Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China
Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China
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流动妇女首次分娩期间产前保健的使用情况及其影响因素：中国全国横断面研究
DOI：
10.1186/s12884-019-2520-3
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发表时间：
2019-10-15
影响因子：
3.1
通讯作者：
Zhou, Chengchao
中科院分区：
文献类型：
--
作者：
Tang, Xue;Ding, Lulu;Zhou, Chengchao
背景孕妇合理使用产前保健服务在确保孕产妇和儿童安全以及减少母婴并发症、残疾和死亡风险方面发挥着至关重要的作用。本研究旨在调查中国流动妇女首次分娩时ANC的使用情况，并探讨ANC使用的相关因素。方法采用中华人民共和国国家卫生和计划生育委员会2014年数据。我们目前的分析共纳入了1505名流动初产妇女。频率和比例被用来描述数据。采用卡方检验和多元二元logistic回归模型探讨影响移民妇女首次分娩时使用ANC次数的决定因素。结果1505名妇女中，279名（18.54%）妇女在首次分娩时使用ANC少于5次，1226名（81.46%）妇女在首次分娩时使用ANC至少5次。多因素logistic回归模型显示，大专及以上学历（P< 0.05;OR = 2.57;95%CI = 1.19 ~ 5.55）、来自月收入较高家庭（P< 0.01;OR = 2.01;95%CI = 1.30 ~ 3.13）、参加生育保险（P< 0.01;OR = 2.01;95%CI = 1.28 ~ 3.18）、有孕产妇健康记录（P< 0.001;OR = 2.44;95%CI = 1.61 ~ 3.69）、跨县迁移（P< 0.05;OR = 2.57;95%CI = 1.14 ~ 5.81）；妊娠前有迁移经历的孕妇（P< 0.05;OR = 1.37;95%CI = 1.03-1.81）使用ANC至少5次的可能性更大。结论本研究表明，仍有部分流动孕产妇（18.54%）参加ANC少于5次。应制定有针对性的政策，以提高流动孕妇对非分娩药物的利用。
BackgroundReasonable use of antenatal care (ANC) services by pregnant women played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. This study aimed to investigate the ANC use, and to explore the factors associated with ANC use among migrant women during the first delivery in China.MethodsThis study used the data of National Health and Family Planning Commission of People Republic of China in 2014. A total of 1505 migrant primiparous women were included in our current analysis. Frequencies and proportions were used to describe the data. Chi-square tests and multivariate binary logistic regression models were performed to explore the determinants that affect the number of times migrant women used ANC during their first delivery.ResultsOf the 1505 participants, 279 (18.54%) women received the ANC less than 5 times, and 1226 (81.46%) women used the ANC at least 5 times during the first delivery. The multivariate logistic regression model showed that migrant primiparous women with college and above education(P< 0.05;OR = 2.57;95%CI = 1.19–5.55), from the households with higher monthly income (P< 0.01;OR = 2.01;95%CI = 1.30–3.13), covered by maternity insurance(P< 0.01;OR = 2.01;95%CI = 1.28–3.18), with maternal health records (P< 0.001;OR = 2.44;95%CI = 1.61–3.69), migrating across county (P< 0.05;OR = 2.57;95%CI = 1.14–5.81), having migration experience before pregnancy(P< 0.05;OR = 1.37;95%CI = 1.03–1.81) were more likely to use ANC for at least five times.ConclusionsThis study demonstrated that there were still some migrant maternal women (18.54%) who attended the ANC less than 5 times. Targeted policies should be developed to improve the utilization of ANC among migrant pregnant women.