妇女再生育孕前保健服务利用意愿的影响因素分析

Influencing factors of intention to utilize preconception health care services among women with future pregnancy plan

【目的】了解妇女再生育孕前保健服务利用意愿的影响因素,为促进再生育意向人群的孕前保健服务利用意愿提供建议。【方法】于2020年11月—2021年2月对上海市嘉定区8家孕产保健机构就诊的有再生育意向的妇女进行电子问卷调查。【结果】再生育孕前保健服务利用意愿与既往优生行为有关联,既往优生行为得分较高的妇女相对于得分较低者,其将来有再生育计划时利用孕前保健服务的意愿更强(OR=1.980,95%CI为1.061~3.694,P=0.032);既往优生行为与孕前优生知识有关联,孕前优生知识得分较高的妇女相对于知识得分较低者,其优生行为得分更高(OR=1.362,95%CI为1.004~1.846,P=0.047)。【结论】为提高再生育意向人群的孕前保健意愿,需进一步加强健康教育和社会动员,提高人群孕前优生知识水平,提高计划妊娠率和优生行为。

[Objective]To understand the influencing factors of women’s intention to utilize preconception health care services,so as to promote the utilization of preconception care among women with future pregnancy plan.[Methods]The study was conducted at 8 outpatient health clinics of medical institutions providing perinatal health care in Jiading District of Shanghai. Women who had fertility intention for another child were invited to complete an electronic questionnaire from November 2020 to February 2021.[Results]Women with better pregnancy and birth care behaviors during the last periconception were more likely to utilize preconception care service before the next conception than those with previous poorer behaviors(OR=1.980,95%CI= 1.061-3.694,P=0.032). Women with higher preconception care knowledge scores had better pregnancy and birth care behaviors during the last periconception than those with lower knowledge scores(OR=1.362,95%C1= 1.004-1.846,P=0.047).[Conclusions]In order to improve the utilization of preconception care among the population with future pregnancy plan,it is necessary to further strengthen health education and social mobilization to promote the preconception eugenic knowledge,planned pregnancy and pregnancy and birth care behaviors.