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目的了解农村已婚妇女社会性别意识的认知程度、家庭事务决策状况及其对孕产期保健服务利用的影响。方法在新疆维吾尔族自治区和安徽省项目县中,采用整群随机抽样方法获得调查对象,由调查员对其进行面对面问卷调查。结果65.7%的农村已婚妇女社会性别意识得分≤19分,对社会性别意识的认知程度不高;79.3%家庭事务决策权得分≤18分,女性在家庭中处于从属地位;55.7%在孕期进行产前检查,在做过产前检查的妇女中,34.3%接受过≥5次的产前检查;64.0%在孕早期进行第1次产前检查;调查对象的住院分娩率为55.1%;对社会性别意识的认识、对家庭事务的决策程度及其文化程度是影响妇女孕产期保健服务利用的主要因素。结论新疆、安徽省项目地区农村已婚妇女社会性别意识较弱,家庭事务决策权较低下,孕产期保健服务利用不高。
Objectives To understand the level of awareness of married women in rural areas of gender awareness, family affairs decision-making and its impact on the utilization of maternal health services. Methods In the Xinjiang Uygur Autonomous Region and the project counties in Anhui Province, a cluster random sampling method was used to obtain the surveyed persons. The investigators conducted a face-to-face questionnaire survey. Results 65.7% of married women in rural areas had a gender-responsive score of ≤19, a low awareness of gender awareness, 79.3% of family affairs decision-making scores of ≤18, and women were subordinate in the family and 55.7% Prenatal care was performed on 34.3% of prenatal women who did prenatal care; prenatal care was done at ≥5 times in 64.3%; first prenatal care was done in early pregnancy; and hospital delivery rate was 55.1% Recognition of gender awareness, decision-making on family affairs and their educational level are the main factors affecting the utilization of women’s maternal health services. Conclusion Married women in rural areas of Xinjiang and Anhui Province have less gender awareness, lower decision-making power in family affairs, and less utilization of health care during pregnancy and childbirth.