1. Internal migration and maternal health service utilisation in Jiangsu, China.
- Author
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Gu, Hai, You, Hua, Ning, Weiqing, Zhou, Hua, Wang, Jianming, Lu, Ying, Sun, Jun, Kou, Yun, and Dong, Hengjin
- Subjects
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UTILIZATION of maternal health services , *INTERNAL migration , *MATERNAL health services , *LOGISTIC regression analysis , *POSTPARTUM depression , *CHI-squared test , *FAMILIES , *NOMADS , *PRENATAL care , *CROSS-sectional method , *PATIENTS' attitudes - Abstract
Objectives: To investigate the use of maternal health care services by internal migrants in view of their migration status.Methods: Cross-sectional household survey in two cities of Jiangsu Province. Questions elicited data on socioeconomic information and MHC service use (pre-natal examination, post-natal visit, pre-natal health education). Chi-square tests and multivariate logistic regression analyses were used to identify factors associated with MHC service use.Results: A total of 946 married women were recruited, of whom 22.3% were internal migrants. Compared to local residents, migrants were five times less likely to attend pre-natal examinations (84.4% vs. 91.7%; OR = 0.49, P = 0.002), three times less likely to have post-natal visits (15.6% vs. 50.2%; OR = 0.18, P < 0.001) and less likely to attend health education during pregnancy (87.0% vs. 95.7%; OR = 0.30, P < 0.001). Multivariate logistic regression also revealed a lower proportion of MHC use among migrants (ORm 0.52, 0.16, and 0.3, respectively).Conclusions: Internal migrants in Jiangsu Province underuse MHC services to a significant degree. More attention needs to be paid to pregnant migrant women, as they are vulnerable group in society. [ABSTRACT FROM AUTHOR]- Published
- 2017
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