Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University College of Medicine, Xi'an, China.
Int J Gynaecol Obstet. 2011 Sep;114(3):260-4. doi: 10.1016/j.ijgo.2011.04.005. Epub 2011 Jul 12.
To explore maternal healthcare utilization in rural western China, and to analyze the socioeconomic and demographic determinants associated with use of maternal health services.
Between July and August 2005, 14112 women from 45 counties in 10 western provinces of China were enrolled in a cross-sectional study by a multi-stage probability sampling method. The women completed a structured questionnaire, and a 2-level logistic regression model was used to examine the data.
The proportion of women who had prenatal care was 95%. The average number of prenatal visits was 4.94. The proportion of women who had more than 4 prenatal visits was 52.9%, and 66.9% of these had their first prenatal visit within 12 weeks of gestation. The hospital delivery rate was 86.3%. The frequency of postnatal visits was 84.8%, and the average number of postnatal visits was 2.19. Han ethnicity, higher education, lower parity, higher wealth index, and lower altitude of county had a higher odds ratio for more than 4 prenatal visits, hospital delivery, and postnatal visits.
Maternal healthcare utilization seems to be associated with socio-economic and regional factors. The Chinese government should focus on the supply, funding, and quality of maternity services in rural areas.
探讨中国西部农村地区的孕产妇医疗保健利用情况，并分析与孕产妇卫生服务利用相关的社会经济和人口统计学因素。
2005 年 7 月至 8 月，采用多阶段概率抽样方法，在中国西部 10 个省的 45 个县招募了 14112 名妇女进行横断面研究。这些妇女填写了一份结构式问卷，使用 2 水平逻辑回归模型对数据进行了分析。
产前检查的比例为 95%。产前检查的平均次数为 4.94 次。有超过 4 次产前检查的妇女比例为 52.9%，其中 66.9%的人在妊娠 12 周内进行了首次产前检查。住院分娩率为 86.3%。产后访视的频率为 84.8%，平均产后访视次数为 2.19 次。汉族、较高的教育程度、较低的生育次数、较高的财富指数和较低的县海拔高度与超过 4 次产前检查、住院分娩和产后访视的可能性更高相关。
孕产妇医疗保健利用似乎与社会经济和地区因素有关。中国政府应关注农村地区的孕产妇服务供应、资金和质量。
