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Predictors of antenatal health service utilization among left-behind wives of male outmigrants:Evidence from Patna District,India

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Asian pacific Journal of Reproduction 2023年第5期12卷 220-228页

作者： Fahad Afzal Arindam Das Research Wing-A IIHMR UniversityJaipurRajasthanIndia Institute of Health Management IIHMR UniversityJaipurRajasthanIndia

Objective:To analyze the sociological support system available for left-behind wives of male outmigrants and develop a model that predicts the antenatal care(ANC)services ***:A cross-sectional survey was conducted in rural regions of the Patna district,*** sample size(n=328)was estimated using Cochran’s *** parameters of the social support system were identified(autonomy,spousal support,family support,social circle support,and government support).The score for each was calculated as a composite score using multiple variables;these served as independent *** respondents were categorized as efficient and non-efficient users of ANC service based on established ***:The regression results showed that four out of five social parameters had a significant effect on ANC *** support was the strongest predictor(standardized regression coefficient β=0.57,OR 1.16,95%CI 1.08-1.79,P=0.007).Government support was found to be the second strongest predictor(β=0.40,OR 1.49,95%CI 1.04-2.14,P=0.027),followed by family support(β=0.31,OR 1.36,95%CI 1.23-2.57,P=0.034)and autonomy(β=0.11,OR 1.32,95%CI 1.11-2.26,P=0.030).The social circle support was found to be non-significant in predicting ANC behavior(P>0.05).Conclusions:The policymakers could focus on the identified predictors to strengthen and modify the existing policies for leftbehind wives of male *** need of the hour is a strategic intervention for behavioral modification of not only the left-behind wives but also their family members along with reinforcement of the existing social-security *** strategy we suggest is to launch an awareness campaign focusing on husbands(male outmigrants)and family members.

关键词： Antenatal health Reproductive behavior Antenatal care utilization South-East Asia left-behind wife

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