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尼日利亚社会经济地位与孕产妇保健服务利用之间的关联。

Association between Socioeconomic Status and the Utilization of Maternal Health Services in Nigeria.

作者信息

Maitanmi Bukola T, Adelaja Abiodun A, Okunola Damilola R, Maitanmi Julius O, Tola Yetunde O, Akingbade Oluwadamilare

机构信息

Department of Mental Health Nursing, School of Nursing, Babcock University, Ilishan-Remo, Ogun State, Nigeria.

Department of Community/Public Health Nursing, School of Nursing, Babcock University, Ilishan-Remo, Ogun State, Nigeria.

出版信息

Iran J Nurs Midwifery Res. 2023 Sep 8;28(5):514-519. doi: 10.4103/ijnmr.ijnmr_61_22. eCollection 2023 Sep-Oct.

DOI:10.4103/ijnmr.ijnmr_61_22
PMID:37869684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10588924/
Abstract

BACKGROUND

Maternal health is the mother's state of well-being before, during, and after conception. Studies have suggested that the increasing maternal mortality rate is preventable provided maternal health services are accessible during pregnancy. This study explored the association between socioeconomic status and the utilization of maternal health services in the Federal Medical Centre (FMC), Abeokuta, Ogun State.

MATERIALS AND METHODS

This study is a cross-sectional survey. One hundred and eighty-eight pregnant women from the antenatal unit of a tertiary hospital in Southwestern Nigeria were selected using a convenience sampling technique. Data were collected via a pretested, self-designed questionnaire. The descriptive statistics were used to analyze the resulting data, and the hypotheses were tested using the Pearson product-moment correlation at 0.05 level of significance.

RESULT

From the study, 72 (38.30%) and 58 (30.90%) agreed that their income and occupation influence their maternal health services utilization. Significant relationship ( < 0.05) existed between maternal health service utilization and age and between socioeconomic factors (occupation and income level) and utilization of maternal health services of pregnant women.

CONCLUSIONS

Overall, this study revealed that the level of utilization of maternal health services among expectant women attending FMC is moderate. As this study has shown that socioeconomic factors influence the utilization of maternal health services, we recommend that interventions by health workers targeted at improving the utilization of maternal health services should consider these factors when designing such interventions. It is hoped that this will contribute to reducing maternal mortality and morbidity in this state.

摘要

背景

孕产妇健康是指母亲在受孕前、孕期和产后的健康状况。研究表明,如果孕期能够获得孕产妇保健服务,孕产妇死亡率上升的情况是可以预防的。本研究探讨了社会经济地位与奥贡州阿贝奥库塔联邦医疗中心孕产妇保健服务利用之间的关联。

材料与方法

本研究为横断面调查。采用便利抽样技术,从尼日利亚西南部一家三级医院的产前科选取了188名孕妇。通过预先测试、自行设计的问卷收集数据。使用描述性统计分析所得数据,并采用Pearson积差相关在0.05显著性水平下检验假设。

结果

在该研究中,72名(38.30%)和58名(30.90%)孕妇认为她们的收入和职业会影响其孕产妇保健服务的利用。孕产妇保健服务利用与年龄之间以及社会经济因素(职业和收入水平)与孕妇孕产妇保健服务利用之间存在显著关系(<0.05)。

结论

总体而言,本研究表明,在联邦医疗中心就诊的孕妇中,孕产妇保健服务的利用水平处于中等程度。由于本研究表明社会经济因素会影响孕产妇保健服务的利用,我们建议医护人员在设计旨在提高孕产妇保健服务利用的干预措施时应考虑这些因素。希望这将有助于降低该州的孕产妇死亡率和发病率。

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BMC Health Serv Res. 2020 Sep 10;20(1):849. doi: 10.1186/s12913-020-05700-w.
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Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review.非洲低收入国家获取孕产妇保健服务的障碍:系统评价。
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Ethnicity, religious affiliation and girl-child marriage: a cross-sectional study of nationally representative sample of female adolescents in Nigeria.种族、宗教信仰和童婚:对尼日利亚全国代表性少女样本的横断面研究。
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BMC Pregnancy Childbirth. 2019 Dec 17;19(1):503. doi: 10.1186/s12884-019-2534-x.
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Inequalities in maternal health care utilization in Benin: a population based cross-sectional study.贝宁母婴保健服务利用不平等:基于人群的横断面研究。
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