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目的了解成都市婚前医学检查的现状和婚检影响因素,为提高成都市婚前医学检查率提供决策依据。方法对成都市城乡355名孕妇婚检情况进行面对面问卷调查,采用Epidate3.0建立数据库,运用SAS-9.3进行logistic回归分析,并采用广义估计方程对未婚检原因进行分析。结果成都市孕妇总体婚前医学检查率为51.00%,丈夫婚检率为36.50%。通过Logistic回归分析发现,孕妇学历和计划怀孕与参与婚检的相关系数分别为β学历=0.51(P=0.000)和β计划=1.07(P=0.006)。孕妇未进行婚前医学检查的主要原因顺位为:未强制婚检、认为自己健康、意外怀孕。结论成都市婚前医学检查实施情况一般,高学历和计划怀孕是孕妇婚检的促进因素,孕妇未接受婚检主要原因为未强制婚检、认为自己健康、意外怀孕。
Objective To understand the status quo of premarital medical examination and factors affecting premarital examination in Chengdu and provide decision-making basis for improving premarital medical examination rate in Chengdu. Methods The premarital questionnaire survey was conducted among 355 pregnant women in urban and rural areas in Chengdu. Epidate 3.0 was used to establish the database. SAS-9.3 was used for logistic regression analysis. The generalized estimation equation was used to analyze the causes of premarital pregnancy. Results The overall premarital medical examination rate of pregnant women in Chengdu was 51.00%, and the rate of premarital husbands was 36.50%. Logistic regression analysis found that the correlation coefficient of pregnancy education and planned pregnancy and participation in premarital examination were β education = 0.51 (P = 0.000) and β planning = 1.07 (P = 0.006), respectively. The main reason why pregnant women did not conduct premarital medical examination is: no compulsory premarital examination, that they are healthy and have unwanted pregnancies. Conclusion The implementation of premarital medical examination in Chengdu is general. The highly educated and planned pregnancy are the promoting factors of premarital examination. The main reason that pregnant women did not undergo premarital examination is that they did not compulsory premarital examination and considered themselves healthy and unwanted pregnancies.