常州市流动人口孕产期保健服务利用状况分析

Analysis on utilization status of maternal health care among the floating population in Changzhou

目的了解常州市流动人口孕产期保健服务利用现状,为促进流动人口管理提供依据。方法收集常州市1 400名孕产妇孕产期检查和分娩情况,分析影响因素。结果不同文化程度、年龄、职业、医疗保险、常住人口数、月收入与流动人口产前检查次数是否达到4次间存在统计学差异(P<0.05),且孕产妇的不同文化程度、年龄、医疗保险情况是产前检查是否达到4次的独立危险因素。结论常州市流动人口孕产妇文化程度仍较低,但收入水平有所提高。孕产妇的不同文化程度、年龄、医疗保险情况是主要影响流动人口孕产期保健服务利用的危险因素。如何根据这一特点改变流动人口孕产期保健管理模式,是提高流动人口孕产期保健服务利用的重要手段。

Objective To understand the utilization status of maternal health care among the floating population in Changzhou,provide a basis for promoting management of floating population. Methods The situations of prenatal examination and delivery of 1 400 pregnant women were collected from Changzhou city,the influencing factors were analyzed. Results There were statistically significant differences in the compliance rate of prenatal examination for four times among the pregnant women with different educational levels,ages,carrers,medical insurances,resident population numbers,and monthly incomes（ P〈0. 05）,the independent risk factors of compliance rate of prenatal examination for four times included educational level,age,and medical insurance. Conclusion The educational level of floating pregnant women in Changzhou is still low,but the income level has increased. The main influencing factors of utilization of maternal health care among the floating population in Changzhou include educational level,age,and medical insurance. Changing maternal health care management mode according to the feature can improve utilization of maternal health care among the floating population in Changzhou.