四川省流动孕产妇接受孕产期保健服务情况及其影响因素分析  

Health care services and influencing factors of floating pregnant Women in Sichuan

作　　者：李咸志 周宗磊 章文强[1] 胡金诺 帅志容[2] 赵咏梅[3] 朱立为 孙武[5] 栾荣生[1] LI Xian-zhi;ZHOU Zong-lei;ZHANG Wen-qiang;HU Jin-nuo;SHUAI Zhi-rong;ZHAO Yong-mei;ZHU Li-wei;SUN Wu;LUAN Rong-sheng(Department of Epidemiology and Health Statistics,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院流行病与卫生统计学系,四川成都610041 [2]四川省妇幼保健院,四川成都610031 [3]成都市龙泉驿区妇幼保健院,四川成都610100 [4]自贡市大安区妇幼保健院,四川自贡643010 [5]广元市妇幼保健院,四川广元628000

出　　处：《现代预防医学》2020年第22期4098-4101,4120,共5页Modern Preventive Medicine

摘　　要：目的了解四川省流动孕产妇接受孕产期保健服务情况及其影响因素,为将来孕产期保健服务项目的实施提供科学依据。方法采用多阶段随机抽样,抽取四川省流动孕产妇进行问卷调查,对孕产期保健知识知晓情况、保健服务利用情况进行描述,并采用非条件logistic回归分析流动孕产妇接受孕产期保健服务情况的影响因素。结果共纳入研究对象620人,年龄范围为18~42岁;孕产期保健知识知晓率为96.6%;孕早期建卡率为92.6%,孕早期产检率为93.9%,产检次数≥5次者占95.2%,在产后3~7 d进行产后访视者占95.6%,产后访视总次数≥3次者占77.3%。多因素分析结果显示在孕早期进行首次产检的影响因素包括年龄(OR=0.680,95%CI:0.471~0.981)、流入地居住时间(OR=2.470,95%CI:1.200~5.086)、民族(OR=19.495,95%CI:5.250~72.396)、文化程度(OR=2.300,95%CI:1.414~3.742)、孕产期保健知识知晓情况(OR=3.471,95%CI:1.086~11.089);配偶文化程度(OR=2.288,95%CI:1.410~3.713)和民族(OR=13.302,95%CI:3.785~46.752)是产检次数≥5次的影响因素;生育保险(OR=1.856,95%CI:1.174~2.934)是产后访视次数≥3次的影响因素。结论四川省流动孕产妇接受孕产期保健服务情况较好;但针对流动孕产妇,还应提倡有计划的怀孕,并加强孕产妇相关医学常识的健康教育以及免费发放叶酸的宣传;此外,应重点关注少数民族、且本人或配偶文化程度较低的大龄流动孕产妇。Objective To investigate the status and influencing factors of Maternal Health Care received by floating pregnant women in Sichuan Province so as to provide scientific basis for the implementation of future Maternal Health Service.Methods The Multi-stage Random Sampling was used to extract floating pregnant women in Sichuan Province for the questionnaire survey.The awareness of Maternal Health Care knowledge and the utilization of health care services were described,and Unconditional Logistic Regression was used to analyze the influencing factors of floating pregnant women receiving health care services during pregnancy and puerperium.Results A total of 620 subjects were included in the study,ranging in age from 18 to 42.The awareness rate of health care knowledge about pregnancy and puerperium period was96.6%.The rate of card establishment in early pregnancy was 92.6%.The rate of first antenatal examination in early pregnancy was 93.9%.The number of antenatal examination≥5 times accounted for 95.2%.The number of first postpartum visit at the time of 3~7 days after delivery accounted for 95.6%,and the total number of postpartum visit≥3 times accounted for77.3%.The results of Multivariate Analysis showed that the influencing factors for the first prenatal examination during pregnancy and puerperium period included age(OR=0.680,95%CI=0.471-0.981),residence time in the inflow land(OR=2.470,95%CI=1.200-5.086),nation(OR=19.495,95%CI=5.250-72.396),education level(OR=2.300,95%CI=1.414-3.742),and health knowledge during pregnancy and puerperium(OR=3.471,95%CI=1.086-11.089).Education level of spouse(OR=2.288,95%CI=1.410-3.713)and nation of spouse(OR=13.302,95%CI=3.785-46.752)were the influencing factors for the number of prenatal examination≥5 times.Maternity insurance(OR=1.856,95%CI:1.174-2.934)was the influencing factor for the number of postpartum visits≥3 times.Conclusion Floating pregnant women in Sichuan Province receive well health care services during pregnancy and perinatal period.However,for the floating

关 键 词：流动孕产妇 保健服务利用 影响因素 LOGISTIC模型 

分 类 号：R173[医药卫生—妇幼卫生保健]