流动妇女孕产期保健服务利用及影响因素分析(1)
【摘 要】 目的：了解全国流动妇女孕产期保健服务利用情况，并对影响因素进行分析，为提升流动产妇产前、产后保健服务利用水平提供有利依据。方法：基于2016年全国流动人口卫生计生动态监测数据，采用单因素分析和二分类Logistic回归分析其影响因素。结果：本次调查的流动孕产妇中，产前检查达标率为73.30%，产后28d访视达标率为75.00%，产后42d内健康检查达标率为84.90%。流动妇女孕产妇年龄、受教育程度、就业身份、建立健康档案、接受生殖健康教育、产妇建档时间、流入地所在区域、流入社区类型对孕产妇保健服务利用有显著差异。结论：积极推动流动人口基本公共卫生服务工作，提高流动人口健康档案建档率，加强生殖等健康知识的宣传，促进区域间协调发展，强化流动妇女孕期保健服务利用意识，以提高孕产妇保健的利用情况。
【关键词】 流动人口;孕产期保健服务;基本公共卫生服务;Logistic回归模型
文章编号：WHR2019055014
[Abstract] Objective：To understand the utilization of pregnant and prenatal health care of the migrant women in China and to analyze the influencing factors to provide a favorable basis for improving the utilization of prenatal and postnatal health care for the migrant women. Methods： Using Single Factor Analysis and Logistic Regression to investigate on the influencing factors based on the 2016 Dynamic Monitoring Data of Health and Family Planning of China's migrant. Results： Among the migrant pregnant or parturient women in this survey， the compliance rate of prenatal examination is 73.30%， the compliance rate of interview in 28 days after child birth was 75.00% and the compliance rate of health examination in 42 days after childbirth was 84.90%. Factors of the age， education， employment status， establishment of health record， acceptance of reproductive health education， the time of filing time， inflowing area and the type of the inflowing community have a significant influence on utilization of pregnant and prenatal health care of the migrant women. Conclusion： The basic public health services of the migrant should be actively promoted to increase the health records of the migrant population， strengthen the promotion of reproductive health education， facilitate the coordinated development between regions and enhance the awareness of the utilization of health services for pregnant women to improve the utilization of the pregnant and prenatal health care.
[Key words]Migrant;Pregnant and Prenatal Health Care; Basic Public Health Services;Logistic Regression Model
隨着城市化的不断推进，我国流动人口数量急剧增加，给流入城市的基本公共卫生服务工作带来极大的挑战[1]。流动人口普遍存在着健康素养偏低、对自身健康关注度不高、健康
服务的利用不足等问题[2]。目前，流动人口年龄结构年轻化举家流动为主[3]、农村流出为主，人口相应的处于育龄的流动女性比例增加，她们的女性生育健康状况不容乐观[4]，其孕产期服务利用水平低[5]。孕前保健与孕期保健、产褥期保健同属于围产期保健的重要部分关系到民族素质的提高[6]，作为弱势群体，其孕产期保健情况更应该引起高度重视[7]。孕产妇产前检查、产后28d接受健康访视、产后42d内接受健康检查作为国家基本公共卫生服务项目，是系统管理孕产妇健康状况的重要环节，流动孕产妇妇幼保健需求的不断增加，需要有效促进妇幼保健机构建设[8]。了解孕产妇的健康状况，对其进行科学的健康指导，可以降低孕产妇和新生儿死亡率[9]。
本研究基于2016年国家卫生计生委流动人口动态监测数据，分析流动妇女的孕产期保健服务情况，通过分析其影响因素，为流动妇女的孕产妇保健服务制定相关政策提供有效依据。, http://www.100md.com(段俞西 梁静)
【关键词】 流动人口;孕产期保健服务;基本公共卫生服务;Logistic回归模型
文章编号：WHR2019055014
[Abstract] Objective：To understand the utilization of pregnant and prenatal health care of the migrant women in China and to analyze the influencing factors to provide a favorable basis for improving the utilization of prenatal and postnatal health care for the migrant women. Methods： Using Single Factor Analysis and Logistic Regression to investigate on the influencing factors based on the 2016 Dynamic Monitoring Data of Health and Family Planning of China's migrant. Results： Among the migrant pregnant or parturient women in this survey， the compliance rate of prenatal examination is 73.30%， the compliance rate of interview in 28 days after child birth was 75.00% and the compliance rate of health examination in 42 days after childbirth was 84.90%. Factors of the age， education， employment status， establishment of health record， acceptance of reproductive health education， the time of filing time， inflowing area and the type of the inflowing community have a significant influence on utilization of pregnant and prenatal health care of the migrant women. Conclusion： The basic public health services of the migrant should be actively promoted to increase the health records of the migrant population， strengthen the promotion of reproductive health education， facilitate the coordinated development between regions and enhance the awareness of the utilization of health services for pregnant women to improve the utilization of the pregnant and prenatal health care.
[Key words]Migrant;Pregnant and Prenatal Health Care; Basic Public Health Services;Logistic Regression Model
隨着城市化的不断推进，我国流动人口数量急剧增加，给流入城市的基本公共卫生服务工作带来极大的挑战[1]。流动人口普遍存在着健康素养偏低、对自身健康关注度不高、健康
服务的利用不足等问题[2]。目前，流动人口年龄结构年轻化举家流动为主[3]、农村流出为主，人口相应的处于育龄的流动女性比例增加，她们的女性生育健康状况不容乐观[4]，其孕产期服务利用水平低[5]。孕前保健与孕期保健、产褥期保健同属于围产期保健的重要部分关系到民族素质的提高[6]，作为弱势群体，其孕产期保健情况更应该引起高度重视[7]。孕产妇产前检查、产后28d接受健康访视、产后42d内接受健康检查作为国家基本公共卫生服务项目，是系统管理孕产妇健康状况的重要环节，流动孕产妇妇幼保健需求的不断增加，需要有效促进妇幼保健机构建设[8]。了解孕产妇的健康状况，对其进行科学的健康指导，可以降低孕产妇和新生儿死亡率[9]。
本研究基于2016年国家卫生计生委流动人口动态监测数据，分析流动妇女的孕产期保健服务情况，通过分析其影响因素，为流动妇女的孕产妇保健服务制定相关政策提供有效依据。, http://www.100md.com(段俞西 梁静)