孕产妇获取母婴保健信息的行为偏好研究

Preferences for Acquiring Maternal and Infant Health Information in Pregnant Women and Parturients

背景妇幼健康促进是妇女儿童健康素养提升计划的重点,已被列入健康中国行动。传播母婴健康知识,培养健康行为和生活方式,是提高孕产妇健康素养的具体举措。目的 分析孕产妇获取母婴保健信息的偏好,为有效开展母婴保健服务工作提供参考。方法 对2016年11月-2017年8月在太原市3家医疗机构门诊就诊的1 100例孕产妇进行横断面调查。从获取信息的途径、形式、时间、地点多个角度识别孕产妇获取母婴保健信息的偏好。结果 共收回问卷1 048份,问卷有效回收率为95.27%。孕产妇实际利用最多的途径是手机(768例,73.28%)、产检医生(503例,48.00%)、电脑网络(474例,45.23%)。孕妇学校、产检医生和社区医务人员的期望利用率高于实际利用率,电脑网络、手机、人际途径期望利用率低于实际利用率。孕产妇选择母婴保健信息主要考虑是否可靠(620例,59.16%)、需要(533例,50.86%)、方便(473例,45.13%)。结论 孕产妇目前利用的信息获取途径与期望存在差异,可靠且方便是孕产妇获取母婴保健信息最关注的特征,提示母婴保健信息系统应重视这两方面的建设。

Background The promotion of maternal and infant health is a priority for National Action Plan to Improve Women and Children’ Health Literacy,and is also a measure for achieving Health China goals.Disseminating maternal and infant health information,and developing healthy behaviors and life styles,are specific initiatives for increasing health literacy in pregnant women and parturients.Objective To identify the preferences for acquiring maternal and infant health information in pregnant women and parturients,providing a reference for effective delivery of maternal and infant healthcare services.Methods A cross-sectional study was conducted in 1 100 pregnant women and parturients seeking outpatient healthcare in 3 hospitals in Taiyuan from November 2016 to August 2017 for exploring their preferred ways,forms,time and sites for acquiring maternal and infant health information.Results A total of 1 048 cases returned responsive questionnaires,achieving a response rate of 95.27%.The ways most frequently used to get maternal and infant health information were searching the web from mobile devices(768,73.28%),consulting physicians delivering antepartum care(503,48.00%),and searching the web from computers(474,45.23%).The rates of expected utilization of maternal school,consulting physicians delivering antepartum care,and consulting community healthcare workers were higher than those of actual utilization,while rates of expected utilization of computers and mobile phones to search the web,and interpersonal channels were lower than those of actual utilization.Maternal and infant health information is mainly selected according to levels of reliabilit(y620,59.16%),need(533,50.86%) and access convenienc(e473,45.13%).Conclusion The information acquisition methods currently used by pregnant women differ from their expectations,and reliability and access convenience of information are the most concerned issues among pregnant women and parturients during acquiring maternal and infant health information.Therefore,the construction of maternal and infant health information system should attach importance to these two aspects.