| 佛山市某区1岁以下流动儿童保健服务利用与其母亲孕产期保健服务的相关性研究 |
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| 引用本文： | 杨薇,钱序,梁霁,谭晖,徐晓丽,潘栩虹,黄小娜.佛山市某区1岁以下流动儿童保健服务利用与其母亲孕产期保健服务的相关性研究[J].中国儿童保健杂志,2016,24(12):1257-1259. |
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| 作者姓名： | 杨薇 钱序 梁霁 谭晖 徐晓丽 潘栩虹 黄小娜 |
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| 作者单位： | 1.复旦大学公共卫生学院,卫生部卫生技术评估重点实验室,上海 200032;2.佛山市南海区卫生和计划生育局,广东 佛山 528200;3.联合国儿童基金会,北京 100600 |
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| 基金项目： | 联合国儿童基金会资助项目(YH702);上海市公共卫生重点学科建设计划资助(15GWZK0402) |
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| 摘 要： | 目的 探讨1岁以下流动儿童保健服务利用与其母亲孕产期保健服务的相关性,为进一步提高流动儿童保健服务利用提出建议。方法 采用横断面调查,选取佛山市某区1岁以下流动儿童母亲579名为对象,对其进行面对面的问卷调查,利用二分类Logistic分析儿童系统管理与其母亲孕产期保健服务利用的相关性。结果 流动儿童保健服务利用现状为:儿童体检率89.1%,儿童系统管理率49.2%;流动儿童母亲孕产期保健服务利用现状为:产前检查率96.0%,孕早期检查率87.5%,≥5次产前检查率61.5%,住院分娩率99.7%,产后访视率37.3%,孕产妇系统管理率22.2%;多因素分析结果显示母亲产后访视、孕产期系统管理分别与儿童系统管理呈正相关(OR=2.017,95%CI=1.339~3.038;OR=1.941,95%CI=1.208~3.119)。结论 流动人口妇幼保健服务全程利用水平相对较低;母亲产后访视和孕产期系统管理是儿童系统管理的促进因素,提示母亲孕产期保健服务利用的改善可能有助于进一步提高儿童保健服务的利用。
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| 关 键 词： | 流动人口 儿童保健服务 孕产期保健服务 服务利用 |
| 收稿时间： | 2016-07-13 |
Association between child health care utilization and maternal health care in migrant child under 1 year old,Foshan city:a community-based cross-sectional survey. |
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| YANG Wei,QIAN Xu,LIANG Ji,TAN Hui,XU Xiao-li,PAN Xu-hong,HUANG Xiao-na..Association between child health care utilization and maternal health care in migrant child under 1 year old,Foshan city:a community-based cross-sectional survey.[J].Chinese Journal of Child Health Care,2016,24(12):1257-1259. |
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| Authors: | YANG Wei QIAN Xu LIANG Ji TAN Hui XU Xiao-li PAN Xu-hong HUANG Xiao-na |
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| Affiliation: | 1.School of Public Health,Key Laboratory of Health Technology Assessment of Ministry of Health,Fudan University,Shanghai 200032,China;2.Nanhai Health and Family Planning Bureau,Foshan,Guangdong 528200,China;3.United Nations International Children's Emengency Fund,Beijing 100600,China |
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| Abstract: | Objective To explore the association between child health care utilization and maternal health care among migrant child under 1-year-old,and further improve child health care utilization in migrants. Methods A community-based cross-sectional survey was conducted in Foshan city using a two phrase probability proportional sampling.Subjects were migrant mothers with child under 1-year-old.A total of 579 migrant mothers were face-to-face interviewed using a structured questionnaire.The multivariate logistic regression was used to analyze the association between child systematic management and the maternal health care utilization. Results Migrant child health care utilization:child health care rate was 89.1% while child systematic management rate was 49.2%.Maternal health care utilization:antenatal care at least one visit rate was 96.0%,antenatal care at 1st trimester 87.5%,antenatal care at least 5 visits rate was 61.5%,institutional delivery rate was 99.7%,postpartum home visit within 28 days was 37.3% and maternal systematic management rate was 22.2%.The multivariate regression results showed that child systematic management was positively correlated with postpartum home visit and maternal systematic management respectively (OR=2.017,95%CI=1.339～3.038;OR=1.941,95%CI=1.208～3.119). Conclusions Whole course utilization of maternal and child health care service are low among migrants in Foshan city.Postpartum home visit and maternal systematic management are contributing factors of child systematic management,which remind that improving maternal health service utilization is likely to increase child health service utilization. |
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| Keywords: | migrant child health care maternal health care service utilization |
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