Zhu Lin, Liu Hongyan, Wu Jilei, Pei Lijun
Institute of Population Research WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing 100871, China.
National Population and Family Planning Commission of China, China Population and Development Research Center.
Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Apr;35(4):406-10.
To understand the current status of prenatal health care (PHC) and its related factors for floating women of childbearing age, and to provide evidence for improving the quality of PHC at childbearing age.
With data from the reproductive health survey on floating population in five cities, Beijing, Nanjing, Xiamen, Shenzhen and Chongqing, in 2005, the distributions of PHC among floating women were described. Multivariate logistic regression was performed to investigate the factors related to the utilization of PHC.
In 5 399 cases of valid questionnaires, 4 037 floating women who had the history of pregnant, cases who had or did not have PHC services would account for 75.3% (3 041/4 037) and 24.7% (996/4 037), respectively. The initial time of using the PHC service was significantly associated with the level of their education (P < 0.05) received. Data from the multivariate logistic regression analysis in PHC showed that there were differences between regions (P < 0.05). Proportions of women receiving PHC among those under 30 years and 30-39 were 4.09-folds (95% CI:3.11-5.39) and 1.98-folds (95% CI:1.61-2.43), respectively, when compared with that of women over 40-year-old. The proportion of women having received PHC with education levels of senior high school and above or junior high school, were 5.47-folds (95%CI:3.85-7.77) and 2.86-folds (95%CI:2.42-3.39) respectively, compared to that of women with education level of primary school or below. The proportion of married women having PHC was 2.36-folds (95%CI:1.07-5.22) of those unmarried women. The proportions of having PHC of women with one parity and two parities or with family planning certificate were 3.36-fold (95%CI: 2.33-4.84) and 1.61-fold (95% CI:1.12-2.30), 1.44-folds (95% CI:1.21-1.71) respectively, when compared with those women with three parities or without the certificate.
Factors as having received higher education, being married, with less parities or having family planning certificate etc. showed protective effects on PHC for floating women of childbearing age. Based on PHC, education should be promoted among the floating women of childbearing age, which would contribute to the prevention and reduction of adverse outcomes related to reproductive health.
了解流动育龄妇女的产前保健现状及其相关因素，为提高育龄期产前保健质量提供依据。
利用2005年北京、南京、厦门、深圳和重庆五个城市流动人口生殖健康调查的数据，描述流动妇女产前保健的分布情况。进行多因素logistic回归分析，探讨与产前保健利用相关的因素。
在5399份有效问卷中，有4037名有怀孕史的流动妇女，接受或未接受产前保健服务的人数分别占75.3%（3041/4037）和24.7%（996/4037）。开始接受产前保健服务的时间与她们所接受的教育水平显著相关（P<0.05）。产前保健多因素logistic回归分析数据显示，地区之间存在差异（P<0.05）。与40岁以上的妇女相比，30岁以下和30-39岁的妇女接受产前保健的比例分别是其4.09倍（95%CI：3.11-5.39）和1.98倍（95%CI：1.61-2.43）。高中及以上文化程度和初中文化程度的妇女接受产前保健的比例分别是小学及以下文化程度妇女的5.47倍（95%CI：3.85-7.77）和2.86倍（95%CI：2.42-3.39）。已婚妇女接受产前保健的比例是未婚妇女的2.36倍（95%CI：1.07-5.22）。与有三孩或没有计划生育证明的妇女相比，一孩和二孩或有计划生育证明的妇女接受产前保健的比例分别是其3.36倍（95%CI：2.33-4.84）、1.61倍（95%CI：1.12-2.30）、1.44倍（95%CI：1.21-1.71）。
受过高等教育、已婚、少育或有计划生育证明等因素对流动育龄妇女的产前保健有保护作用。应以产前保健为基础，加强流动育龄妇女的健康教育，有助于预防和减少与生殖健康相关的不良结局。
