Abstract：Objective To explore the utilization and changes of equity in prenatal care services among women in 15 provinces of China during 1990-2015, in order to provide evidence and suggestions for further improving the equity of prenatal care services.Methods This study was conducted based on the China Health and Nutrition Survey (CHNS) database from 1990 to 2015. All women surveyed from 1990 to 2015 were included in the study. The evaluation index was the proportion of women with at least 5 prenatal visits. Logistic regression was used to analyze the factors affecting the proportion of women with at least 5 prenatal visits, and the equality was analyzed using range method and concentration index method.Results From 1990 to 2015, the proportion of women with at least 5 prenatal visits increased from 12.98% to 59.68%. Logistic regression showed that the proportion of women with at least 5 prenatal visits in urban areas was higher than that of rural areas. With the increase of educational level and family income, the proportion of women with at least 5 prenatal visits also showed an upward trend. The analysis of range method and concentration index method showed that the equality of the proportion of women with at least 5 prenatal visits increased first and then decreased during 1990-2015, and the contribution of region and educational level to the inequality increased.Conclusion With the improvement of social-economic level, the proportion of women with at least 5 prenatal visits showed an upward trend, and the National Basic Public Health Service plays a promoting role in the improvement of the equality. In the process of continuous promotion of Basic Public Health Services in the future, attention should be paid to the differences between urban and rural areas, and health education should be strengthened among all women, so as to improve service coverage and equality by raising health awareness.
刘雅倩, 冯星淋. 中国15省孕妇产前检查服务利用公平性及其变化[J]. 中国生育健康杂志, 2022, 33(5): 401-406.
LIU Yaqian, FENG Xinglin. Status and relative changes of equality of antenatal cares among women in 15 provinces in China. Chinese Journal of Reproductive Health, 2022, 33(5): 401-406.
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