四川省孕期妇女孕前保健知识及需求调查

Preconception Health Care Knowledge and Requirement Among Pregnant Women in Sichuan

目的了解四川省孕期妇女对孕前保健服务的认知状况及其需求情况,为制定孕前保健服务策略提供科学依据。方法根据四川省经济状况和地理分布,2011-07/12随机抽取四川省8个市(成都、内江、资阳、乐山、南充、眉山、自贡、遂宁)及其相应各1个区县,对在当地妇幼保健机构进行产前检查的孕期妇女及家庭成员进行孕前保健认知情况及需求情况的调查。结果孕期妇女孕前检查率为61.8%,实际孕前体检项目以常规项目为主,血常规检查应答率为70.66%,其次为B超、尿常规、乙肝甲肝等,性激素6项利用最少,应答率为6.97%;了解孕前保健知识最主要的途径是亲朋好友,应答率为75.18%,途径需求调查排首位的是医务人员,应答率为57.45%;对认知水平影响因素分析显示,文化程度、家庭人均月收入、就医便利程度、是否计划怀孕和服务了解途径(报刊书籍、亲朋好友、网络)对孕前保健知识认知水平的影响有统计学意义(P<0.05)。结论四川省孕前体检率较低,主要为常规项目检查;文化程度、家庭人均月收入、就医便利程度、是否计划怀孕及相关知识获取途径是影响育龄妇女孕前保健认知水平的重要因素。

Objective To understand the awareness of preconception health care among pregnant women and their requirements so as to provide the scientific basis for for^nulating strategies of preconception health care service. Methods According to the economic situation in Sichuan province and geographic distribution, eight areas were randomly selected, in which the pregnant women who accepted the health care in the Child Health Hospitals of these area were investigated on aspects of health care knowledge and requirements. Results The examination rate was 61.8% , the actual physical examination before childbirth project was common project primarily, the way to know pregnant health care knowledge was mainly relatives and friends; the response rate was 75.18% and the medical staff was the first place to acquire relevant knowledge, with a response rate of 57.45%. The factors analysis showed that cultural degree, family per capital income, medical convenience, planning to get pregnant and approach of knowledge acquirement could significantly affect the awareness of preconception heahh care （P 〈 0.05）. Conclusion The physical examina- tion rate before pregnant needs to be elevated. The in- fluencing factors of preconception health care knowledge are their educational level, and family per capita in- come, medical convenience, planning to get pregnant and approach of knowledge acquirement.