农村孕产妇保健影响因素分析

目的:了解湖北省农村孕产妇保健状况,探讨农村孕产妇保健的影响因素。方法:采用多阶段分层系统抽样方法,抽取湖北省8个县1998年1月1日~2003年10月20日有活产的15~49岁已婚育龄妇女共计522人,对其孕产期保健状况分别进行问卷调查,单因素分析采用2χ检验法、非参数检验法,多因素分析采用逐步前进法进行非条件Logistic回归分析。结果:农村孕妇产前检查率为84.7%,住院分娩率54.8%,剖宫产率10.7%,产后访视率53.3%,与湖北省城市相比,差别均有统计学意义(P<0.01)。孕产妇保健主要影响因素是生育活产儿数、经济收入、文化程度、是否是农民、是否经常主动获取保健知识。结论:湖北省城乡孕产妇保健状况差异较大,农村孕产妇首次产前检查时间滞后,产后访视率明显低于产前检查率,与全国甲类农村保健服务标准存在一定差距。

An Analysis on the Influence Factors About the Health Care of Pregnant and Lying in Women in Rural of Hubei Province

Objective:To survey the health care situation of pregnant and lying-in women in rural of Hubei province and to explore the influence factors on the health care situation of pregnant and to explore the influence factors on the health care situation of pregnant and lying-in women.Methods:By multi-stage stratified-systematic random sampling procedure,522 married women aged 15 to 49 years from 8 rural counties of Hubei province,who had at least deliveried one child from Jan 1st 1998 to Oct 20th 2003,were investigated Chi-square Test,Kruskal-Wallis H test and non-conditional logistic regression were used for analysis.Results:The prenatal examination rate was 84.7%,the partum rate in hospital was 54.8%,the cesarean section rate was 10.7%,the percentage of the postpartum visiting by the health personnel was 53.3%.All the differences compared with those in urban of Hubei province had statistics meaning(P<0.01).The multivariate analysis showed that the health care of pregnant and lying-in women was related to the numbers of live neonatus,their economic income and education,occupation and the behavior of seeking health-related information in rural.Conclusion:The health care conditions of pregnant and lyingin women in urban were different from those in rural,the first time of prenatal examination was delayed,the rate of visitation after birth is significant lower than the rate of examination before birth,certain disparity existed with the national class-A rural health service standards.