Abstract:Objective To understand current status of periconceptional health care and satisfaction towards the service among floating childbearing age women. Methods Using data from reproductive health survey of floating population from five cities in 2005, we analyzed the distributions of periconceptional health care services and perceived satisfaction among floating women. Results Among 5 399 cases with valid questionnaires, 41.1% of floating women received periconceptional health care in the inflow areas. Among them, 63.3% satisfied with the service. Self-rated health status as “fair” (OR=1.79, 95% CI:1.43-2.25) or “poor” (OR=1.87, 95% CI: 1.10-3.16), without being checked family planning certificate (OR=1.63, 95% CI: 1.20-2.22), not attending outreach activities (OR=1.28, 95% CI: 1.04-1.57), seeking examination by themselves (OR=1.54, 95% CI: 1.22-1.94), self-payment for the examination (OR=1.36, 95% CI: 1.08-1.72), bad service attitude (OR=2.33, 95% CI:1.81-2.99), and poor facilities and circumstance (OR=1.54, 95% CI: 1.20-1.97) were associated with the odd of dissatisfaction. Conclusion Several personal and service-related factors were identified to be associated with dissatisfaction with preconceptional care services. Combining family planning service and periconceptional health care, actively promoting the social integration among floating women of childbearing age, and providing favorable and professional service may help improve service satisfaction.
王欣, 刘鸿雁, 武继磊, 朱琳, 裴丽君. 中国五城市流动育龄妇女围孕保健服务满意度影响因素研究[J]. 中国生育健康杂志, 2015, 26(1): 1-6.
WANG Xin, LIU Hongyan, WU Jilei, ZHU Lin, PEI Lijun. Factors associated with satisfaction of periconceptional health care among floating women in five cities of China. Chinese Journal of Reproductive Health, 2015, 26(1): 1-6.
1 Liu HY,Guo DP. The Chinese floating population reproductive health survey report. Beijing: China Population and Development Research Center,2005,1-49. 2 Posner SF,Johnson K,Parker C,et al. The national summit on preconception care: a summary of concepts and recommendations. Matern Child Health J,2006,10:S197-205. 3 Oliver RL,Swan JE.Equity and disconfirmation perceptions as influence on merchant and product satisfaction.J Consum Res,1989,116: 372-393. 4 刘艳,刘启兰,胡娅莉,等. 江苏省26803例围生儿出生缺陷监测. 中国生育健康杂志,2010,21: 152-154. 5 周萍. 2004-2008年薛城区孕前医学检查与出生缺陷分析. 中国生育健康杂志,2010,21: 176-177. 6 Jack BW,Culpepper L. Preconception care:Risk reduction and health promotion in preparation for pregnancy. JAMA. 1990,264: 1147-1149. 7 House of Commons Health Committee. Maternity services: preconcep2tion. Health Committee fourth report. London,HMSO,1991. 8 Czeizel AE. Ten years of experience in periconceptional care. Eur J Obstet Gynecol Reprod Biol,1999,84:43-49. 9 陈功,宋新明,王海涛,等. 孕前保健的效果和收益. 中国计划生育学杂志,2006,14: 657-659. 10 钟兴明,韦相才,张迪,等. 广州、深圳市流动人口生殖健康服务利用影响因素分析. 中国妇幼保健,2013,28: 3135-3139. 11 郑晓瑛,宋新明. 提高出生人口素质的孕前围孕保健模式的再讨论. 人口与发展,2012,18: 56-60. 12 高明. 新时期流动人口计划生育管理研究—以南通市为例. 苏州: 苏州大学,2011. 13 崔岩. 流动人口心理层面的社会融入和身份认同问题研究. 社会学研究,2012,141-160. 14 王胜今,许世存. 流入人口社会融入感的结构与影响因素分析—基于吉林省的调查数据. 人口研究,2013,35: 5-14. 15 刘静. 流动人口基本公共服务均等化研究一以杭州巿为例. 杭州: 浙江大学,2012.