摘要
目的分析项目省农村贫困地区孕产妇及其家属利用孕产期保健服务的态度对孕产妇死亡率的影响，探讨改善该类地区主动有效利用保健服务的措施，寻求改善孕产妇利用孕产期保健服务态度的方法。方法本研究采用1：1配对病例对照研究，选择项目省农村贫困地区孕产妇死亡率较高、人均收入较低、多民族聚居的贵州省内22个县，所有在2004年（2005年实施调查统计前一年的数据）死亡的农村孕产妇与非死亡的孕产妇进行1：1配对。结果对照组愿意做产前检查、住院分娩的比例均高于病例组，经配对资料单因素回归分析发现其回归系数（β）为负值，P〈0．05，两组差异有统计学意义，主要是受孕产期保健知识的认知水平和受传统生育观念、经济及交通状况的影响。结论孕产妇利用孕期保健服务的态度与孕产妇死亡率呈负相关，主要受孕产期保健知识的认知水平、文化程度、家庭地位、丈夫是否外出打工、家庭经济基础、传统生育观念、风俗习惯、政策、交通及卫生服务提供和利用等因素的制约。
Objective To investigate influence of pregnant and parturient women and her family members＇ attitude to utilize health services on maternal mortality rate in poverty rural areas of the project province, so as to find out effective measures to improve maternal attitude to actively and effectively utilize health services in these areas. Methods In 1 ： 1 matched case control method, all dead pregnant women and living pregnant women in 22 project counties of Guizhou province in 2004 where the maternal mortality rate was higher, many minority nationalities lived and the peoples there had lower income and were willing to cooperate with our team were matched in 1 ： 1 ratio. Results In the control group, the proportion of the pregnant women who were willing to receive prenatal examination and delivered in hospital was higher than in the case group, and single factor regression analysis for matched data showed that the regression coefficient （ β value） was negative and P value was 〈 0.05, suggesting that the difference was significant. The proportion was influenced by knowledge level of the pregnant woman for gestational health care, educational level, their position in the family, whether her husband going out to work or not, economical status of the family, traditional reproductive concept, local customs and habits, national policy, traffic fascilities and provision and utilization of health services and so on. Conclusion The attitude of the pregnant and parturient women for utilizing health care during pregancy is negatively correlated to maternal mortality rate. The attitude was restricted by knowledge level of the pregnant woman for gestational health care, educational level, their position in the family, whether her husband going out to work or not, economical status of the family, traditional reproductive concept, local customs and habits, national policy, traffic fascilities and provision and utilization of health services.
出处
《中国妇幼健康研究》
2009年第1期33-35,共3页
Chinese Journal of Woman and Child Health Research
基金
[基金项目]世界银行贷款卫生九资助项目（CNPE36953）
关键词
孕产期
保健服务利用态度
死亡率
影响因素
LOGISTIC回归分析
gestational and puerperal periods
attitude to utilize health service
mortality rate
influencing factor
logistic regression analysis
