The utilization of antenatal care among rural-to-urban migrant women in Shanghai: a hospital-based cross-sectional study.
The utilization of antenatal care among rural-to-urban migrant women in Shanghai: a hospital-based cross-sectional study.
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DOI：
10.1186/1471-2458-12-1012
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发表时间：
2012-11-21
影响因子：
4.5
通讯作者：
Xu B
中科院分区：
文献类型：
--
作者：
Zhao Q;Huang ZJ;Yang S;Pan J;Smith B;Xu B
提高产前保健利用率是实现中国降低孕产妇死亡率千年发展目标的重要战略。虽然中国的总体利用率最近有所提高，但城乡之间在获得服务方面仍然存在差距。本研究旨在评估农村流动人口妇女产前保健的利用情况，并确定其风险和保护因素。在上海居住超过6个月的流动妇女，在2009年8月至2010年2月期间在两家研究医院之一分娩，并提供书面同意书，使用结构化问卷进行访谈。在767名妇女中，90.1%（691人）至少进行了一次产前保健，49.7%（381人）充分利用了产前保健（即，进行了五次或五次以上的产前检查）。只有19.7%的妇女在怀孕头三个月（12周）到产前保健中心就诊。25 - 30岁和30岁以上的妇女比年轻妇女更有可能充分利用产前保健（AOR分别为2.2和1.9，95%CI分别为1.4-3.5和1.1-3.2）。丈夫有上海户口的妇女（AOR=4.9，95%CI=2.2-10.9）或受教育年限超过10年（AOR=1.8，95%CI=1.2-2.9），既往流产或流产（AOR=2.2，95%CI=1.3-3.8）、家庭收入较高（AOR=1.6，95%CI=1.0-2.5）的孕妇更有可能充分利用产前保健。来自高收入家庭的妇女也更有可能在前12周接受产前护理（AOR=3.5，95%CI=1.7-5.5）。上海市外来务工妇女产前保健不足，产前保健开始时间晚于最佳妊娠前12周。产前保健利用率低与社会经济地位低，教育和某些人口因素。应加强针对移徙妇女及其丈夫的健康教育，以改善孕产妇健康。应提供资金支持，以提高产前保健的利用率。
Improving utilization of antenatal care is a critical strategy for achieving China’s Millennium Development Goal of decreasing the maternal mortality ratio (MMR). While overall utilization has increased recently in China, an urban vs. rural disparity in access remains. Here we aim to assess utilization of antenatal care in rural-to-urban migrant women and identify its risk and protective factors. Migrant women who had been living in Shanghai for more than six months, delivered in one of the two study hospitals between August 2009 and February 2010, and provided written consent were interviewed using a structured questionnaire. Of 767 women, 90.1% (691) made at least one antenatal care visit, while 49.7% (381) had adequately utilized antenatal care (i.e., made five or more antenatal care visits). Only 19.7% of women visited an antenatal care center during the first trimester (12 weeks). Women between the ages of 25 and 30 and women older than 30 were more likely than younger women to have adequately utilized antenatal care (AOR=2.2 and 1.9, 95%CI=1.4-3.5 and 1.1-3.2, respectively). Women whose husbands held Shanghai residency status (AOR=4.9, 95%CI=2.2-10.9) or who had more than 10 years of education (AOR=1.8, 95%CI=1.2-2.9), previously experienced a miscarriage or abortion (AOR=2.2, 95%CI=1.3-3.8), had higher household income (AOR=1.6, 95%CI=1.0-2.5) were more likely to have adequately utilized antenatal care. Women from high-income households were also more likely to receive antenatal care during the first 12 weeks (AOR=3.5, 95%CI=1.7-5.5). Many migrant women in Shanghai did not receive adequate antenatal care and initiated antenatal care later than the optimal first 12 weeks of pregnancy. Poor antenatal care utilization was associated with low socioeconomic status, education, and certain demographic factors. Tailored health education for both migrant women and their husbands should be strengthened to improve maternal health. Financing supports should be provided to improve the utilization of antenatal care.
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DOI：
10.1111/j.1552-6909.2010.01167.x
发表时间：
2010-09-01
影响因子：
1.8
作者：
Ayoola, Adejoke B.;Nettleman, Mary D.;Stommel, Manfred
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