Postpartum visits （PPVs） are still underutilized in rural China, and identification of factors that influence PPV use is important in ensuring the utilization of maternal health services and for well- being of women...Postpartum visits （PPVs） are still underutilized in rural China, and identification of factors that influence PPV use is important in ensuring the utilization of maternal health services and for well- being of women. A cross-section study was undertaken to collect related data from 347 rural women in- terviewed six weeks or more after delivery, and an ANOVA was performed to find whether there were significant differences in the number of PPVs among different rural areas in China. According to An- dersen＇s socio-behavioral model of health service use, factors were divided into equitable and inequita- ble ＂ones. Chi-squared test, univariate and multiple analyses were used to determine the equity of PPV use by identifying factors that were most strongly associated with the use of a PPV. The results showed that 20.2% of the respondents （n=70） did not receive any PPVs, and 62.5% （n=173） of those who had PPVs （n=277） did not receive standard PPVs （referring to at least 3 visits）. There was no significant difference among different rural areas in terms of the number of PPVs （F=1.514, P=-0.211）. Multiple re- gression analyses revealed that enabling factors such as compensation for delivery expense [OR （95% CI）=2.825 （1.331, 5.995）], village type [OR （95% CI）=1.802 （1.021, 3.182）] and service quality [OR （95% CI）=1.847 （1.074, 3.176）] were strongly associated with PPV use. Both enabling factors such as home visits [OR （95% CI）=1.855 （1.085, 3.174）], service quality [OR （95% CI）=1.993 （1.155, 3.439）] and need factors such as low birth weight [OR （95% CI）=4.424 （1.482, 13.203）] were significantly as- sociated with standard PPV use. Our results suggested that the equitable access to PPVs has been con- siderably improved in rural areas in China. The associations between inequitable factors and PPV use warrant further exploration, and policies aimed at improving quality and patterns of service supply are needed in order to ensure a full equitable access to maternal health services.展开更多
Objective:Healthcare-seeking behavior(HSB)would affect the prevalence of morbidity and mortality.There are various factors that affect one's HSB.This study aimed to determine if health awareness and lifestyle migh...Objective:Healthcare-seeking behavior(HSB)would affect the prevalence of morbidity and mortality.There are various factors that affect one's HSB.This study aimed to determine if health awareness and lifestyle might relate to HSB.Methods:A cross-sectional study was applied by using three questionnaires to determine par ticipants'health awareness,lifestyle,and HSB.This study took place in Universitas Advent Indonesia and the students were recruited to be par ticipants.Results:There were 39 par ticipants joined in this study.Most of the par ticipants were females,third-year students,and from Accounting major.Almost all participants were aware of their low risk of health issues,had a fine lifestyle,and had moderate HSB.Conclusions:One's urge to seek health care facilities was not related to their health awareness and lifestyle.There was no fur ther study to contradict with this finding at this moment.展开更多
目的了解青年流动人口对公共卫生服务的利用及满意情况,为探寻有效改善该人群公共卫生服务利用的途径提供科学依据。方法采用随机整群抽样的方法,抽取天津市和陕西省西安市青年流动人口1838人进行问卷调查,采用Epi Data 3.02软件进行数...目的了解青年流动人口对公共卫生服务的利用及满意情况,为探寻有效改善该人群公共卫生服务利用的途径提供科学依据。方法采用随机整群抽样的方法,抽取天津市和陕西省西安市青年流动人口1838人进行问卷调查,采用Epi Data 3.02软件进行数据录入,PASW Statistics 17.0软件进行统计分析。结果分别有53.4%和40.6%的青年流动人口接受过健康教育和常规体检服务,其中对生殖健康服务利用率最低(12.3%),满意程度也最低(66.2%),而对计划免疫服务的利用率(77.3%)及满意程度(90.2%)情况均最高,差异有统计学意义(P<0.01)。男性青年流动人口对公共卫生服务的利用率(32.2%)高于女性(27.0%),但女性对服务的满意度(82.1%)高于男性(76.1%),差异有统计学意义(P<0.01)。青年流动人口未利用公共卫生服务的主要原因是感觉不需要(47.6%);不满意的主要原因是收费高(56.3%)及服务态度不好(29.6%)。结论青年流动人口对公共卫生服务利用不足,应提高该人群对公共卫生服务的认识,并探索适宜的服务机制,提升公共卫生服务质量,促进其对公共卫生服务的利用。展开更多
基金supported by the National Natural Science Foundation of China(No.71273097)
文摘Postpartum visits （PPVs） are still underutilized in rural China, and identification of factors that influence PPV use is important in ensuring the utilization of maternal health services and for well- being of women. A cross-section study was undertaken to collect related data from 347 rural women in- terviewed six weeks or more after delivery, and an ANOVA was performed to find whether there were significant differences in the number of PPVs among different rural areas in China. According to An- dersen＇s socio-behavioral model of health service use, factors were divided into equitable and inequita- ble ＂ones. Chi-squared test, univariate and multiple analyses were used to determine the equity of PPV use by identifying factors that were most strongly associated with the use of a PPV. The results showed that 20.2% of the respondents （n=70） did not receive any PPVs, and 62.5% （n=173） of those who had PPVs （n=277） did not receive standard PPVs （referring to at least 3 visits）. There was no significant difference among different rural areas in terms of the number of PPVs （F=1.514, P=-0.211）. Multiple re- gression analyses revealed that enabling factors such as compensation for delivery expense [OR （95% CI）=2.825 （1.331, 5.995）], village type [OR （95% CI）=1.802 （1.021, 3.182）] and service quality [OR （95% CI）=1.847 （1.074, 3.176）] were strongly associated with PPV use. Both enabling factors such as home visits [OR （95% CI）=1.855 （1.085, 3.174）], service quality [OR （95% CI）=1.993 （1.155, 3.439）] and need factors such as low birth weight [OR （95% CI）=4.424 （1.482, 13.203）] were significantly as- sociated with standard PPV use. Our results suggested that the equitable access to PPVs has been con- siderably improved in rural areas in China. The associations between inequitable factors and PPV use warrant further exploration, and policies aimed at improving quality and patterns of service supply are needed in order to ensure a full equitable access to maternal health services.
文摘Objective:Healthcare-seeking behavior(HSB)would affect the prevalence of morbidity and mortality.There are various factors that affect one's HSB.This study aimed to determine if health awareness and lifestyle might relate to HSB.Methods:A cross-sectional study was applied by using three questionnaires to determine par ticipants'health awareness,lifestyle,and HSB.This study took place in Universitas Advent Indonesia and the students were recruited to be par ticipants.Results:There were 39 par ticipants joined in this study.Most of the par ticipants were females,third-year students,and from Accounting major.Almost all participants were aware of their low risk of health issues,had a fine lifestyle,and had moderate HSB.Conclusions:One's urge to seek health care facilities was not related to their health awareness and lifestyle.There was no fur ther study to contradict with this finding at this moment.
文摘目的了解青年流动人口对公共卫生服务的利用及满意情况,为探寻有效改善该人群公共卫生服务利用的途径提供科学依据。方法采用随机整群抽样的方法,抽取天津市和陕西省西安市青年流动人口1838人进行问卷调查,采用Epi Data 3.02软件进行数据录入,PASW Statistics 17.0软件进行统计分析。结果分别有53.4%和40.6%的青年流动人口接受过健康教育和常规体检服务,其中对生殖健康服务利用率最低(12.3%),满意程度也最低(66.2%),而对计划免疫服务的利用率(77.3%)及满意程度(90.2%)情况均最高,差异有统计学意义(P<0.01)。男性青年流动人口对公共卫生服务的利用率(32.2%)高于女性(27.0%),但女性对服务的满意度(82.1%)高于男性(76.1%),差异有统计学意义(P<0.01)。青年流动人口未利用公共卫生服务的主要原因是感觉不需要(47.6%);不满意的主要原因是收费高(56.3%)及服务态度不好(29.6%)。结论青年流动人口对公共卫生服务利用不足,应提高该人群对公共卫生服务的认识,并探索适宜的服务机制,提升公共卫生服务质量,促进其对公共卫生服务的利用。
