Zulkifli S N, U K M, Yusof K, Lin W Y
Social Obstetrics and Gynecology Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur.
Asia Pac J Public Health. 1994;7(3):151-8. doi: 10.1177/101053959400700302.
This paper describes selected maternal and child health indicators based on a cross-sectional study of citizens and migrants in Sabah, Malaysia. A total of 1,515 women were interviewed from a multi-stage random sample of households in eight urban centers. Among the 1,411 women in the sample who had experienced a pregnancy before, 76% were local citizens and 24% were migrants. There were statistically significant differences between citizens and migrants in ethnicity, religion, education, household income, and access to treated water supply and sanitary toilet facilities. Significantly fewer migrants practiced any form of contraception and obtained any antenatal care during any pregnancy. Furthermore, citizens tended to initiate care as early as three months but migrants as late as seven months. Despite these differences, only the infant mortality rate, and not pregnancy wastage, was statistically significantly higher among migrants. Pregnancy interval was also similar between the two groups. The influence of several socioeconomic factors on pregnancy wastage and infant mortality was explored.
本文基于对马来西亚沙巴州公民和移民的横断面研究，描述了选定的母婴健康指标。从八个城市中心的多阶段随机抽样家庭中，共采访了1515名妇女。在样本中1411名曾有过怀孕经历的妇女中，76%是当地公民，24%是移民。公民和移民在种族、宗教、教育、家庭收入以及获得经过处理的供水和卫生厕所设施方面存在统计学上的显著差异。采用任何形式避孕措施以及在任何一次怀孕中接受任何产前护理的移民明显较少。此外，公民往往早在怀孕三个月时就开始护理，而移民则晚至七个月才开始。尽管存在这些差异，但只有婴儿死亡率在移民中统计学上显著更高，而妊娠流产率并非如此。两组之间的妊娠间隔也相似。探讨了几个社会经济因素对妊娠流产和婴儿死亡率的影响。
