) (84.47%, 95% CI 83.02%, 85.93%). Only 43.39% (95% CI 41.40%, 45.38%) of participants gave responses to safety (Right 4). Participants without children showed more interest in Right 1, in access (Right 2) and in Right 4. Those who utilised tests for fetal sex determination paid more attention to Rights 2 and 4. Women who accepted informed choice were more likely to be aware of all six rights except for Right 3 and dignity (Right 6). Those individuals who were satisfied or very satisfied with comprehensive sexual and reproductive health counselling services were more likely to show interest in all six rights.
Awareness of SRHCRs among reproductive aged women in China is still inadequate. Family planning service providers might strengthen the service awareness of sex and reproductive health rights according to the different needs of women.
自1994年以来，中国的计划生育政策虽已逐渐改变，但关于计划生育与妇女生殖权利的研究却很少。本研究的主要目的是调查性与生殖健康保健权利（SRHCRs）的知晓情况，并了解与计划生育相关的因素如何影响中国已婚育龄妇女对SRHCRs的知晓情况。
本研究选取了内蒙古、重庆、广东和河南，共招募了2504名已婚育龄妇女。采用自填式匿名问卷收集参与者对SRHCRs的知晓信息。
总共收到10843份（≤6×2504）回复，参与者对SRHCRs（多选项集）的平均回复率为72.17%（10843/15024）。回复率最高的是选择权（权利3）（90.64%，95%CI 89.47%，91.81%），其次是隐私权（权利5）（86.11%，95%CI 84.72%，87.50%）和知情权（权利1）（84.47%，95%CI 83.02%，85.93%）。只有43.39%（95%CI 41.40%，45.38%）的参与者回复了安全权（权利4）。无子女的参与者对权利1、获得权（权利2）和权利4更感兴趣。那些进行过胎儿性别鉴定检测的人更关注权利2和权利4。接受知情选择的女性更有可能知晓除权利3和尊严权（权利6）之外的所有六项权利。那些对综合性性与生殖健康咨询服务满意或非常满意的人更有可能对所有六项权利表现出兴趣。
中国育龄妇女对SRHCRs的知晓情况仍不充分。计划生育服务提供者可根据妇女的不同需求，加强性与生殖健康权利的服务意识。
