McCray Talia M
University of Rhode Island, College of Business Administration, 301 Ballentine Hall, Kingston, Rhode Island, USA.
Soc Sci Med. 2004 Nov;59(9):1843-55. doi: 10.1016/j.socscimed.2004.02.033.
Utilization of healthcare facilities has been extensively analyzed in developed countries by researchers from a wide range of disciplines. However, there is still a need to develop a better understanding of the temporal and spatial factors that affect rural women within developing countries. An important piece of this exploration is addressing time constraints and the cultural context. After time has been spent attending to essential tasks that the entire family is dependent upon, do rural women have "disposable time" left to visit a healthcare facility? The setting for this study is the Ubombo Magisterial District, a northern rural area of KwaZulu Natal, South Africa. Environmental factors and socio-economical factors that motivate or discourage women from utilizing prenatal care are addressed using a multinomial logit model. Many of the factors documented in literature as affecting prenatal care utilization, i.e. age and parity, do not apply in this area. On the other hand, fetching water as a daily activity, which is usually not associated with prenatal care utilization, has a significant effect on utilization.
发达国家的研究人员已广泛分析了医疗设施的利用情况，涉及众多学科。然而，仍有必要更深入地了解影响发展中国家农村妇女的时间和空间因素。这一探索的一个重要方面是解决时间限制和文化背景问题。在花费时间完成整个家庭赖以生存的基本任务之后，农村妇女是否还有“可支配时间”去医疗设施就诊？本研究的地点是南非夸祖鲁-纳塔尔省北部农村地区的乌邦博行政区。使用多项逻辑回归模型探讨了促使或阻碍妇女利用产前护理的环境因素和社会经济因素。文献中记录的许多影响产前护理利用的因素，如年龄和胎次，在该地区并不适用。另一方面，取水这一日常活动通常与产前护理利用无关，但却对其利用有显著影响。
