上海外来妇女产后避孕服务需求及干预研究

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1、上海交通大学医学院博士学位论文STUDYoNNEEDSANDINTERVENTIONONPOSTPARTUMCONTRACEPTIVESERVICESAMoNGINTERNALMIGRANTBaekgroundWOMENINSHANGHAIABSTRCTUnintendedpregnancyduringearlypostnatalperiodbringshighnsksto一，一healthofreproductive·agedwomen，whichispreventableunderpromptandappropriatecontraceptiv

2、eintervention．WiththeeconomicdevelopmentinChina，alargeproportionoflaborforcehasmigrated舶mtheruralorlessdevelopedareastothemoredevelopedurbanareas．Internalmigrantpopulationisinlowersocial-economicalstatusinurbanandlackofhealthinsurance，whichmaycontributetocreatingastateofmargin

3、alization．Inducedabortionincidenceamongmarriedinternalmigrantwomenhasbeenatahighlevel．ThepresentstudywasconductedatPujiangCommunityHospitalinShanghai，whichprovidesdeliveryservicesinlowpriceforinternalmigrantwomen．Thisisthefirststudytoaddresspostpartumcontraceptiveservicesamong

4、internalmigrantpopulationinChina．V上海交通大学医学院薄士学位论文StudyObjectives(1)Toinvestigatesexandcontraceptiverelatedbehaviorsandinducedabortionincidenceamongpostnatalwomen．(2)Toexploremarriageandfertilitystatus，contraceptiveknowledgeandneedsamonginternalmigrantwomen．(3)Tomeasuretheimpac

5、tofappropriatecontraceptiveservicesondecreasinginducedabortionincidencepostpartum．Studymethodologies(1)Aretrospectivestudywasconductedthroughtelephoneamong58internalmigrantwomengivingbirthsfromJanuarytoDecemberin2005，inordertoinvestigatewomen’Ssexandcontraceptiverelatedbehavio

6、rs，inducedabortionandrepeateddeliverypostpartum．Amongthem，21womenwereinvitedtoparticipatein-depthinterview．(2)Across-sectionalsurveywascarriedoutbetweenJulyandOctober2006，whichincluded1513internalmigrantwomen．Face-to-faceanonymousquestionnairesinterviewswereconductedtocollectd

7、emographicdata，marriageandfertilityrelateddata，knowledgeaboutcontraceptionandneedsofcontraceptionpostpartum．Qualitativemethods(in—depthinterviewandfocusgroupinterview)V1上海交通大学医学院博士学位论文wereusedforinformationindetail．(3)Accordingtotheinclusioncriteriaandexclusioncriteria，840inte

8、rnalmigrantpostnatalwomenwererecruitedintointerventionfollow-