性别不平等与妇女利用妇幼保健服务之间的关联：越南 8 个中南部沿海省份的横断面调查。
The Association Between Gender Inequalities and Women's Utilization of Maternal Health Services: A Cross-Sectional Survey in Eight South Central Coast Provinces, Vietnam.
机构信息
Faculty of Social Science-Behaviors and Health Education, Hanoi University of Public Health, Hanoi, Vietnam (Drs Bui and Duong and Mss Le and Doan); Ministry of Health, Hanoi, Vietnam (Dr Pham); Hanoi Obstetrics & Gynecology Hospital, Hanoi, Vietnam (Drs D. A. Nguyen and C. C. Nguyen); and International Maternal and Child Health (IMCH), Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden (Dr Duong).
出版信息
J Public Health Manag Pract. 2018 Mar/Apr;24 Suppl 2:S19-S27. doi: 10.1097/PHH.0000000000000728.
BACKGROUND
Gender inequalities influence the utilization of maternal health services in Vietnam, but little research has been published. This study, therefore, aimed to explore the association between gender inequalities and women's utilization of maternal health services in Vietnam.
METHODS
The study was conducted in 8 provinces in the South Central Coast region of Vietnam during August 2013 to May 2014. A total of 907 women who delivered a year prior to the date of interview participated in the study. A multiple logistic regression model was used to examine the association between gender inequalities (including sociodemographic determinants of health) and utilization of 4 or more antenatal care (ANC4+) services, institutional delivery, and ever used contraceptive methods.
RESULTS
The utilization rate of maternal health services was varied, from 53.9% for ANC4+ to 87.7% for ever used a contraceptive method and 97% for institutional delivery. Ethnicity was identified as the most influential variable out of all sociodemographic determinants of health. Regarding gender inequalities, couple communication was the only variable having significant association with women's utilization of maternal health services.
CONCLUSION
Women's equal role within context of their daily life and relations with their husbands (discussing maternal care with husband and having equal income to husband) supported their use of maternal health services. Therefore, there should be concerted efforts from all relevant stakeholders including the health system to focus on disadvantaged women in planning and delivery of maternal health services, especially to ethnic minority women. Male involvement strategy should be implemented to promote maternal health care, especially during the prenatal and postpartum period. To provide more culturally sensitive and right-based approaches in delivery of maternal health services to disadvantaged women in Vietnam, interventions are recommended that promote male involvement, that is, to engage men in service delivery to adapt and ensure the most appropriate and effective maternal health care.
背景
性别不平等影响越南妇女获得孕产妇保健服务的情况，但这方面的研究很少。因此，本研究旨在探讨越南性别不平等与妇女获得孕产妇保健服务之间的关系。
方法
本研究于 2013 年 8 月至 2014 年 5 月在越南中南部沿海地区的 8 个省进行。共有 907 名在访谈日期前一年分娩的妇女参加了研究。采用多因素逻辑回归模型，分析性别不平等（包括健康的社会决定因素）与 4 次或以上产前护理（ANC4+）服务、住院分娩和使用任何避孕方法之间的关联。
结果
孕产妇保健服务的利用率各不相同，从 ANC4+的 53.9%到使用任何避孕方法的 87.7%和住院分娩的 97%。在所有健康的社会决定因素中，民族被确定为最具影响力的变量。关于性别不平等，夫妻沟通是唯一与妇女获得孕产妇保健服务有显著关联的变量。
结论
妇女在日常生活中平等的角色以及与丈夫的关系（与丈夫讨论孕产妇保健问题和收入与丈夫平等）支持了她们使用孕产妇保健服务。因此，所有相关利益攸关方，包括卫生系统，都应共同努力，关注弱势妇女在规划和提供孕产妇保健服务方面的需求，特别是少数民族妇女。应实施男性参与战略，以促进孕产妇保健，特别是在产前和产后期间。为了在越南向弱势妇女提供更具文化敏感性和基于权利的孕产妇保健服务，建议采取干预措施，促进男性参与，即让男性参与服务提供，以适应并确保最适当和有效的孕产妇保健。
Zotero 插件