摘要
目的分析浙江省诸暨市城区育龄妇女孕前优生健康检查服务利用情况及影响因素。方法采取分层整群随机抽样方法对诸暨市区12000名育龄妇女进行面对面问卷调查,了解其孕前优生健康检查服务利用情况,分析影响孕前优生检查服务利用情况的因素。结果共发放12000份问卷,回收有效问卷9834份。8538人知道有国家免费孕前优生健康检查,3662人利用过该服务,利用率为37.24%。其中进行妇科检查、妇科B超、血液常规检查、优生五项检查人数占比较高,均为42.19%。20~25岁、高中及以下学历、农民或工人是该服务利用情况的独立危险因素(P<0.05),26~30岁、公职人员、婚前检查、知晓孕前保健、接触过孕前保健宣传、有孕前保健知识获取渠道是该服务利用情况的独立保护因素(P<0.05)。结论城区育龄妇女对于免费孕前健康检查服务的利用率较低,不同人群对于获取孕前保健知识的需求有较大差异。需要加强对孕前健康检查及孕期保健知识的普及,以提高新生儿的生存质量。
Objective To analyze the utilization and influencing factors of eugenic health examination service among women of childbearing age in Zhuji City.Methods Stratified cluster random sampling method was used to conduct face-to-face questionnaire survey among 12000 women of childbearing age in Zhuji City,to know the utilization of eugenic health examination service,and to analyze the influencing factors of its utilization.Results 12000 questionnaires were issued,and 9834 valid questionnaires were collected.8538 respondents knew of the national free eugenic health examination,and 3662 respondents used this service.The utilization rate was 37.24%.Among them,the number of people under gynecological examination,gynecological B ultrasound,blood routine examination,TORCH examination,etc.was relatively big,all accounting for 42.19%.20〜25 years old,high school education or below,farmers or workers were independent risk factors for the utilization of this service(P<0.05).26〜30 years old,civil servants,pre-marital check-up,knowledge of pre-pregnancy health care,exposure to pre-pregnancy health care publicity,access to pre-pregnancy health care knowledge channels were independent protective factors for the utilization of this service(P<0.05).Conclusion Women of childbearing age in urban areas have less utilization of free eugenic health examination services,and different groups have greater different needs for pre-pregnancy health care knowledge.Therefore,it is necessary to strengthen the popularization of eugenic health examination and pregnancy health care knowledge to improve the life quality of the newborn.
作者
卢旭梅
杨洁茹
LU Xu-mei;YANG Jie-ru(Zhuji Central Hospital,Zhuji,Zhejiang 311800,China)
出处
《中国公共卫生管理》
2022年第3期349-353,共5页
Chinese Journal of Public Health Management
关键词
育龄妇女
优生优育
孕前健康检查
孕前保健
women of childbearing age
eugenics
pregestational health examination
pregestational health care
