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目的:通过调查社区产后妇女孕期接受唐氏综合征(DS)筛查服务的情况,探索影响DS产前筛查服务的因素。方法:选择上海市浦东新区10个街镇为研究社区,共调查1 397名产后妇女。接受DS筛查服务的情况。结果:从多因素分析结果可见,促进调查对象参加唐氏综合征产前筛查服务利用的因素有:本市户籍(OR=1.91)、文化程度大学本科以上(OR=1.51)、职业为公司职员(OR=1.39)、收入4 000～8 000元/月(OR=2.01)、收入8 000元/月以上(OR=3.20)、有保险(OR=1.40)以及参加过孕妇学校(OR=1.55)。结论:降低筛查收费,开展DS产前筛查健康教育,加强外地户籍孕产期保健管理,构建DS产前筛查综合服务模式,可促进DS产前筛查的覆盖,提高服务可及性。
OBJECTIVE: To explore the factors that influence DS prenatal screening services by investigating the status of Down’s Syndrome (DS) screening services during postpartum women’s pregnancy. METHODS: A total of 1 397 postpartum women were surveyed in 10 towns in Pudong New District of Shanghai as research community. Accept the DS screening service. Results: From the results of multivariate analysis, it can be seen that the factors that promote the use of prenatal screening services in Down Syndrome include: household registration (OR = 1.91), bachelor degree or above (OR = 1.51) (OR = 1.39), income of 4,000-8,000 yuan per month (OR = 2.01), income of 8,000 yuan / month (OR = 3.20), insurance (OR = 1.40) 1.55). Conclusions: Reduce the screening fees, conduct prenatal screening health education DS, strengthen the maternity health management of foreign registered permanent residence, and establish DS prenatal screening comprehensive service mode, which can promote DS prenatal screening coverage and improve service accessibility .