Predictors of antenatal health service utilization among left-behind wives of male outmigrants:Evidence from Patna District,India  

作　　者：Fahad Afzal Arindam Das 

机构地区：[1]Research Wing-A,IIHMR University,Jaipur,Rajasthan,India [2]Institute of Health Management,IIHMR University,Jaipur,Rajasthan,India

出　　处：《Asian pacific Journal of Reproduction》2023年第5期220-228,共9页亚太生殖杂志（英文版）

基　　金：The IIHMR University Ph.D.fellowship was received to conduct this study。

摘　　要：Objective:To analyze the sociological support system available for left-behind wives of male outmigrants and develop a model that predicts the antenatal care(ANC)services utilization.Methods:A cross-sectional survey was conducted in rural regions of the Patna district,India.The sample size(n=328)was estimated using Cochran’s formula.Five parameters of the social support system were identified(autonomy,spousal support,family support,social circle support,and government support).The score for each was calculated as a composite score using multiple variables;these served as independent variables.The respondents were categorized as efficient and non-efficient users of ANC service based on established criteria.Results:The regression results showed that four out of five social parameters had a significant effect on ANC behavior.Spousal support was the strongest predictor(standardized regression coefficient β=0.57,OR 1.16,95%CI 1.08-1.79,P=0.007).Government support was found to be the second strongest predictor(β=0.40,OR 1.49,95%CI 1.04-2.14,P=0.027),followed by family support(β=0.31,OR 1.36,95%CI 1.23-2.57,P=0.034)and autonomy(β=0.11,OR 1.32,95%CI 1.11-2.26,P=0.030).The social circle support was found to be non-significant in predicting ANC behavior(P>0.05).Conclusions:The policymakers could focus on the identified predictors to strengthen and modify the existing policies for leftbehind wives of male outmigrants.The need of the hour is a strategic intervention for behavioral modification of not only the left-behind wives but also their family members along with reinforcement of the existing social-security net.One strategy we suggest is to launch an awareness campaign focusing on husbands(male outmigrants)and family members.

关 键 词：Antenatal health Reproductive behavior Antenatal care utilization South-East Asia Left-behind wife 

分 类 号：R714[医药卫生—妇产科学]