Determinants of the utilization of postpartum family visits: Evidence from rural areas of Eastern China.
Determinants of the utilization of postpartum family visits: Evidence from rural areas of Eastern China.
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产后探亲利用的决定因素：来自中国东部农村地区的证据
DOI：
10.1371/journal.pone.0194061
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Zhang N
中科院分区：
文献类型：
--
作者：
Gu H;You H;Yan Z;Yang N;Kou Y;Sun J;Yu T;Zhang N
背景 产后家庭访视 (PFV) 已被提倡作为改善产后妇女及其新生儿健康状况的一种方法。本研究旨在确定与中国江苏省农村地区 PFV 使用相关的个体因素。方法 我们采用了江苏省家庭调查的答复，该调查是国家卫生服务调查（NHSS）的一部分，这是中国的一项全国性代表性调查。数据分析框架是基于Andersen的行为模型设计的。结果变量包括 PFV 的不使用和使用不足，解释变量分为三个层次：诱发因素、促成因素和需求因素。通过单变量分析和多变量逻辑回归分析来检验三个层级对 PFV 使用的影响。结果 884 名近 5 年内有生育史的农村妇女回答了 PFV 问题。其中约 23.4% 的人从未接受过任何 PFV，40.4% 的人接受过 <3 次就诊。多元Logistic回归结果中，教育水平（OR=0.43，95%CI：0.24～0.77）、收入（OR=0.62，95%CI：0.43～0.88）、距最近医院的距离（OR=1.49，95%CI：1.07～2.07）和奇偶性（OR=2.17，95%CI：1.07～2.07）： 1.54–3.05）与不使用有显着关系。与 PFV 使用不足显着相关的因素包括就业（OR = 0.62，95% CI：0.39–0.98）、距最近医院的距离（OR = 1.73，95% CI：1.26–2.36）、分娩机构级别（OR = 1.57，95% CI：1.14–2.17）和奇偶性（OR = 1.45，95% CI：1.03–2.05）。结论 研究发现，较低的社会经济地位 (SES)、与初级卫生机构的距离较远以及因多胎平等而增加的服务需求降低了农村地区不使用或不足使用 PFV 的可能性。应更加关注多产、社会经济地位低的妇女和远离基层医疗机构的妇女，确保产后护理的覆盖。
Background Postpartum Family Visits (PFVs) have been advocated as a way to improve health outcomes for puerperal women and their newborns. This study aimed to identify individual factors associated with the utilization of PFVs in rural Jiangsu Province, China. Methods We employed responses of the household survey in Jiangsu province, part of the National Health Service Survey (NHSS), a nationally representative survey in China. The data analysis framework was designed based on Andersen’s behavioral model. The outcome variables included nonuse and deficient use of PFVs, and the explanatory variables were organized into three hierarchical levels: predisposing, enabling and need factors. Univariate analysis and multivariate logistic regression analysis were conducted to examine the impact of the three hierarchical levels on PFVs utilization. Results A total of 884 rural women who had a childbearing history in the prior five years answered PFVs questions. About 23.4% of them had never received any PFVs, and 40.4% received <3 visits. In the results of multivariate logistic regression, educational level (OR = 0.43, 95% CI: 0.24–0.77), income (OR = 0.62, 95% CI: 0.43–0.88), the distance from the nearest hospital (OR = 1.49, 95% CI: 1.07–2.07) and parity (OR = 2.17, 95% CI: 1.54–3.05) had significant relationship with nonuse. Factors significantly associated with deficient use of PFVs included employment (OR = 0.62, 95% CI: 0.39–0.98), the distance from the nearest hospital (OR = 1.73, 95% CI: 1.26–2.36), level of delivery institution (OR = 1.57, 95% CI: 1.14–2.17), and parity (OR = 1.45, 95% CI: 1.03–2.05). Conclusion The study found lower Social Economic Status (SES), long distance with primary health institutions, and the increased need for services stemming from multi-parity reduced the likelihood of nonuse or deficient use of PFVs in rural areas. Multiparous, low SES women and those living far away from primary health institutions should be paid more attention to assure the coverage of postpartum care.
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影响因子：
6.3
作者：
Dijkstra-Kersten, Sandra M. A.;Biesheuvel-Leliefeld, Karolien E. M.;van Marwijk, Harm W. J.
通讯作者：
van Marwijk, Harm W. J.
DOI：
10.1007/bf03405582
发表时间：
2006-05-01
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
ANDERSEN, RM
通讯作者：
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