Yang Li, Lv Meng-Tao, Cui Ying, Deng Li-na, Tian Xiao-bo
National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing 100013, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2009 Oct;30(10):1025-9.
To introduce the gender-specific view to the prenatal care and analysing the health behavior and its influencing factors.
Random sampling in cluster was used to select those study population and face to face interview was carried out at their residence in Xinjiang and Anhui province.
The overall socioeconomic status of women in rural areas of Xinjiang and Anhui province was low and 93.2% of the women had education level on junior middle school or below. Politically women were less interested in these issues with only 63.1% of them ever participated in the election program or voting. In household daily life, women's status was almost equal to or even higher than men, but men always called the shots when something important in family happened. Men still held the power of decision making. In 47.3% of the families, the husband played a decisive role on decision making. In 37.7% of the families, husbands controlled the money. When getting into expensive expenditure, 35.2% of the families having men made the final approval. When there were different opinions between the couples, husband usually made the final decision in 44.2% of all the families compared to 6.3% of the families that wives made the final decision. 73.9% of women under survey had undergone prenatal examination and the rate on household deliveries reached 30.3%. Both gender consciousness and educational level had influenced the effect on prenatal care.
It is important to better prenatal health service in rural areas and to improve socioeconomic status on gender consciousness of women.
将性别视角引入产前保健，分析健康行为及其影响因素。
采用整群随机抽样方法选取研究对象，在新疆和安徽省其居住地进行面对面访谈。
新疆和安徽省农村妇女的总体社会经济地位较低，93.2%的妇女教育水平为初中及以下。在政治方面，妇女对这些问题兴趣较低，只有63.1%的妇女曾参与选举或投票。在家庭日常生活中，妇女地位几乎与男性平等甚至更高，但在家庭发生重大事情时，通常由男性做主。男性仍掌握决策权。在47.3%的家庭中，丈夫在决策中起决定性作用。在37.7%的家庭中，丈夫掌管钱财。在进行大额支出时，35.2%的有男性的家庭由男性最终批准。当夫妻之间有不同意见时，在所有家庭中，通常44.2%的家庭由丈夫做出最终决定，而由妻子做出最终决定的家庭占6.3%。73.9%的被调查妇女接受过产前检查，家庭分娩率达30.3%。性别意识和教育水平均对产前保健效果产生影响。
改善农村地区产前保健服务、提高妇女社会经济地位及性别意识具有重要意义。
