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目的:了解山东省部分地区农村育龄妇女产前保健利用现况及其影响因素。方法:于2009年9月至2010年1月对山东大学卫生研究基地17个村已婚育龄妇女自2004年9月1日以来最后一次分娩的情况进行面对面问卷调查,采用χ2检验和非条件logistic回归模型对产前保健服务利用的影响因素进行单因素和多因素分析。结果:孕产妇产前检查率为94.11%,孕早期检查率为72.54%,产前检查≥5次的比例为38.37%。孕期产前保健利用不足的比例为69.48%,产前保健利用过度的比例为9.00%。研究对象年龄、家庭人均年收入、离医疗机构距离以及是否第一次分娩是影响产前保健服务利用的相关因素。结论:山东省部分地区农村妇女产前保健服务利用不足的比例较高,建议进一步采取措施提高农村妇女产前保健服务利用程度,以提高孕产妇的健康水平和婴儿的出生质量。
Objective: To understand the status and influencing factors of antenatal care utilization among rural women of childbearing age in some areas of Shandong Province. Methods: From September 2009 to January 2010, face-to-face questionnaires were conducted on the last deliveries of married women of childbearing age in 17 villages of Shandong University Health Research Base since September 1, 2004. Chi-square test and non-conditional logistic Regression model to unicolon and multivariate analysis of factors influencing the utilization of antenatal care. Results: Prenatal checkup rate was 94.11%, early pregnancy checkup rate was 72.54%, prenatal checkup≥5 times was 38.37%. Prenatal care during pregnancy, inadequate utilization of 69.48%, prenatal care overuse ratio of 9.00%. The age of the respondents, the annual per capita income of the family, the distance from the medical institution and whether or not the first delivery is the relevant factor affecting the utilization of antenatal care services. Conclusion: The proportion of prenatal health care in rural areas in Shandong Province is low, suggesting that further measures be taken to improve the utilization of prenatal health care in rural areas so as to improve maternal health and infant birth quality.