Health service needs of women with reproductive tract infections in selected areas of China.
OBJECTIVE
To provide insight into the psychosocial factors underlying the utilisation of health services by women with reproductive tract infection (RTI) symptoms.


METHODS
A cross-sectional study, adopting Aday and Andersen' s Social Behaviour Model, was conducted between 1998 and 1999 in Chinese Hebei province and Beijing. A total of 864 eligible married women (age 21 to 60 years) were face to face interviewed.


RESULTS
The percentage of self-reported symptoms of RTIs in urban and rural women was 35.6 and 46.8, respectively; the proportion of women with RTIs who utilised health services was 27.5% and 26.7%, respectively. Compared to urban women, rural women had less knowledge on RTIs and more traditional beliefs, and were more satisfied with local health services. The results of logistic regression analysis showed that the common factor influencing health service utilisation in women with RTIs was current experience of RTIs. Knowledge about self-medication, perceived social stigma attached to RTIs, prior experience of RTIs, family income and perceived severity of RTIs were also predictors of utilisation of health services in rural women with RTIs. Satisfaction with health providers, information received from health providers, prior experience of RTIs, occupation and medical care coverage were predictors of utilisation of health services in urban women with RTIs.


CONCLUSIONS
The prevalence of RTIs is high, but the rate of seeking health services is low. There is a great need for emphasizing culturally acceptable reproductive health education in different places to improve women' s ability for self-care. Regular medical check-ups for women are also important. It is necessary to improve the quality of health service, complete the reform of health insurance and alleviate women' s social stigma related to RTIs, giving women social and moral support.
Guo
Sufang
S
Department of Obstetrics & Gynecology, Peking University First Hospital, Beijing, China. mchcent@public3.bta.net.cn
Wang
Linhong
L
Yan
Renying
R
D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D005831:Genital Diseases, Female / Q000628:therapy*; D006301:Health Services Needs and Demand; D006801:Humans; D007239:Infections / Q000628:therapy*; D008875:Middle Aged; D012423:Rural Health; D014504:Urban Health; D014932:Women's Health Services / Q000706:statistics & numerical data*