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目的了解全国流动人口孕产妇住院分娩现状及影响因素,为提高流动人口孕产妇住院分娩率及相关政策的制定提供依据。方法选取2012年国家流动人口动态监测数据库中流动后有生育现象的已婚流动育龄妇女22 774人及其生育的36 105名≤18岁子女为研究对象,对其分娩现状及其影响因素进行调查。结果在所调查的36 105名≤18岁流动人口子女中,住院分娩的有32 997人,住院分娩率为91.40%,在家分娩的2 944人,占8.15%,在其他地方分娩的164人,占0.45%;单因素和logistic回归分析结果表明,少数民族孕产妇的住院分娩率低于汉族,随着流动孕产妇教育程度和家庭月收入的提高住院分娩率随之提高,随着孩次的增高住院分娩率随之下降;不符合政策生育、在户籍地分娩、跨省流动的流动孕产妇住院分娩率较低。结论民族、教育程度、家庭月收入、是否符合政策生育、孩次、出生地点、流动范围是流动人口孕产妇住院分娩率的影响因素。
Objective To understand the status quo and influencing factors of hospital delivery among pregnant women in floating population in China and provide basis for improving hospital delivery rate of pregnant women in floating population and formulating relevant policies. Methods A total of 22 774 married women of childbearing mobility and 36 105 children ≤18 years of age who had fertility after floating in the National Mobile Population Dynamic Monitoring Database were selected as the study subjects to investigate their current status and influential factors . Results Of the 36 105 children of migrant population aged ≤18 years old, 32 997 were hospitalized, 91.40% were hospitalized, 2 944 were delivered at home, accounting for 8.15%, 164 were delivered elsewhere, Accounting for 0.45%. The results of univariate and logistic regression analysis showed that the hospital delivery rate of ethnic minority pregnant women was lower than that of Han nationality. With the increase of floating maternal education and family monthly income, hospital delivery rate increased with the increase of children’s Higher hospital delivery rate decreased; do not meet the policy of childbirth, childbirth in the domicile, inter-provincial mobile maternal hospital delivery rate is low. Conclusion Ethnicity, educational level, family monthly income, policy compliance, childbirth, place of birth and mobility are the influencing factors of hospital delivery rate among floating population.