京沪文化环境对妇保领域的支撑程度

The support capacity of cultural atmosphere for maternal healthcare both in Beijing and Shanghai

目的浅析京沪文化环境对妇保领域的支撑程度,分析其与孕产妇死亡率的相关性,检验基于文化环境的支撑程度评价妇保工作效果的可行性。方法利用中国知网(CNKI)收集京沪两地不同年份的居民健康素养水平、发表的研究文献,系统收集所有涉及京沪两地妇保工作的政策文件,综合量化文化环境的支撑程度。运用Spearman相关、线性回归分析文化环境支撑程度与孕产妇死亡率之间的关系。结果从2000-2017年,北京市妇保领域文化环境的支撑程度由37. 2%上升至62. 1%,上海市则由28. 0%上升至46. 5%。相关与回归分析结果显示,京沪文化环境支撑程度对孕产妇死亡率的影响均呈显著负相关,其中北京的相关系数为-0. 535,上海的为-0. 725。结论京沪两地文化环境的支撑程度均有改善,且对推动妇保工作的开展已初现效果,但各方全方位协同的氛围尚未形成。适宜的妇保体系应各方高度认可公共卫生价值,且形成共建共享的氛围。验证了量化评价文化氛围的支撑程度具有可行性。

Objective To briefly analyze the support capacity of cultural atmosphere(SCCA)for maternal and child healthcare(MCH)both in Beijing and Shanghai,and to explore the relationship between SCCE and maternal mortality rate(MMR),and finally to test the feasibility of using SCCE in assessing maternal and child healthcare.Methods China Knowledge Network(CNKI)was retrieved for literatures of health literacy levels of the residents in Beijing and Shanghai in different years and all the policy documents on MCH work in Beijing and Shanghai were collected to comprehensively quantify SCCA.Spearman correlation and linear regression were used to analyze the relationship between SCCA and MMR.Results The SCCA for MCH of Beijing increased from37.2%to 62.1%during 2000 and 2017.During the same period,the SCCA for MCH of Shanghai increased from28.0%to 46.5%.Correlation and regression analysis indicated that there was a negative correlation between SCCA and MMR.The correlation coefficients were-0.535 for Beijing and-0.725 for Shanghai with significance.Conclusions The SCCA for both Beijing and Shanghai has improved much,which plays a significant impact on MCH,yet the all-sided cooperation has not yet taken shape.Appropriate MCH system should be based on full recognition of public health value by all parties and a co-constructive and sharing platform.Meanwhile,the qualitative assessment of support capacity of cultural atmosphere is verified to be feasible.