Zhao Feng-Min, Guo Su-Feng, Wang Lin-Hong, Zhang Tong, Wu Jiu-Ling, Du Yu-Kai, Fang Wei-Min
National Centre for Women and Children's Health, Chinese Centre for Disease Control and Prevention, Beijing 100013, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2006 Sep;27(9):780-4.
To understand the perception on roles of gender and decision-making regarding family affairs among married women and its impact on the utilization of perinatal care.
Clustering sampling was conducted to select 1227 married women with at least a child aged from 0 to 7 years old, from Hebei, Hubei and Sichuan provinces. All women were interviewed using a uniform questionnaire during Nov.-Dec. 2004.
The overall proportion of women who had relatively poor perception of gender role was 65.1%. 59.3% of the women agreed that "husband's health is more important than wife's in the family" versus 39.7% of interviewed women agreed that "man is more suitable for leadership than woman". In 46.2% of the families, wife and husband shared the responsibility of decision making on family affairs. In 16.2% of the families women played a decisive role, while 67.1% of interviewed women had to get the approval of her husband when spending money on daily necessities. When there were different opinions between the couples, husband usually made the final decision in 20.5% of all the families versus 17.4% of families where wife made the final decision. In total,the proportion of women who had somehow rights on family affairs was 64.1%. The coverage rate of antenatal care was 91.0%, and 65.3% women who received antenatal care got the first antenatal visit during the first trimester and the proportion of women who had at least five antenatal visits was 39.7%. The institutional delivery was 59.3% among all the women. Perception of gender role was not a predictor for antenatal care utilization, but it was predictive of institutional delivery. Education was quite a significant predictor on perinatal care utilization.
Efforts should be strengthened to improve women's awareness and to increase their perception on gender role in the families so that more women could achieve quality perinatal care.
了解已婚妇女对家庭事务中性别角色和决策的认知及其对围产期保健利用情况的影响。
采用整群抽样法，从河北、湖北和四川三省选取1227名育有至少一名0至7岁子女的已婚妇女。2004年11月至12月期间，所有妇女均使用统一问卷进行访谈。
对性别角色认知相对较差的妇女总体比例为65.1%。59.3%的妇女认同“在家庭中丈夫的健康比妻子的更重要”，而认同“男性比女性更适合领导”的受访妇女比例为39.7%。在46.2%的家庭中，夫妻共同承担家庭事务决策责任。在16.2%的家庭中女性起决定性作用，而67.1%的受访妇女在购买日常生活用品时必须得到丈夫的批准。当夫妻意见不同时，在20.5%的家庭中通常由丈夫做出最终决定，而由妻子做出最终决定的家庭比例为17.4%。总体而言，在家庭事务中拥有一定权利的妇女比例为64.1%。产前检查覆盖率为91.0%，接受产前检查的妇女中有65.3%在孕早期进行了首次产前检查，至少进行五次产前检查的妇女比例为39.7%。所有妇女中机构分娩率为59.3%。性别角色认知不是产前检查利用情况的预测因素，但对机构分娩具有预测作用。教育程度是围产期保健利用情况的一个相当重要的预测因素。
应加大力度提高妇女的意识，增强她们对家庭中性别角色的认知，以便更多妇女能够获得优质的围产期保健服务。
