影響新婚夫婦接受婚前健康檢查之相關因素

Factors Affecting Decision to Undergo Premarital Health Examination

朱瑞虹(Jui-Hung Chu) ； 林陳立(Chen-Li Lin) ； 盧妍瑾(Yen-Chin Lu) ； 吳慧娜(Hui-Na Wu) ； 祝春紅(Chun-Hong Chu)

《北市醫學雜誌》 1卷3期 (2004/07) Pp. 319-330

https://doi.org/10.6200/TCMJ.2004.1.3.10

摘要

目標:本研究旨在探討影響新婚夫妻進行婚(孕)前健康檢查之相關因素,進行婚(孕)前健康檢查的夫妻與未進行婚(孕)前健康檢查之夫妻其態度上的差異,以及影響其行為差異及對婚(孕)前健康檢查行為的影響。方法:本研究採分層隨機抽樣及問卷分析調查法,以台北市新婚夫婦為研究對象,有效樣本數400位(完訪率為6.4%) ;統計完法包括敘述性與推論性統計分析,推論統計主要包含卡方分析及t檢定。結果: (1)新婚夫妻接受婚(孕)前健康檢查比例僅佔22.5%，其接受婚(孕)前健康檢查的主要原因為個人需求(77.8%) ;選擇檢查醫療院所之因素主要為地理之方便性(離家或工作場所近的地點) ;有20.0%的新婚夫妻做了婚(孕)前健康檢查,卻不清楚檢查結果(以海洋性貧血篩檢結果為例) 0 (2)沒有接受婚(孕)前健康檢查的族群中有91.0%聽過婚(孕)前健康檢查,但有49.0%的人並不清楚婚(孕)前健康檢查與一般身體檢查是否有差別;未接受婚(孕)前健康檢查的主要原因為 新婚夫妻認為婚(孕)前健康檢查是沒有必要的(44.5%) 0 (3)提供衛教資訊後,未接受婚(孕)前健康檢查之新婚夫妻會考慮未來接受婚(孕)前健康檢查的比例為54.5%。結論:民眾對於婚(孕)前健康檢查的知識普遍不足,如能予以重視,提供相關衛教資訊,以提供民眾的接受婚檢的自覺性,並提供 方便性的婚驗流程設計,以降低接受婚檢的障礙,則應能提昇婚檢率,在建構美滿家庭、提昇人口素質以及優生保健上,定有很大的裨益。本研究結果可供衛生行政單位與醫療衛生單位參考。

關鍵字

新婚夫妻 ； 婚(孕)前健康檢查 ； 行為

並列摘要

Objective: This study was designed to improve understanding of the attitudes and behavior related o the premarital health examination of couples in Taipei. Method: The study employed a cross-sectional survey with random sampling. A total of 400 newlywed couples (36.4%) were surveyed among 12 districts in Taipei, and descriptive and inferential statistics including X2 test and t-test were used to analyze the data.
Results: Analysis revealed: (1) A total of 22.5% of newlywed couples completed the premarital health examination; main motivation was a personal sense that it was necessary (77.8%). Availability of transportation was the main facto r influencing the choice of premarital health examination location. Of the couples that completed the premarital health examination, 20,0% did not know the exam results (e.g., thalassemia results). (2) Among couples that did not complete the premarital health examination, 91.0% had not heard about the exam, while 49.2% did not know the premarital health examination differs from the general physical check. The main reason for not undergoing the premarital health examination was the belief that the exam was unnecessary (44.5%). (3) After explaining the test to newlywed couples that did not undergo the premarital health examination, 54.5% said they would consider undergoing the PHE in the future. Conclusions: A lack of knowledge about the premarital health examination exists among newlywed couples in Taipei. Providing knowledge about the examination may increase the percentage of coup les that choose to undergo the PHE. These results have important implications for healthcare professionals and health agencies. Recommendations for further study are provided. (Full text in Chinese)

並列關鍵字

newlywed couples ； premarital ； health examination ； behavior