Eggleston E
US Agency for International Development/Paraguay, Population Leadership Program, Berkeley, CA 94704, USA.
Soc Sci Med. 2000 Oct;51(7):1011-8. doi: 10.1016/s0277-9536(00)00010-1.
This paper assesses the relationship between unintended pregnancy--both unwanted and mistimed and several dimensions of use of prenatal care among women in Ecuador, where the level of unintended pregnancy has risen considerably in recent years. Data were collected from a nationally representative sample of 3988 women interviewed in the 1994 Demographic and Maternal-Child Health Survey. Multivariate logistic regression was used to assess jointly the effect of pregnancy intention status (unwanted, mistimed, planned) on three aspects of prenatal care use while controlling for potential confounders. Women with unwanted pregnancies were 32% less likely than women with planned pregnancies to seek out prenatal care. Women with unwanted pregnancies were also 25% less likely to initiate care in the first trimester and 29% less likely to receive at least an adequate number of visits. Mistimed pregnancy was not associated with receiving care, timely initiation of care or receiving an adequate number of visits.
本文评估了意外怀孕（包括意外怀孕和怀孕时机不当）与厄瓜多尔女性产前护理使用的几个维度之间的关系，近年来，该国意外怀孕水平大幅上升。数据收集自1994年人口与母婴健康调查中接受访谈的3988名具有全国代表性的女性样本。多变量逻辑回归用于在控制潜在混杂因素的同时，联合评估怀孕意愿状态（意外、时机不当、计划内）对产前护理使用三个方面的影响。意外怀孕的女性寻求产前护理的可能性比计划怀孕的女性低32%。意外怀孕的女性在孕早期开始护理的可能性也低25%，接受至少足够次数产检的可能性低29%。怀孕时机不当与接受护理、及时开始护理或接受足够次数的产检无关。
