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目的探讨1岁以下流动儿童保健服务利用与其母亲孕产期保健服务的相关性,为进一步提高流动儿童保健服务利用提出建议。方法采用横断面调查,选取佛山市某区1岁以下流动儿童母亲579名为对象,对其进行面对面的问卷调查,利用二分类Logistic分析儿童系统管理与其母亲孕产期保健服务利用的相关性。结果流动儿童保健服务利用现状为:儿童体检率89.1%,儿童系统管理率49.2%;流动儿童母亲孕产期保健服务利用现状为:产前检查率96.0%,孕早期检查率87.5%,≥5次产前检查率61.5%,住院分娩率99.7%,产后访视率37.3%,孕产妇系统管理率22.2%;多因素分析结果显示母亲产后访视、孕产期系统管理分别与儿童系统管理呈正相关(OR=2.017,95%CI=1.339~3.038;OR=1.941,95%CI=1.208~3.119)。结论流动人口妇幼保健服务全程利用水平相对较低;母亲产后访视和孕产期系统管理是儿童系统管理的促进因素,提示母亲孕产期保健服务利用的改善可能有助于进一步提高儿童保健服务的利用。
Objective To explore the correlation between the utilization of health services for migrant children under 1 year of age and their mothers’ maternal health services and to make recommendations for further improving the utilization of health services for migrant children. Methods By cross-sectional survey, 579 mothers of migrant children under 1 year old in a district of Foshan City were selected for face-to-face questionnaire survey. The relationship between child system management and mother’s maternal health care service utilization was analyzed by two-category Logistic analysis. Results The utilization status of mobile child health services was 89.1% for children and 49.2% for children. The status of utilization of maternal health services for migrant children was 96.0% in prenatal period, 87.5% in early pregnancy, and ≥5 The prenatal examination rate was 61.5%, hospital delivery rate was 99.7%, postpartum visit rate was 37.3%, maternal system management rate was 22.2%; multivariate analysis showed that maternal postpartum visit, maternal and child life system management were positive (OR = 2.017, 95% CI = 1.339 ~ 3.038; OR = 1.941, 95% CI = 1.208 ~ 3.119). Conclusion Maternal and child health care services for migrants have a relatively low level of utilization throughout the whole life cycle. Maternal postnatal visits and system management during pregnancy and childbirth are the contributing factors to the management of children’s systems. The improvement of maternal health care services utilization may help to further improve child health care services The use of.