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目的探索宫内节育器(IUD)不良事件发生率与地区经济水平的关系,为促进计划生育工作及提高服务水平提供决策依据。方法采用回顾性研究方法,以乡镇为单位统计居民人均纯收入及不良事件发生率。不良事件发生率数据来自2005年9月至2006年12月江苏、上海、广东、安徽、四川、重庆6省市IUD上市后的队列研究;经济数据来自上述地区2006年度国民经济和社会发展统计公报及统计年鉴。用直线相关与回归分析宫内节育器总不良事件、一般不良事件及严重不良事件发生率与人均收入的关系。结果上述6省市236个乡镇共计20?220例观察对象纳入统计分析。宫内节育器总不良事件发生率、一般不良事件发生率与人均收入呈正相关关系(分别为rs=0.336,P<0.05;rs=0.272,P<0.05);宫内节育器严重不良事件发生率与人均收入尚不能认为存在相关关系。结论经济水平较好的地区宫内节育器一般不良事件发生率较高,这可能与这些地区妇女的认知率高、自我健康保健意识强及耐受性低有关;但严重不良事件发生率与人均收入没有这种相关性,提示严重不良事件发生率很低,且多为客观指标,其报告更依赖相关卫生机构的处理能力、报告意识及管理水平。由于参与计生工作的人员均经过统一培训合格上岗,因而严重不良事件报告率无显著性差异,与所在地区经济水平关系不大。
Objective To explore the relationship between the incidence of IUD adverse events and the regional economic level, and to provide decision-making basis for promoting family planning work and improving service level. Methods A retrospective study was conducted to calculate the per capita net income of residents and the incidence of adverse events by taking townships as units. Data on the incidence of adverse events came from the cohort study of IUD after listing in Jiangsu, Shanghai, Guangdong, Anhui, Sichuan and Chongqing in September 2005 to December 2006. The economic data came from the 2006 Statistical Communique of National Economic and Social Development And statistical yearbook. Linear correlation and regression analysis of IUD total adverse events, general adverse events and serious adverse event incidence and per capita income. Results A total of 20 220 observational subjects from 236 townships in 6 provinces and cities above were included in the statistical analysis. The incidence of total adverse events and the incidence of adverse events in IUD were positively correlated with per capita income (rs = 0.336, P <0.05, rs = 0.272, P <0.05). The incidence of serious IUD And per capita income can not be considered that there is a correlation. Conclusions The higher incidence of adverse events of IUD in areas with better economy may be related to the high recognition rate of women in this area, the strong awareness of self-care and the low tolerance. However, the incidence of serious adverse events Per capita income does not have this correlation, suggesting that the incidence of serious adverse events is very low, and mostly objective indicators, the report depends more on the handling capacity of the relevant health institutions, reporting awareness and management level. Since all personnel involved in family planning work have passed the unified training and are qualified to work, there is no significant difference in the reporting rate of serious adverse events, which has little to do with the economic level of the region where they are located.