摘要
目的分析兰州市孕妇母婴健康素养状况及其影响因素,为预防和减少孕期相关疾病的发生、保证母婴健康、拟定与实施积极有效的干预措施提供依据。方法设计调查问卷,对2017年1月-2017年4月在甘肃省妇幼保健院门诊建卡并计划住院分娩的孕妇进行问卷调查。结果调查发现该研究对象母婴健康素养测评中母婴基本知识正确率为48. 04%,婴幼儿知识正确率为36. 25%;其中孕晚期孕妇对母婴健康素养各部分的知晓情况明显高于孕早期和孕中期者,并随着孕期的后移孕妇母婴健康素养各部分知晓率均呈上升趋势;同时发现该人群偏向生活常识性母婴基本知识和婴幼儿知识的知晓率明显较高,偏向具备生理指标性婴幼儿知识的知晓率最差。影响该人群母婴健康素养的因素主要有孕周、年收入、文化程度及年龄,其中收入水平和文化程度是制约该人群得到良好健康素养的重要原因。结论兰州市孕妇的母婴健康素养水平整体较低,不同怀孕阶段的孕妇对母婴健康素养各部分的知晓情况存在差异,应对孕妇实施全面的健康素养教育,且要在不同孕期建立针对性的干预方案,进而促进该人群健康水平的提升及预防相关孕期疾病。
Objective Through analyzing the status of maternal and infant health literacy and its influencing factors in pregnant women in Lanzhou City,to provide the basis for preventing and reducing the incidence of maternal and infant diseases.Ultimately,to improve the health of maternal and infant by formulating and implementing active and effective intervention measures.Methods Questionnaire was designed to conduct a survey on pregnant women who set up card and planned hospital delivery in Maternal and Child Health(MCH)Clinic in Gansu Province from January to April 2017.Results The survey found that the correct rate of maternal and infant basic knowledge in maternal and infant health literacy assessment was 48.04%and the correct rate of infants and toddlers was 36.25%.Among them,the third trimester pregnant women’s awareness of various parts of maternal and infant health literacy was significantly higher than that of early pregnancy and second trimester.With pregnancies progressed to later stages,pregnant women’s awareness of maternal and infant health literacy in general showed an upward trend in various aspects.It was also found that the awareness rate of maternal and infant basic knowledge was clearly high in this surveyed population.In contrast,the awareness rate of biologically-oriented infant’s knowledge was the worst.The main influencing factors in this group are gestational age,annual income,educational level and pregnant age.Among them,the income and educational levels are the main reasons that limit the awareness of maternal and infant health literacy.Conclusion The level of maternal and infant health literacy of pregnant women in Lanzhou is low as a whole.There are differences in the awareness of different parts of maternal and infant health literacy,as well as in different stages of pregnancy,among pregnant women.It is necessary to carry out a comprehensive health literacy education and to establish targeted education Intervention programs for pregnant women in order to further improve the health of the population and to prevent related pregnancy diseases.
作者
陈洁
谈笑
陆一鸣
张格祥
CHEN Jie;TAN Xiao;LU Yi-Ming(School of Public Health,Lanzhou University,Lanzhou,Gansu 730000,China)
出处
《中国妇幼保健》
CAS
2019年第17期4049-4052,共4页
Maternal and Child Health Care of China
基金
甘肃省卫生行业科研计划项目(GSWSKY2017-53)
关键词
怀孕阶段
母婴
健康素养
现状调查
影响因素
Stage of pregnancy
Maternal and infant
Health literacy
Prevalence study
Influencing factors
