中山市孕产妇卫生服务利用公平性研究

Study on equity of maternal health service utilization in Zhongshan city

目的:分析死亡孕产妇及普通孕产妇基本情况及卫生服务利用情况,了解中山市孕产妇卫生服务利用的公平性。方法:收集2002～2011年中山市死亡孕产妇病例与普通孕产妇资料。结果:流动人口孕产妇死亡率高于常住人口;死亡孕产妇中高龄、低文化程度、农民、计划外、孕次>3次以上孕产妇比例较普通孕产妇高;产前检查次数、初检孕周、分娩地点、死亡地点、死亡24 h内是否就医与孕产妇的文化程度、孕次、计划内外等有关。结论:要提高孕产妇卫生服务利用公平性,需积极推广国家基本公共卫生服务项目,加强健康教育,采取各种保障措施综合治理。

Objective： To analyze the basic situation and health service utilization situation of died pregnant women and common pregnant women, and understand the equity of maternal health service utilization in Zhongshan city. Methods： The data of died pregnant women and common pregnant women in Zhongshan city from 2002 to 2011 were collected. Results： The maternal mortality among migrant population was higher than that among resident population; the maternal mortalities among the women with advanced age, low educational level, unwanted pregnancy, times of pregnancy more than three, and from rural areas were higher compared with common pregnant women; the times of prenatal examination, gestational weeks of prenatal examination for the first time, delivery sites, death sites, seeing the doctor or not within 24 hours before death were correlated with educational level of pregnant women, gravidity, unwanted pregnancy or not. Conclu- sion ： To improve equity of maternal health service utilization in Zhongshan city, various comprehensive measures should be adopted, such asactively popularizing national basic public health service items and enhancing health education.