吉林省孕产妇基本公共卫生服务覆盖水平、变化趋势及影响因素研究——基于2008年和2013年国家卫生服务调查数据  

Coverage,change trend and influencing factors of maternal basic public health services in Jilin Province:based on the data from National Health Services Survey in 2008 and 2013

作　　者：汪颖[1] 张启军[2] 王秋艳[2] 冯星淋[1] 

机构地区：[1]北京大学公共卫生学院,北京100191 [2]吉林省卫生统计信息中心,吉林长春130061

出　　处：《中国妇幼健康研究》2016年第6期705-708,728,共5页Chinese Journal of Woman and Child Health Research

摘　　要：目的研究吉林省2008至2013年城乡孕产妇基本公共卫生服务的覆盖水平、变化趋势及影响因素。方法利用吉林省2008年和2013年两次国家卫生服务调查数据,描述城乡孕产妇各项基本公共卫生服务的覆盖水平和变化趋势,利用logistic回归分析服务覆盖的影响因素。结果吉林省2008年和2013年至少1次产前检查率和住院分娩率均达到95%以上。产后42天内访视率从56.0%上升至59.2%(χ2=1.09,P>0.10)。从产检内容看,5次及以上产前检查率城市地区从75.2%下降至65.9%(χ2=4.78,P<0.05),农村地区则从53.4%上升至58.6%(χ2=1.58,P>0.10);产前抽血检查率、产前血压测量率、产前尿常规检查率和产前四项检查率分别从55.9%、83.1%、63.3%和50.4%上升至84.6%、91.7%、87.8%和82.2%,χ2值分别为101.74、17.25、83.49和117.02,P值均小于0.01,农村地区增幅高于城市地区。妇女教育程度、家庭人均年收入对服务覆盖的影响减小,家庭距最近医疗机构时间与服务覆盖相关。结论 "新医改"后吉林省孕产妇基本公共卫生服务覆盖水平显著提高,城乡差异大幅减小,基本公共卫生服务均等化初见成效。Objective To describe the coverage,change trend and influencing factors of maternal basic public health services in 2008 and2013 in urban and rural areas in Jilin Province. Methods The coverage and change trend of maternal basic public health services were described by using data from National Health Services Survey in 2008 and 2013,and logistic regression analysis was conducted to explore the influencing factors. Results The coverage of at least one antenatal care and institutional delivery were above 95% in both years.Postnatal visit rate within 42 days rose from 56. 0% to 59. 2%（ χ2= 1. 09,P〉 0. 10）. The coverage of antenatal examination for at least five times dropped from 75. 2% to 65. 9% in urban area（ χ2= 4. 78,P〈0. 05） but rose from 53. 4% to 58. 6% in rural area（ χ2= 1. 58,P 〈0. 10）. The rate of prenatal blood test,blood pressure test,routine urine test and four required tests rose from 55. 9%,83. 1%,63. 3% and 50. 4% to 84. 6%,91. 7%,87. 8% and 82. 2%,respectively（ χ2value was 101. 74,17. 25,83. 49 and 117. 02,respectively,all P〈 0. 01）,and in rural area rise was greater. The influence of women＇s education level and household annual income per capita on coverage of service decreased,and the time from home to nearest health facility affected coverage of some services. Conclusion The coverage of maternal basic public health services has increased greatly in Jilin Province since New Medical Reform. The gap between urban and rural area has been narrowed a lot. The effect of the equalization of basic public health service has been seen.

关 键 词：基本公共卫生服务 妇幼保健 变化趋势 影响因素 

分 类 号：R17[医药卫生—妇幼卫生保健]