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目的了解贵阳市马王社区流动产妇和户籍产妇的社区卫生保健现状并进行比较分析,以期通过提高社区卫生资源的利用,实现提高流动产妇的保健水平。方法对社区内178名流动产妇和216名户籍产妇的一般情况、孕期保健情况、分娩情况、社区卫生资源利用情况、社区卫生保健知晓途径和社区卫生资源利用障碍原因等进行调查比较分析。结果流动产妇的文化程度、就业情况、家庭收入、产前检查人数、初检时间、孕检次数、医院分娩率、产妇保健手册建册率、社区医疗机构检查率、产后入户访视率均低于户籍产妇,但分娩顺产率高于户籍产妇,差异有统计学意义(P<0.05)。流动产妇社区卫生服务资源利用障碍原因依次为不知道、非计划性怀孕、返乡或搬迁频繁、担心经济费用、不需要保健、没时间或其他原因和找不到社区卫生机构。结论流动产妇社区卫生服务资源利用率低于户籍产妇,通过提高流动产妇社区卫生资源的利用,以期实现提高流动产妇的保健水平。
Objective To understand the status quo of community health care of migrant women and household women in Mawang community in Guiyang and to conduct comparative analysis so as to improve the health care of migrant women by improving the utilization of community health resources. Methods The general situation of 178 migrant women and 216 registered mothers in the community were surveyed and compared in terms of health care during pregnancy, childbirth, utilization of community health resources, ways of knowing about community health care and barriers to utilization of community health resources. Results Migrant women’s educational level, employment status, family income, number of prenatal examinations, initial examination time, number of pregnancy tests, hospital delivery rate, maternal health manual construction rate, community medical institutions inspection rate, postpartum home visit rate Which was lower than that of household maternity, but the rate of maternity delivery was higher than that of household maternity, the difference was statistically significant (P <0.05). Obstacles to the utilization of resources for community health services for migrant women are, in turn, unknown. Unplanned pregnancies, frequent returns to or relocation, fear of financial costs, lack of access to health care, lack of time or other reasons, and lack of access to community health facilities. Conclusion The utilization rate of community health service resources of migrant women is lower than that of household mothers, and the utilization of community health resources of migrant women is improved so as to improve the health care of migrant women.