Knowledge and attitude on maternal health care among rural-to-urban migrant women in Shanghai, China.
Knowledge and attitude on maternal health care among rural-to-urban migrant women in Shanghai, China.
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DOI：
10.1186/1472-6874-9-5
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发表时间：
2009-03-20
期刊：
影响因子：
--
通讯作者：
Xu B
中科院分区：
文献类型：
--
作者：
Zhao Q;Kulane A;Gao Y;Xu B
在中国，随着城市化的发展，从农村迁移到大城市的妇女的孕产妇死亡率比当地居民高得多。保健知识是使妇女了解自己的权利和健康状况以寻求适当保健服务的关键因素之一。本研究旨在了解上海市外来务工妇女对孕产妇保健知识和态度的知晓率及其影响因素。一项横断面研究在上海一家外来人口聚集的地区中心医院进行。对475名进城务工孕妇进行访谈，并在征得知情同意后自填问卷。孕产妇保健知识平均得分为8.28分(满分12分)，但只有36.6%的妇女参加过5次产前检查，58.3%的被调查者认为经济困难是没有参加产前保健的主要原因。文化程度高(OR=3.3，95%CI：1.8~3.8)、丈夫上海户籍(OR=4.0，95%CI：1.3~12.1)、家庭收入高(OR=3.3，95%CI：1.4~8.2)与知识水平相关。进城务工妇女对孕产妇保健服务的不了解，以及她们脆弱的生活状况，影响了她们对孕产妇保健的利用。这部分人口需要有针对性的产妇保健教育和可获得的服务。
In China, with the urbanization, women migrated from rural to big cities presented much higher maternal mortality rates than local residents. Health knowledge is one of the key factors enabling women to be aware of their rights and health status in order to seek appropriate health services. This study aims to assess the knowledge and attitude on maternal health care and the contributing factors to being knowledgeable among rural-to-urban migrant women in Shanghai. A cross-sectional study was conducted in a district center hospital in Shanghai where migrants gathered. Totally 475 rural-to-urban migrant pregnant women were interviewed and completed the self-administered questionnaire after obtaining informed consent. The mean score of knowledge on maternal health care was 8.28 out of 12. However, only 36.6% women had attended the required 5 antenatal checks, and 58.3% of the subjects thought financial constrains being the main reason for not attending antenatal care. It was found that higher level of education (OR = 3.3, 95%CI: 1.8–3.8), husbands' Shanghai residence (OR = 4.0, 95%CI: 1.3–12.1) and better family income (OR = 3.3, 95%CI: 1.4–8.2) were associated with better knowledge. Rural-to-urban migrant women's unawareness of maternal health service, together with their vulnerable living status, influences their utilization of maternal health care. Tailored maternal health education and accessible services are in demands for this population.