Nwakoby B N
Department of Community Medicine, College of Medicine, University of Nigeria, Enugu.
J R Soc Health. 1994 Jun;114(3):132-6. doi: 10.1177/146642409411400304.
The pattern and determinants of maternal service utilization were studied in a rural Nigerian community. The study sample consisted of 488 randomly selected women who had a childbirth or an abortion between May 1987 and September 1989. Although 93% registered for prenatal care in a health care institution, only 51% delivered in a health institution while 49% delivered at home mainly under the care of traditional birth attendants. Factors found to be most consistently associated with the use of health institutions for delivery were maternal education and occupation, religion, and occupation of the husband. Maternal age, parity and marital status and place of the residence were not significantly associated with the choice between home and institutional delivery. Logistic regression analysis was used to determine the odds ratio and to quantify the weight of these independent variables found to be significantly associated with the place of delivery as the outcome variable.
在尼日利亚一个农村社区对孕产妇服务利用的模式和决定因素进行了研究。研究样本包括1987年5月至1989年9月期间随机挑选的488名有过分娩或流产经历的妇女。尽管93%的人在医疗机构登记了产前护理，但只有51%的人在医疗机构分娩，而49%的人主要在传统接生员的护理下在家中分娩。发现与在医疗机构分娩最密切相关的因素是产妇的教育程度和职业、宗教信仰以及丈夫的职业。产妇年龄、胎次、婚姻状况和居住地点与在家分娩和在医疗机构分娩之间的选择没有显著关联。采用逻辑回归分析来确定比值比，并量化这些被发现与分娩地点显著相关的自变量作为结果变量的权重。
