Dissertation
Dissertation > Medicine, health > Preventive Medicine,Health > Maternal and child health > Women 's health and hygiene

Study on Reproductive Tract Infections and Health Belief among Women of Reproductive Age Living in Shanghai Fengxian District Rural Areas

Author WuZuo
Tutor ChenLiQun
School Fudan University
Course Nursing
Keywords rural area reproductive age women reproductive tract infections health belief
CLC R173
Type Master's thesis
Year 2011
Downloads 37
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ObjectiveTo describe RTIs status, RTIs related knowledge, health beliefs, self-efficacy and health behavior status, analyze the influential factors and relationships between RTIs and related knowledge, beliefs, behavior, self-efficacy among women of reproductive age living in shanghai Fengxian district rural areas.MethodsA cross-sectional, descriptive study was carried out from November 2009 to May 2010 in Shanghai Fengxian rural.1061 reproductive age women were selected by random cluster sampling. The instruments were "Shanghai rural women of reproductive age demographic questionnaire", "Shanghai women of reproductive age RTIs check form", "RTIs related knowledge among reproductive age women questionnaire", "RTIs related health beliefs among reproductive age women questionnaire", "RTIs related self-efficacy among reproductive age women questionnaire", "RTIs related health behavior among reproductive age women questionnaire" and gynecological examination. Data was analyzed by descriptive and inferential statistics using mean, standard deviation, chi-square, rank sum test, Pearson, Kendall correlation test and path analysis.Results(1) CVI, Cronbach’s a, split-half reliability, test-retest reliability of "RTIs related knowledge among reproductive age women questionnaire", "RTIs related health beliefs among reproductive age women questionnaire", "RTIs related self-efficacy among reproductive age women questionnaire", "RTIs related health behavior among reproductive age women questionnaire" were more than 0.7; Through exploratory factor analysis, fitting model was consisted with the theoretical model.(2)In 1061 cases of women of reproductive age in rural Fengxian District,492 people (46.3%) had at least one kind of reproductive tract infection. Vulvitis 9 (0.8%), Bacteroidal vaginitis 50 (4.7%), Candida albicans vaginitis 14 (1.3%), trichomoniasis vaginitis 31 (2.9%), cervical erosion324 (30.5%), cervical nessler cyst 103 (9.7%), cervical polyps 45 (4.2%), annex inflammation 4 (0.4%) and pelvic inflammation 2 (0.2%). The Logistic regression analysis shows that high education level (OR= 0.018), monthly family per capita income (OR= 0.468) and her husband working outside (OR = 0.535) were the protective factors of RTIs; no shower facilities (OR= 2.560), multiple sexual partners (OR= 7.681) and early age at first sex (OR= 5.624) were risk factors of RTIs.(3) The total score of RTIs knowledge was 12.32±3.35. The Logistic regression analysis:younger age (OR=0.597), medicare and other insurance (OR=0.535), with shower facilities (OR=0.436) and sexual partners (OR=0.356) were protective factors related knowledge RTIs; low educational level (OR= 4.983), farming (OR=1.939), husband farming (OR= 1.732) and her husband working outside (OR= 2.021) were risk factors of RTIs related knowledge-(4) The total score of RTIs health beliefs was 42.06±6.13. The Logistic regression analysis shows that medicare and other insurance (OR=0.163) and late age of first sex (OR=0.190) were protective factors of RTIs related health beliefs; low educational level (OR=6.062) and husband farming (OR=1.703) were risk factors of RTIs related health beliefs.(5) The total score of RTIs self-efficacy was 51.69±6.89. The Logistic regression analysis shows that younger age (OR=0.098), medicare and other insurance (OR=0.338) and a separate bathroom (OR=0.151) were protective factors of RTIs related self-efficacy; farming (OR=3.305) and Husband farming (OR=1.814) were risk factors of RTIs related self-efficacy.(6) The total score of RTIs health behaviors was 49.96±10.66. The Logistic regression analysis shows that medicare and other insurance (OR=0.221) and one sexual partner (OR=0.120) were RTIs protective factors of RTIs related health behavior; education level (OR=2.808), the per capita monthly family income (OR=2.687) and farming (OR=4.373) were risk factors of RTIs related health behavior.(7) Through the Pearson correlation and Kendall rank correlation test, perceived susceptibility of RTIs, perceived severity of RTIs, perceived benefits of action and self-efficacy was positively correlated with health behaviors and self-efficacy. Perceived barriers of action were negative correlated with health behaviors and self-efficacy. Health behavior was positively correlated with self-efficacy.(8) RTIs related health behavior was the direct factors of RTIs. RTIs related health beliefs, self-efficacy and cues to action were the direct factors of health behavior and the indirect factors of RTIs. RTIs related knowledge was affected by education、economic status、age and it was the direct factors of RTIs related health belief.Conclusion1. The research scales had good reliability and validity and could be used to measure RTIs related knowledge, health beliefs, self-efficacy and health behavior. But they still needed further improvement.2. The prevalence of RTIs among reproductive age in rural areas of Fengxian District was high, but compared to other regions, the prevalence was much lower.3. The score of RTIs related knowledge and self-efficacy were relatively good. Health beliefs and health behavior were in the middle level.4. RTIs related health behavior is the direct factors of RTIs. RTIs related health beliefs, self-efficacy and cues to action are the direct factors of health behavior and the indirect factors of RTIs. RTIs related knowledge is affected by education, economic status、age and it is the direct factors of RTIs related health belief.

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