中国江苏的国内人口迁移与孕产妇保健服务利用情况

Internal migration and maternal health service utilisation in Jiangsu, China.

作者信息

Gu Hai, You Hua, Ning Weiqing, Zhou Hua, Wang Jianming, Lu Ying, Sun Jun, Kou Yun, Dong Hengjin

机构信息

Center for Health Policy and Management Studies, Nanjing University, Nanjing, China.

Center for Health Policy Studies, School of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Trop Med Int Health. 2017 Feb;22(2):124-132. doi: 10.1111/tmi.12806. Epub 2016 Dec 1.

DOI:10.1111/tmi.12806

PMID:27910180

Abstract

OBJECTIVES

To investigate the use of maternal health care services by internal migrants in view of their migration status.

METHODS

Cross-sectional household survey in two cities of Jiangsu Province. Questions elicited data on socioeconomic information and MHC service use (pre-natal examination, post-natal visit, pre-natal health education). Chi-square tests and multivariate logistic regression analyses were used to identify factors associated with MHC service use.

RESULTS

A total of 946 married women were recruited, of whom 22.3% were internal migrants. Compared to local residents, migrants were five times less likely to attend pre-natal examinations (84.4% vs. 91.7%; OR = 0.49, P = 0.002), three times less likely to have post-natal visits (15.6% vs. 50.2%; OR = 0.18, P < 0.001) and less likely to attend health education during pregnancy (87.0% vs. 95.7%; OR = 0.30, P < 0.001). Multivariate logistic regression also revealed a lower proportion of MHC use among migrants (ORm 0.52, 0.16, and 0.3, respectively).

CONCLUSIONS

Internal migrants in Jiangsu Province underuse MHC services to a significant degree. More attention needs to be paid to pregnant migrant women, as they are vulnerable group in society.

摘要

目的

根据流动状态调查外来务工人员对孕产妇保健服务的利用情况。

方法

在江苏省两个城市进行横断面家庭调查。通过问题收集社会经济信息和孕产妇保健服务利用情况（产前检查、产后访视、产前健康教育）的数据。采用卡方检验和多因素logistic回归分析来确定与孕产妇保健服务利用相关的因素。

结果

共招募了946名已婚妇女，其中22.3%为外来务工人员。与当地居民相比，外来务工人员进行产前检查的可能性低五倍（84.4%对91.7%；OR = 0.49，P = 0.002），进行产后访视的可能性低三倍（15.6%对50.2%；OR = 0.18，P < 0.001），孕期参加健康教育的可能性也较低（87.0%对95.7%；OR = 0.30，P < 0.001）。多因素logistic回归还显示外来务工人员中孕产妇保健服务利用比例较低（OR分别为0.52、0.16和0.3）。