目的 调查江苏省农村已婚育龄妇女生殖道感染疾病知识、健康信念及健康行为现状,并分析其影响因素,为制定相关的公共卫生政策提供依据。方法 采用基本情况调查表及育龄妇女生殖道健康相关知识、健康信念及健康行为调查表,对263名江苏省农村已婚育龄妇女进行抽样调查,统计知信行得分情况,并对其影响因素进行单因素和多元线性回归分析。结果 已婚育龄妇女生殖道感染疾病相关知识得分为(15.41±4.50)分,健康信念为(41.16±5.85)分,健康行为为(55.46±6.83)分。多元线性回归分析显示,地区、家庭年收入及家中是否有独立卫生间是生殖道感染相关知识的影响因素(P<0.05);妇女年龄、工作性质、配偶工作性质及子女数量是健康信念的影响因素(P<0.05);地区、家庭年收入、妇女工作性质是健康行为的影响因素(P<0.05)。结论 江苏省农村已婚育龄女性的生殖道感染疾病相关知识和健康行为水平尚可,但健康信念有待加强。医护人员应根据知信行的不同影响因素特点,开展有针对性的、形式丰富的健康教育活动,促进农村已婚育龄女性的健康信念内化,进而改善其健康行为。

Objective To investigate knowledge, attitude and practice( KAP) of reproductive tract infections( RTIs) among married women of child-bearing age in rural areas of Jiangsu Province and analyze factors associated with it so as to provide evidence for public health policy making.Methods Totally 263 rural married women of child-bearing age were investigated through questionnaire survey, the contents of the questionnaire included general information and their KAP of RTIs. The KAP scores were analyzed,and the influencing factors were analysed by ANOVA and multiplelinear regression.Results The scores of KAP related to RTIs were(15. 41 ± 4. 50),(41. 16 ± 5. 85) and(55. 46 ± 6. 83), respectively. Multiple linear regression analysis showed that region, annual family income and separate bathroom were factors associated with knowledge of RTIs(P< 0. 05). Age, job characteristics of women and their spouses and number of children were factors associated with health belief(P< 0. 05). Region, annual family income and women's job characteristics were factors associated with health behavior(P< 0. 05).Conclusion Knowledge and health behavior of RTIs among rural married women of child-bearing age is acceptable, but their health belief needs to be improved. According to the characteristics of different factors associated with KAP, medical staff should carry out targeted and various forms of health education to promote the transformation of health belief among married women of childbearing age and therefore improve health behavior.