University of Maryland.
Purdue University.
Popul Stud (Camb). 2020 Mar;74(1):55-74. doi: 10.1080/00324728.2019.1672881. Epub 2019 Nov 6.
This study examines associations between fertility intentions and maternal health behaviours during and after pregnancy among a nationally representative sample of 3,442 women from India. Two waves of data (2005, 2012) from the India Human Development Survey were analyzed to investigate the influence of unwanted births on women's use of antenatal care, timely postnatal care, and the delivery setting using binary and ordered logistic regression, partial proportional odds models, and propensity score weighting. Fifty-eight per cent of sample births were unwanted. Regression results show that, net of maternal and household characteristics, women with unwanted births were less likely to obtain any antenatal care and had fewer antenatal tests performed. Unwantedness was also associated with a lower likelihood of delivering in an institutional setting and of obtaining timely postnatal care. The relationships between unwantedness and antenatal care, postnatal care, and delivery setting were robust to models accounting for propensity weighting.
本研究以印度具有全国代表性的 3442 名女性为样本,考察了生育意愿与孕期和产后母婴健康行为之间的关系。本研究分析了来自印度人类发展调查的两波数据(2005 年和 2012 年),旨在调查意外怀孕对妇女使用产前护理、及时产后护理和分娩环境的影响,使用二项和有序逻辑回归、部分比例优势模型和倾向评分加权。样本中有 58%的分娩是意外怀孕。回归结果表明,在控制了母亲和家庭特征后,意外怀孕的女性获得任何产前护理的可能性较低,产前检查次数也较少。意外怀孕也与较低的机构分娩和及时产后护理的可能性相关。在考虑倾向评分加权的模型中,意外怀孕与产前护理、产后护理和分娩环境之间的关系仍然稳健。