四川省贫困农村孕产妇住院分娩影响因素的两水平logistic模型分析  

Two-level Logistic Modeling Analysis on the Factors that Influence Birth in Hospitals in Poor Rural Areas of Sichuan Province

作　　者：于川[1] 李晓松[1] 

机构地区：[1]四川大学华西公共卫生学院卫生统计学教研室,成都610041

出　　处：《四川大学学报（医学版）》2008年第6期1011-1013,1026,共4页Journal of Sichuan University(Medical Sciences)

摘　　要：目的了解贫困农村孕产妇住院分娩情况,探讨影响贫困农村孕产妇住院分娩的因素,为提高贫困农村住院分娩率提供参考依据。方法对四川省8个贫困县孕产妇进行入户现场问卷调查,采用二分类多水平logistic回归模型分析相关影响因素。结果被调查地区住院分娩率61.4%,被调查对象的文化程度、是否享受贫困救助、产检次数以及产检时是否发现异常为影响住院分娩的因素。结论切实提高贫困农村妇女的文化水平,加大对贫困地区的医疗补助,加强农村孕产妇系统管理工作,提高产前检查率,将有助于增加贫困农村孕产妇的住院分娩。Objective To identify the determinants of birth in hospitals in the poor rural areas. Methods A questionnaire survey in eight poor counties in Sichuan province was conducted. Multilevel logistic regression analysis was performed to identify the factors that influenced birth in hospitals. Results Hospitals delivered 61.4% of babies in the selected counties. Education, eligibility to poverty relief, numbers of pre-natal examinations and abnormalities found in pre-natal examinations had a significant impact on birth in hospitals. Conclusion Education of women and medical relief in the poor rural areas need to be strengthened to increase the proportion of babies delivered in hospitals in the poor rural areas. Systematic management of pregnant women and increased pre-natal examinations could also contribute to hospital delivery of babies.

关 键 词：农村 住院分娩 LOGISTIC回归 

分 类 号：R173[医药卫生—妇幼卫生保健]