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目的:分析孕产妇及其家属获取孕产期保健知识对孕产妇死亡率的影响,探讨提高该地区的孕产期保健知识的有效措施。方法:采用1∶1配对病例对照研究方法,选择孕产妇死亡率较高、人均收入较低、多民族聚居的贵州省内22个项目县中所有在2004年死亡的农村孕产妇与非死亡的孕产妇,应用多因素Logistic回归分析了解获取孕产期保健知识的内容和途径对孕产妇死亡率的影响。结果:被调查地区孕产妇了解孕产期保健知识的比例低于45%。其中,对照组获取孕产期保健知识多于病例组,两组获取知识的内容和途径存在明显差异,病例组获取知识的主要途径是自己的经验和亲朋传说。结论:该地区孕产妇对孕产期保健知识的获取不足,存在信息来源、获取信息的能力、理解信息的程度、宣传方式方法的差异,这些差异影响了孕产妇死亡率。
OBJECTIVE: To analyze the impact of maternal and their family members’ access to maternal health knowledge on maternal mortality and to explore effective measures to improve maternal health knowledge in this area. Methods: A 1: 1 matched case-control study was conducted to select all maternal and non-death maternal deaths in 2004 from 22 project counties inhabited by multi-ethnic groups with high maternal mortality rates and low per capita income Multivariate logistic regression analysis was used to understand the impact of the content and ways of acquiring maternal health knowledge on maternal mortality. Results: The proportion of maternal health knowledge of pregnant women in the surveyed areas was less than 45%. Among them, the control group to obtain more knowledge of maternal health than the case group, the two groups have significant differences in access to knowledge and ways, the case group access to knowledge is the main way of their own experience and friends and relatives. Conclusion: Maternal maternal health knowledge acquisition in this area is not enough, there are sources of information, the ability to obtain information, the level of understanding of information, methods of publicity differences, these differences affect the maternal mortality rate.