摘要
目的了解甘肃省农村地区妇女产前检查现状并分析其影响因素。方法选取甘肃省5市(州)农村地区自2013年1月以来有过分娩史的1 207名妇女进行问卷调查,采用χ2检验和非条件Logistic回归模型对产前检查情况的影响因素分析。结果调查对象产前检查率为99. 17%,孕早期检查比例为93. 04%,产前检查≥5次比例为70. 67%。不同市(州)的产前检查率差异无统计学意义(P> 0. 05),而≥5次产前检查比例和孕早期检查比例差异有统计学意义(P <0. 05)。多因素分析结果显示,调查妇女的文化程度、离家最近的综合医院的距离和分娩年龄是影响孕早期检查的相关因素。影响产前检查≥5次的主要因素包括民族、文化程度、年收入、离家最近的村卫生室/社区卫生服务站的距离和分娩次数。结论甘肃省农村地区产前检查率较高,但是产前检查的规范程度较低。应加强产前检查相关服务内容的管理,同时加大产前检查相关知识的宣传和教育。
Objective To investigate the status quo and related influence factors of prenatal examination among women in rural areas of Gansu Province. Methods A questionnaire survey was conducted among 1 207 women from five cities( prefectures) of Gansu Province who had given birth since January 2013. The influencing factors of prenatal examination were analyzed with Chi-square test and unconditional logistic regression model. Results Among 1207 respondents,the prenatal examination rate was 99. 17%,the proportion of early pregnancy examination was 93. 04%,and the proportion of prenatal examination equal to or more than 5 times was 70. 67%.There was no significant difference in prenatal examination rate among cities( prefectures)( P > 0. 05),while there were significant differences in proportion of prenatal examination equal to or more than 5 times and proportion of early prenatal examination( P < 0. 05). Multi-factor analysis showed that the educational level of the women,the distance from home to the nearest general hospital and the age of delivery were the related factors affecting early prenatal examination. The main factors affecting the frequency of prenatal examination included ethnicity,educational level,annual family income,distance from the nearest village clinic/community health service station and the number of deliveries. Conclusions The rate of prenatal examination was high in some areas of Gansu Province,but the standardability of prenatal examination was relatively low. It is necessary to strengthen the management of the related service contents of prenatal examination,and meanwhile to promote the publicity and education of the related knowledge of prenatal examination.
作者
焦国兰
朱清
刘畅
谢璐璐
张婕
罗丹
李涛
张本忠
董瑞
张文辉
周妍
JIAO Guolan;ZHU Qing;LIU Chang;XIE Lulu;ZHANG Jie;LUO Dan;LI Tao;ZHANG Benzhong;DONG Rui;ZHANG Wenhui;ZHOU Yan(School of Public Health, Lanzhou University, Lanzhou,Gansu 730000,China;Family Planning Science and Technology Service Center, Lanzhou,Gansu 730000,China)
出处
《中国农村卫生事业管理》
2019年第4期294-298,共5页
Chinese Rural Health Service Administration
基金
2017年度甘肃省卫生计生科研项目(No.170228)
关键词
产前检查
现状
影响因素
甘肃
Prenatal examination
Status quo
Influencing factor
