Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities
Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities
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DOI：
10.1016/s0277-9536(99)00495-5
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发表时间：
2000-08-01
影响因子：
5.4
通讯作者：
Rodrigues, RN
中科院分区：
文献类型：
--
作者：
Magadi, MA;Madise, NJ;Rodrigues, RN
适当的产前护理对于识别和减轻妊娠期危险因素非常重要，但发展中国家的许多母亲没有得到此类护理。本文使用 1993 年肯尼亚人口和健康调查的数据来研究肯尼亚产前服务使用情况的变化。该分析基于使用三水平线性回归模型对产前检查的频率和时间进行建模。结果表明，肯尼亚产前保健的使用与一系列社会经济、文化和生殖因素有关。卫生服务的可用性和可及性以及怀孕的意愿也很重要。对于意外怀孕和不合时宜的怀孕，很少使用产前护理；即使是经常进行产前护理的女性，如果怀孕时机不当，也会显得不太坚持。结果还表明，女性在怀孕期间使用产前护理的情况高度一致。产前检查频率的女性内部相关系数在 50% 至 80% 之间，其中与城市地区女性想要怀孕的相关性更大。 (C) 2000 Elsevier Science Ltd. 保留所有权利。
Appropriate antenatal care is important in identifying and mitigating risk factors in pregnancy but many mothers in the developing world do not receive such care. This paper uses data from the 1993 Kenya Demographic and Health Survey to study the variations in the use of antenatal services in Kenya. The analysis is based on modelling the frequency and timing of antenatal visits using three-level linear regression models. The results show that the use of antenatal care in Kenya is associated with a range of socio-economic, cultural and reproductive factors. The availability and accessibility of health services and the desirability of a pregnancy are also important. Use of antenatal care is infrequent for unwanted and mistimed pregnancies; even women who use antenatal care frequently appear to be less consistent if a pregnancy is mistimed. The results also indicate that women are highly consistent in the use of antenatal care during pregnancies. The intra-woman correlation coefficient for the frequency of antenatal visits ranges between 50% and 80% with greater correlation for wanted pregnancies to women in urban areas. (C) 2000 Elsevier Science Ltd. All rights reserved.