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基于对全国7省农村中老年女性人口的抽样调查,描述和分析了她们的生殖健康状况和服务需求。普遍的突出问题是:年轻生育时期缺少高质量围产期保健服务,缺乏对更年期的正确认识,生殖健康促进的意识很薄弱,有半数以上的人出现更年期综合症,受各种妇科疾病困扰非常痛苦,难以启齿的性问题也困扰着她们,约有四分之一已绝经的中老年妇女没有将避孕环适时取出,严重影响了她们的生殖健康。提出了农村中老年妇女更年期生殖健康服务的基本构思和运行框架。
Based on a sample survey of rural middle-aged and elderly female population in seven provinces in China, their reproductive health and service needs were described and analyzed. Common problems are: the lack of high-quality perinatal care during the young childbirth, the lack of a proper understanding of menopause, a weak awareness of reproductive health promotion, and the fact that more than half of people have menopausal syndrome and are troubled by various gynecological diseases Painful and unspeakable problems plague them as well. About a quarter of middle-aged and older women, who have already passed menopause, have not taken the contraceptive ring in a timely manner, seriously affecting their reproductive health. The basic concept and operational framework of reproductive health services for menopause in rural middle-aged and elderly women are proposed.