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.
journal_name
Asia Pac J Public Healthjournal_title
Asia-Pacific journal of public healthauthors
Tang M,Wang D,Hu H,Wang G,Li Rdoi
10.1177/1010539513487011subject
Has Abstractpub_date
2015-03-01 00:00:00pages
NP1389-97issue
2eissn
1010-5395issn
1941-2479pii
1010539513487011journal_volume
27pub_type
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