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目的:探讨不同收入状况孕妇产前保健服务利用情况及公平性。方法:以1 685例不同收入水平孕妇为研究对象,利用五分组法测算孕早期检查率、产前检查总次数达标率和健卡率,不同收入状况孕妇各率的比较采用列联表χ2检验,用极差法(率差RD、率比RR)和集中指数(CI)进行产前保健服务利用的公平性比较。结果:在产前保健服务利用情况项目中,孕早期检查率、产前检查总次数达标率及建卡率在不同经济水平孕妇间差异有统计学意义(P<0.05),三项指标均随着经济水平的增高而呈现明显增加的趋势。三项指标中的RD均为负值,集中指数为正值。结论:年均经济收入高、经济状况好的孕妇首次接受孕早期检查率、产前检查总次数达标率及建卡率高于年均收入较低的孕妇,该地区不同经济状况孕妇产前保健服务利用方面存在不公平性。
Objective: To explore the utilization of prenatal care services and fairness of pregnant women with different income status. Methods: A total of 1 685 pregnant women with different income levels were enrolled in this study. The five-group method was used to estimate the rate of pregnancy in the first trimester, the total number of prenatal check-up and the rate of health-care card. Rates of pregnant women with different income status were analyzed using the co-table χ2 test , And the fairness comparison of prenatal care services utilization using the odds ratio (RD, RR) and concentration index (CI). Results: In the prenatal health care service utilization project, there were significant differences in the rate of pregnancy during the first trimester, the rate of the total number of prenatal visits and the rate of establishing cards at different economic levels (P <0.05) With the economic level increased and showed a clear trend of increase. The three indicators of the RD are negative, the concentration index is positive. Conclusion: The average annual income of pregnant women with good economic status is the first to receive the examination rate in early pregnancy, the total number of prenatal check-up and the rate of establishing cards are higher than those with lower average annual income. Prenatal health care for pregnant women of different economic status in this area Unevenness in service utilization.