摘要
目的 描述 1993～ 1996年我国南方 2 1个县围生保健服务利用公平性及其时间变化趋势。 方法 用极差法对 1993～ 1996年围生保健监测数据中 19730 8名不同教育程度孕产妇的早孕期检查率、孕期有效检查率、住院分娩率以及全程产后访视率进行分析。 结果 1993年初等教育程度者早孕期检查率、孕期有效检查率、住院分娩率及全程产后访视率分别为 5 3.4 %、 76 .5 %、98.8%、 94 .3% ,高等教育程度者分别为 5 5 .5 %、 87.8%、 99.8%、 82 .9% ,二者的率差( RD)分别为 2 .1%、 11.3%、 1.0 %、 - 11.4 % ;1996年初等教育程度者早孕期检查率、孕期有效检查率、住院分娩率及全程产后访视率分别为 6 5 .1%、 86 .8%、 99.6 %、 94 .8% ,高等教育程度者为 73.7%、 94 .0 %、 99.8%、 74 .7% ,RD分别为 8.6 %、 7.2 %、 0 .2 %、- 2 0 .1%。 结论 1993～ 1996年研究地区不同教育程度者围生保健服务利用存在差异 ;教育程度越高 ,产前和产时保健利用率越高 ,产后保健利用率越低 ;产前和产时保健公平性逐年提高 。
Objective To describe the extent and the trends over time of the equity in perinatal health care in 21 southern counties from 1993 to 1996. Methods Perinatal health surveillance data of 197 308 subjects between 1993 and 1996 were analyzed and the range was used to measure the equity. Results In 1993,the rate of examining in first trimester of pregnancy,the rate of effective pregnancy examining,the rate of delivery in hospital,and the rate of postpartum visiting were 53 4 %,76 5 %,98 8 %,and 94 3 % respectively for the basic education level group,while they were 55 5 %,87 8 %,99 8 %,and 82 9 % for the highest education level group in turn,and the rate differences (RD) between top and bottom education level groups were 2 1 %,11 3 %, 1 0 %, and -11 4 % respectively.In 1996,the four rates analyzed in our study were 65 1 %, 86 8 %, 99 6 %,and 94 8 % respectively for the basic education level group,while they were 73 7 %, 94 0 %, 99 8 %,and 74 7 % for the highest education level group in turn,and RDs were 8 6 %, 7 2 %, 0 2 %,and -20 1 %. Conclusion From 1993 to 1996,there were inequalities in perinatal health care utilization in study areas.The utility rates of antepartum and intrapartum care were higher among better educated groups,while the utilization of postpartum care decreased with education level improving.It is indicated that the equity in antepartum and intrapartum care was improving with time,while the equity in postpartum care decreased during study period.
出处
《中国生育健康杂志》
2003年第1期21-24,共4页
Chinese Journal of Reproductive Health
关键词
围生保健
公平性
变化趋势
Perinatal health care
Equity
Trends over time
