四川省农村地区产前检查现状及影响因素分析

发布时间：2018-05-25 02:44

本文选题：农村地区 + 产前检查　；参考：《现代预防医学》2017年10期

【摘要】：目的分析四川省农村地区妇女进行产前检查的现状和影响因素,从而了解该地区孕产妇产前保健的情况,探讨相应的对策和措施,为四川省农村地区更好地进行孕产妇产前保健管理提供建议和参考。方法利用第五次全国卫生服务调查四川省农村地区2008年8月15日以来有分娩妇女的资料,描述总体产前检查现状,并用χ2检验进行单因素分析。采用Logistic回归,分析产前检查率的影响因素。结果四川省农村地区产前检查率72.4%,其中民族地区54.3%,非民族地区97.5%。多因素分析结果显示地区(OR=5.417,CI=1.346~21.796,P=0.017)、民族(OR=7.608,CI=2.494~23.204,P0.001)、年龄(15~25岁组OR=4.357,CI=1.075~17.668,P=0.039;25~35岁组OR=4.662,CI=1.186~18.333,P=0.028)和从家到最近医疗机构的时间(30~60 min组OR=-1.037,CI=0.201~0.625,P0.001;≥60min组OR=0.276,CI=0.108~0.707,P=0.007)是妇女是否进行产前检查的影响因素。结论地区、民族是影响孕产妇产前检查率重要因素,四川省少数民族地区产前检查率偏低,产前检查状况不理想。应加强对少数民族人群的孕产妇保健管理,以提高孕产妇自我保健的意识和卫生服务可及性,同时加强该地区教育和经济建设。
[Abstract]:Objective to analyze the status and influencing factors of antenatal examination for women in rural areas of Sichuan Province, so as to understand the status of antenatal health care in the area and discuss the corresponding countermeasures and measures to provide suggestions and reference for better maternal and obstetric health care management in rural areas of Sichuan province. The Fifth National Health service survey was used. The data of childbirth women in rural areas of Sichuan province since August 15, 2008, describe the status of the overall antenatal examination, and use the x 2 test to analyze the single factor analysis. The impact factors of prenatal examination were analyzed by Logistic regression. The results showed that the rate of antenatal examination in rural areas of Sichuan Province was 72.4%, 54.3% in the middle ethnic region and 97.5%. in non ethnic areas. The results show the area (OR=5.417, CI=1.346~21.796, P=0.017), people (OR=7.608, CI=2.494~23.204, P0.001), age (15~25 years old OR=4.357, CI=1.075~17.668, P=0.039; 25~35 age group OR=4.662, OR=7.608) and the time from home to the nearest medical institution. .108~0.707, P=0.007) is an influential factor on whether women carry out prenatal examination. It is concluded that the nationality is an important factor affecting the antenatal examination rate of pregnant women. The rate of antenatal examination in Sichuan minority areas is low and the prenatal examination is not ideal. The health management of pregnant and parturient women should be strengthened so as to improve the self-health of pregnant and parturient women. Awareness and accessibility of health services, while strengthening education and economic development in the region.
【作者单位】：四川大学华西公共卫生学院(华西第四医院);
【基金】：省级基金资助项目“四川省第五次卫生服务调查”(项目编号:0040405301069)
【分类号】：R173

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