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目的:了解上海市产妇唐氏筛查服务利用的现状及影响因素。方法:基于安德森服务利用模型,自行设计调查问卷,对上海市1 020名产后访视产妇进行问卷调查。调查内容包括:产妇的社会人口学特征、对唐氏筛查服务的认知及利用情况。结果:上海市产妇的唐氏筛查服务利用率为63.1%。对产前筛查服务必要性的认知、孕期获得医生建议的多少、产检次数、获得产前保健服务的医疗机构是唐氏综合征产前筛查服务利用的主要影响因素。结论:唐氏筛查服务利用可通过加强健康宣教、提高保障等方面进行改善。
Objective: To understand the status quo and influencing factors of Down’s screening service utilization in Shanghai. Methods: Based on the Anderson service utilization model, a questionnaire was designed by ourselves to conduct a questionnaire survey on 1,020 postpartum visiting mothers in Shanghai. The survey includes: the socio-demographic characteristics of maternal, Down’s screening of cognitive and utilization. Results: Down’s screening service utilization rate of maternity in Shanghai was 63.1%. The recognition of the necessity of prenatal screening services, the number of doctors recommended during pregnancy, the number of births and the availability of antenatal care services are the main influencing factors in the utilization of prenatal screening services for Down Syndrome. Conclusion: Down’s screening service utilization can be improved by strengthening health education and raising protection.