Regional differences of maternal health care utilization in China.

Abstract:

OBJECTIVE:To describe regional differences in maternal health care (MHC) utilization in China. STUDY DESIGN:Cross-sectional comparisons of 4 MHC utilization indicators, namely, early (13 weeks within pregnancy) examinations rate (EER), prenatal examination (>4 times) rate (PER), hospital delivery rate (HDR), and postnatal visit (>1 time) rate (PVR), using index of dissimilarity (ID), linear correlation analysis, and geographical mapping. RESULTS:Significant differences existed across regions in all the indicators (P < .01). All the IDs for rural areas were higher than that for urban areas. The IDs for major regions ranged from 0.01 to 0.27. Linear correlation coefficients between MHC utilization indicators by regions varied from 0.007 to 0.889 (in absolute value, P < .05). Characteristic formats of geographical distribution were found with PER, EER, HDR, and PVR being in "high-plateau," "low-plateau," and "shifting" patterns, respectively. CONCLUSIONS:There exist substantial regional discrepancies in MHC utilization in China and future MHC-related policies should take account regional context.

authors

Tang M,Wang D,Hu H,Wang G,Li R

doi

10.1177/1010539513487011

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

NP1389-97

issue

2

eissn

1010-5395

issn

1941-2479

pii

1010539513487011

journal_volume

27

pub_type

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