Status of Equities in Prenatal Care Utilization and Changing Patterns among Women in China

作     者：Ying-hui LIU Rong-wei YE Jian-meng LIU Ai-guo REN Song LI Zhu LI 

作者机构：Institute of Reproductive and Child Health PekiHg University Beijing 100083 China 

出 版 物：《Journal of Reproduction and Contraception》 (生殖与避孕（英文版）)

年 卷 期：2006年第17卷第3期

页      面：164-169页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

基　　金：Acknowledgement We would like to gratefully acknowledge the leaders and health care professionals at all levels for their work in the operation of Perinatal Health Care Surveillance System in the 13 surveyed areas 

主　　题：prenatal care delivery of health care women 

摘      要：Objective To assess the extent and relative changes of the equities in prenatal care utilization among women with different educational attainment in some areas of China. Methods Data were collected in 13 counties/cities covered by Perinatal Health Care Surveillance System established by Institute of Reproductive and Child Health, Peking University. The study population consisted of 103 704 women who delivered single live births in 1994 and 2000. Chi-square and multiple Logistic regression were employed to compare the administrative rates and relative risks. Concentration index was used to assess the relative changes of equities in prenatal care utilization. SPSS 11.5 and Microsoft Excel 2003 were used for analysis. Results The total systematic management rate was 22.1% in 1994 and 57.4% in 2000. The concentration index was -0.046 in 1994 and 0.066 in 2000. In northern areas, the concentration index increased from 0.015 in 1994 to 0.295 in 2000, while it increased from -0.015 in 1994 to 0.062 in 2000 in southern areas. In rural areas, the concentration index increased from O. 002 in 1994 to 0.026 in 2000, while it decreased from 0.042 in 1994 to 0.019 in 2000 in urban areas. Conclusion Inequities in prenatal care utilization in 2000 become more obvious than in 1994, especially in northern areas. More attention should be paid to solve the inequities.