University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA.
Health Place. 2012 Mar;18(2):415-23. doi: 10.1016/j.healthplace.2011.12.006. Epub 2012 Jan 5.
This study analyzed data from the 2005 Cambodia Demographic and Health Survey to examine the effects of individual- and community-level factors on the receipt of four or more antenatal care visits, receipt of antenatal care within the first trimester of pregnancy, delivery in a health facility and delivery by trained medical professional. The findings demonstrate that age at birth, parity level, educational attainment, household wealth, occupation, media exposure and counseling about pregnancy complications are significant determinants of pregnancy care. There is also a strong evidence of the impact of community-level factors on the utilization of maternal health services. Programs to improve maternal health outcomes must take into account covariates at multiple levels of influence to better address the needs of women of reproductive age in Cambodia.
本研究分析了 2005 年柬埔寨人口与健康调查的数据，以考察个人和社区层面因素对接受四次或更多次产前护理、在怀孕早期接受产前护理、在医疗机构分娩和由训练有素的医疗专业人员接生的影响。研究结果表明，出生年龄、生育次数、教育程度、家庭财富、职业、媒体接触和对妊娠并发症的咨询是妊娠护理的重要决定因素。社区层面因素对孕产妇保健服务的利用也有很大影响。改善孕产妇健康结果的方案必须考虑到多个影响层面的协变量，以更好地满足柬埔寨育龄妇女的需求。
