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目的了解流动人口产前检查服务利用现状,分析相关影响因素,为加强流动人口产前检查工作提供科学依据。方法从2014年全国流动人口动态监测数据中挑选年龄16~49岁已婚女性,2012和2013年有生育子女经历且孕前有流动经历、孕期在外地者4 597人的4 676次分娩的分析早孕建卡及产前检查次数。产妇相关特征和服务利用状况采用均数、百分比描述,影响作用单因素分析采用卡方检验,多因素分析采用二分类变量的Logistic回归方法。结果 85.36%的妇女在孕12周内建立孕产妇保健手册,整个孕期产前检查<5次占12.87%,5~7次占20.06%,≥8次占29.70%。年龄、受教育程度、户口性质、是否符合生育政策、母亲孕期所在地、子女次序对早孕建卡的影响有统计学意义(P<0.05)。结论流动妇女产前检查服务利用有所增加,但仍很大的提升空间。有针对性地加强健康教育工作及社区卫生服务建设,促进流动人口产前保健服务利用,保护流动人口健康。
Objective To understand the status of utilization of prenatal care services in floating population and analyze the related influencing factors so as to provide a scientific basis for strengthening prenatal care of floating population. Methods Married women aged from 16 to 49 years were selected from the data of the dynamic monitoring of floating population nationwide in 2014. The pregnant women with childbearing experience before going to pregnancy in 2012 and 2013 and the 4,676 deliveries of 4 597 pregnant women during the pregnancy were analyzed for early pregnancy Card and prenatal check frequency. Maternal-related characteristics and utilization of services using the mean, percentage description, the impact of univariate analysis using the chi-square test, multivariate analysis using binary variables Logistic regression. Results 85.36% of women established maternal health manuals within 12 weeks of pregnancy. Prenatal examination during the whole pregnancy accounted for 12.87% less than 5 times, 20.06% 5 ~ 7 times and 29.70% more than 8 times. Age, educational level, hukou nature, whether it is consistent with the reproductive policy, the mother’s pregnancy location, the order of children have a significant effect on the card in early pregnancy (P <0.05). Conclusion The utilization of prenatal care services for migrant women has increased, but still a lot of room for improvement. Targeted to strengthen health education and community health services, to promote the use of prenatal health services for migrants, to protect the health of migrants.