已婚流动育龄妇女产后保健服务的利用情况分析  

Utilization of the Postnatal Care Services among Married Women of Childbearing Age in Migrant Population

作　　者：龚双燕[1] 王晖[1] 刘冬梅 

机构地区：[1]中国人口与发展研究中心,北京市100081

出　　处：《中国全科医学》2017年第18期2257-2262,共6页Chinese General Practice

摘　　要：目的了解已婚流动育龄妇女产后保健服务的利用现状,并分析其相关影响因素,为提升流动育龄妇女产后保健服务水平提供参考。方法 2016年2—9月,从2014年流动人口动态监测系统中筛选出16~49岁、已婚、2012年和2013年有分娩史、孕前有外出流动经历、产后在外地的流动育龄妇女3 270人为研究对象,共分娩3 334次,记为3 334人次。提取大数据中已婚流动育龄妇女的分娩年龄、民族、受教育程度、户口性质、婚姻情况、子女排行、本次生育是否符合生育政策以及已婚流动育龄妇女产后28 d内是否接受访视、产后第42天是否进行健康体检,并分析影响已婚流动育龄妇女产后28 d内接受访视、产后第42天进行健康体检的影响因素。结果已婚流动育龄妇女产后28 d内接受过访视或产后第42天进行过健康体检2 766人次(82.96%)。已婚流动育龄妇女产后28 d内接受访视1 977人次(59.30%),未接受访视1 138人次(34.13%),不明确219人次(6.57%)。已婚流动育龄妇女产后第42天进行健康体检2 578人次(77.32%),未进行健康体检659人次(19.77%),不明确97人次(2.91%)。不同分娩年龄、受教育程度、户口性质、子女排行以及本次生育是否符合生育政策的已婚流动育龄妇女产后28 d内接受访视率及产后第42天进行健康体检率比较,差异有统计学意义(P<0.05);不同民族的已婚流动育龄妇女产后28 d内接受访视率及产后第42天进行健康体检率比较,差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示,分娩年龄、受教育程度、户口性质、子女排行是已婚流动育龄妇女产后28 d内接受访视及产后第42天进行健康体检的影响因素(P<0.05)。结论 2012—2013年,绝大部分的已婚流动育龄妇女产后28 d内接受过访视或产后第42天进行过健康体检,其中超过一半的已婚流动育龄妇女产后28 d内接受过访视,绝大部分的已婚流动育龄妇女�Objective To investigate the current status of utilization of the postnatal care services among married women of childbearing age in migrant population and analyze the relevant influencing factors,so as to provide reference for improving the level of postnatal care services in migrant population.Methods From February to September 2016,3 270 married women,aging from 16 to 49,having a delivery history in 2012 and 2013,having experiences outside before pregnancy and not living in hometown after delivery,were selected as research subjects.There were 3 334 births totally,3 334 people were recorded.The delivery age,nationality,educational level,household type,marital status,seniority of children,whether this fertility was in line with childbearing policy,and whether receiving visits within 28 days after delivery,and whether having a physical examination at the 42nd day after delivery in the big data of married women of childbearing age in migrant population were extracted.The influencing factors of receiving visits within 28 days after delivery and having a physical examination at the 42nd day after delivery.Results There were 2 766 （82.96%） married women of childbearing age in migrant population had received visits within 28 days after delivery or having a physical examination at the 42nd day after delivery.There were 1 977 （59.30%） married women of childbearing age in migrant population had received visits within 28 days after delivery,1 138 （34.13%） did not,and 219 （6.57%） were not so sure about this.There were 2 578 （77.32%） had a physical examination at the 42nd day after delivery,659 （19.77%） did not,97 （2.91%） were not so sure about this.The rates of visits within 28 days after delivery and physical examination at the 42nd day after delivery were significantly different among married women of childbearing age in migrant population with different delivery age,educational level,household type,marital status,seniority of children,and whether this fertility was in line with childbearing p

关 键 词：居住流动性 妇女 产后保健 产妇卫生保健服务 

分 类 号：R173[医药卫生—妇幼卫生保健]