中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2010年
11期
1259-1263
,共5页
郭丽君%王娟%刘英惠%任爱国
郭麗君%王娟%劉英惠%任愛國
곽려군%왕연%류영혜%임애국
产前保健%卫生保健提供%公平性%早产
產前保健%衛生保健提供%公平性%早產
산전보건%위생보건제공%공평성%조산
Prenatal care%Delivery of health care%Equity%Premature delivery
目的 了解早产妇女产前保健利用的公平性及其变化.方法 研究对象为1995-2000年江苏省和浙江省4县(市)分娩孕满28～41周的单胎活产儿的97 537名妇女,根据受教育程度,分别将早产妇女(4994名)和对照妇女即足月产妇女(92 543名)进行分组后,考察其孕早期检查率、产前检查次数达标率、住院分娩率及其率差(RD)、率比(RR)和集中指数(CI),分析早产妇女的产前保健利用的不公平程度,采用单因素方差分析和x2检验法进行统计学检验.结果 不同教育程度早产妇女孕早期检查率低于足月产妇女(从小学、初中、高中到大学的孕早期检查率早产组分别为82.89%、91.06%、93.96%、93.11%;足月产组分别是86.36%、93.95%、95.65%、96.41%,P=0.008).教育程度高的妇女孕早期检查率高于教育程度低的妇女(早产组RD=-10.22,RR=0.89,CI=0.0131;足月产组RD=-10.05,RR=0.90,CI=0.0104);不同教育程度早产妇女产前检查次数达标率低于足月产妇女(从小学、初中、高中到大学的早产组分别为86.54%、93.17%、92.99%、96.49%;足月产组分别是94.60%、96.65%、96.15%、96.66%,P=0.005).教育程度越高,产前检查次数达标率越高(早产组RD=-9.95,RR=0.90,CI=0.0077;足月产组RD=-2.06,RR=0.98,CI=0.0006);住院分娩率在不同教育程度早产组与足月产组妇女之间存在差异(从小学、初中、高中到大学的早产组分别为98.42%、99.54%、99.61%、100.00%;足月产组分别是99.45%、99.75%、99.83%、99.77%,P=0.005).无论早产组还是足月产组其教育程度较高的妇女住院分娩率也较高(早产组RD=-1.58,CI=0.0013;足月产组RD=-0.32,CI=0.0003).结论 不同教育程度早产妇女在产前保健利用方面存在不公平.同等教育程度比较,足月产妇女的公平性要好于早产妇女.
目的 瞭解早產婦女產前保健利用的公平性及其變化.方法 研究對象為1995-2000年江囌省和浙江省4縣(市)分娩孕滿28～41週的單胎活產兒的97 537名婦女,根據受教育程度,分彆將早產婦女(4994名)和對照婦女即足月產婦女(92 543名)進行分組後,攷察其孕早期檢查率、產前檢查次數達標率、住院分娩率及其率差(RD)、率比(RR)和集中指數(CI),分析早產婦女的產前保健利用的不公平程度,採用單因素方差分析和x2檢驗法進行統計學檢驗.結果 不同教育程度早產婦女孕早期檢查率低于足月產婦女(從小學、初中、高中到大學的孕早期檢查率早產組分彆為82.89%、91.06%、93.96%、93.11%;足月產組分彆是86.36%、93.95%、95.65%、96.41%,P=0.008).教育程度高的婦女孕早期檢查率高于教育程度低的婦女(早產組RD=-10.22,RR=0.89,CI=0.0131;足月產組RD=-10.05,RR=0.90,CI=0.0104);不同教育程度早產婦女產前檢查次數達標率低于足月產婦女(從小學、初中、高中到大學的早產組分彆為86.54%、93.17%、92.99%、96.49%;足月產組分彆是94.60%、96.65%、96.15%、96.66%,P=0.005).教育程度越高,產前檢查次數達標率越高(早產組RD=-9.95,RR=0.90,CI=0.0077;足月產組RD=-2.06,RR=0.98,CI=0.0006);住院分娩率在不同教育程度早產組與足月產組婦女之間存在差異(從小學、初中、高中到大學的早產組分彆為98.42%、99.54%、99.61%、100.00%;足月產組分彆是99.45%、99.75%、99.83%、99.77%,P=0.005).無論早產組還是足月產組其教育程度較高的婦女住院分娩率也較高(早產組RD=-1.58,CI=0.0013;足月產組RD=-0.32,CI=0.0003).結論 不同教育程度早產婦女在產前保健利用方麵存在不公平.同等教育程度比較,足月產婦女的公平性要好于早產婦女.
목적 료해조산부녀산전보건이용적공평성급기변화.방법 연구대상위1995-2000년강소성화절강성4현(시)분면잉만28～41주적단태활산인적97 537명부녀,근거수교육정도,분별장조산부녀(4994명)화대조부녀즉족월산부녀(92 543명)진행분조후,고찰기잉조기검사솔、산전검사차수체표솔、주원분면솔급기솔차(RD)、솔비(RR)화집중지수(CI),분석조산부녀적산전보건이용적불공평정도,채용단인소방차분석화x2검험법진행통계학검험.결과 불동교육정도조산부녀잉조기검사솔저우족월산부녀(종소학、초중、고중도대학적잉조기검사솔조산조분별위82.89%、91.06%、93.96%、93.11%;족월산조분별시86.36%、93.95%、95.65%、96.41%,P=0.008).교육정도고적부녀잉조기검사솔고우교육정도저적부녀(조산조RD=-10.22,RR=0.89,CI=0.0131;족월산조RD=-10.05,RR=0.90,CI=0.0104);불동교육정도조산부녀산전검사차수체표솔저우족월산부녀(종소학、초중、고중도대학적조산조분별위86.54%、93.17%、92.99%、96.49%;족월산조분별시94.60%、96.65%、96.15%、96.66%,P=0.005).교육정도월고,산전검사차수체표솔월고(조산조RD=-9.95,RR=0.90,CI=0.0077;족월산조RD=-2.06,RR=0.98,CI=0.0006);주원분면솔재불동교육정도조산조여족월산조부녀지간존재차이(종소학、초중、고중도대학적조산조분별위98.42%、99.54%、99.61%、100.00%;족월산조분별시99.45%、99.75%、99.83%、99.77%,P=0.005).무론조산조환시족월산조기교육정도교고적부녀주원분면솔야교고(조산조RD=-1.58,CI=0.0013;족월산조RD=-0.32,CI=0.0003).결론 불동교육정도조산부녀재산전보건이용방면존재불공평.동등교육정도비교,족월산부녀적공평성요호우조산부녀.
Objective To understand the extent and relative changes of equities in using the prenatal care services among premature delivery women from 4 counties/cities in Jiangsu and Zhejiang provinces, from 1995 to 2000. Methods The study population consisted of 97 537women who delivered singleton live birth of 28 to 41 gestational weeks in 4 counties/cities of Jiangsu and Zhejiang provinces, from 1995 to 2000. The proportions of women with early prenatal visit, of those with at least five prenatal visits and the hospital delivery rates between premature and term delivery groups were calculated. Inequalities in the above indictors by comparing rate difference ( RD), rate ratio ( RR ) and concentration index ( CI ) among women with different educational levels,were examined. Chi-square and One-way ANOVA were used to compare the differences. Results The proportions of having received early prenatal among those women with premature delivery in different education levels were 82.89%, 91.06%, 93.96%, 93.11% respectively, which were less than that of those with full term delivery (86.36%, 93.95%, 95.65%, 96.41%, P=0.008). The proportions of having received early prenatal among the women with high educational levels were higher (RD=-10.05, RR=0.90, CI=0.0104) than those with low educational attainment (RD=-10.22, RR=0.89, CI=0.0131); The proportions of having received at least five prenatal visits among those women with premature delivery in different education levels were 86.54%, 93.17%, 92.99%, 96.49%,respectively, which were less than those with full term delivery (94.60%, 96.65%, 96.15%, 96.66%,P=0.005). The proportions of having had at least five prenatal visits among the women with high educational attainment were higher (RD=-2.06, RR=0.98, CI=0.0006) than those with lower educational attainment (RD=-9.95, RR=0.90, CI=0.0077); The proportions of hospital delivery among the women with full term delivery in different education levels were significantly higher (99.45%, 99.75%, 99.83%, 99.77% ) than those with premature deliveries (98.42%, 99.54%, 99.61%,100.00%, P=0.005). The proportions of hospital delivery among women with high educational attainment was higher (RD =-0.32, CI= 0.0003 ) than those with lower educational attainment ( RD =-1.58, CI=0.0013). Conclusion Education related inequities in prenatal care utilization had not been improved among the Chinese women under our study. Inequities were seen in those women with full-term delivery the preterm delivery ones.
