佛山市某区1岁以下流动儿童保健服务利用与其母亲孕产期保健服务的相关性研究

Association between child health care utilization and maternal health care in migrant child under 1 year old,Foshan city:a community-based cross-sectional survey

目的探讨1岁以下流动儿童保健服务利用与其母亲孕产期保健服务的相关性，为进一步提高流动儿童保健服务利用提出建议。方法采用横断面调查，选取佛山市某区1岁以下流动儿童母亲579名为对象，对其进行面对面的问卷调查，利用二分类Logistic分析儿童系统管理与其母亲孕产期保健服务利用的相关性。结果流动儿童保健服务利用现状为：儿童体检率89．1％，儿童系统管理率49．2％；流动儿童母亲孕产期保健服务利用现状为：产前检查率96．0％，孕早期检查率87．5％，≥5次产前检查率61．5％，住院分娩率99．7％，产后访视率37．3％，孕产妇系统管理率22．2％；多因素分析结果显示母亲产后访视、孕产期系统管理分别与儿童系统管理呈正相关（OR=2．017，95％CI=1．339～3．038；OR=1．941，95％CI=1．2083．119）。结论流动人口妇幼保健服务全程利用水平相对较低；母亲产后访视和孕产期系统管理是儿童系统管理的促进因素，提示母亲孕产期保健服务利用的改善可能有助于进一步提高儿童保健服务的利用。

Objective To explore the association between child health care utilization and maternal health care among migrant child under 1-year-old,and further improve child health care utilization in migrants. Methods A community-based cross-sectional survey was conducted in Foshan city using a two phrase probability proportional sampling. Subjects were mi- grant mothers with child under 1-year-old. A total of 579 migrant mothers were face-to-face interviewed using a structured questionnaire. The multivariate logistic regression was used to analyze the association between child systematic management and the maternal health care utilization. Results Migrant child health care utilization： child health care rate was 89.1% while child systematic management rate was 49.2 %. Maternal health care utilization： antenatal care at least one visit rate was 96.0 %, antenatal care at 1st trimester 87.5 %, antenatal care at least 5 visits rate was 61.5 % ,institutional delivery rate was 99.7% ,postpartum home visit within 28 days was 37.3% and maternal systematic management rate was 22.2%. The multi- variate regression results showed that child systematic management was positively correlated with postpartum home visit and maternal systematic management respectively （OR=2. 017,95%CI=1. 339-3. 038;OR= 1. 941,95%CI=1. 208-3. 119）. Conclusions Whole course utilization of maternal and child health care service are low among migrants in Foshan city. Postpartum home visit and maternal systematic management are contributing factors of child systematic management,which remind that improving maternal health service utilization is likely to increase child health service utilization.