河南省孕妇产前筛查影响因素分析  

Influencing factors of prenatal screening for pregnant women in Henan Province

作　　者：付晓丽[1] 刘淼 范军星 时松和[1] 杨宁[1] 陈迪 易凯婷 FU Xiao-li;LIU Miao;FAN Jun-xing;SHI Song-he;YANG Ning;CHEN Di;YI Kai-ting(School of Public Health,Zhengzhou University,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州大学公共卫生学院,河南郑州450001 [2]河南省卫生健康委员会统计信息中心

出　　处：《现代预防医学》2021年第12期2200-2203,2209,共5页Modern Preventive Medicine

基　　金：国家重点研发计划重大慢性非传染性疾病防控研究(2017 YFC1307705)。

摘　　要：目的了解影响河南省孕妇产前筛查的影响因素,为提高产前筛查率、预防新生儿出生缺陷提供建议。方法采用多阶段分层整群随机抽样的方法分析2013年8月以后有分娩经历的共1278名15~64岁孕妇利用产前筛查服务的影响因素,其中单因素分析采用χ2检验,多因素分析采用二元logistic回归分析。结果本研究共纳入调查对象1278名,其中1089人接受过产前筛查服务,占比85.21%。二分类logistic回归分析结果显示,城乡性质(OR=0.438,95%CI:0.303~0.633)、家庭人均年收入(OR=1.221,95%CI:1.052~1.416)、1年内是否住院(OR=2.235,95%CI:1.414~3.532)、1年内是否做过宫颈癌筛查(OR=2.009,95%CI:1.192~3.384)、生育数量(OR=0.516,95%CI:0.397~0.671)、产检次数(OR=2.065,95%CI:1.535~2.776)对于是否进行产前筛查有影响(P<0.05),模型拟合状况良好。结论自2017年以来河南省免费产前筛查工作取得一定成效,但仍未实现省内免费筛查项目全面覆盖,建议通过加强资金投入、提高医务人员水平、加大宣传力度等推动产前筛查工作进一步发展。Objective To understand the influencing factors of prenatal screening for pregnant women in Henan Province, and to provide reference for improving the prenatal screening rate and preventing birth defects. Methods A multi-stage stratified cluster random sampling method was used to analyze the influencing factors of the use of prenatal screening services among 1278 pregnant women aged 15-64 years with delivery experience after August 2013. The univariate analysis was performed with χ2 test, and the multivariate analysis was performed with binary Logistic regression analysis. Results A total of 1 278 respondents were included in this study, of which 1 089 received prenatal screening services, accounting for 85.21%, and189 people did not receive prenatal screening services, accounting for 14.79%. The results of binary logistic regression analysis showed that urban and rural residence(OR=0.438, 95%CI: 0.303-0.633), family per capita annual income(OR=1.221,95%CI: 1.052-1.416), hospitalization within a year(OR=2.235, 95%CI: 1.414-3.532), cervical cancer screening within a year(OR =2.009, 95% CI: 1.192-3.384), the number of births(OR =0.516, 95% CI: 0.397-0.671) and the number of postnatal examinations(OR=2.065, 95%CI: 1.535-2.776) had influences on whether prenatal screening was performed(P<0.05), and the model fit was in good condition. Conclusion Since 2017, free prenatal screening in Henan Province has achieved some results, but it still has not achieved the full coverage of free prenatal screening programs. It is suggested to promote the further development of prenatal screening work by strengthening financial input, improving the level of medical personnel and strengthening publicity efforts.

关 键 词：孕妇 产前筛查 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健]