Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China

Abstract Background Reasonable use of antenatal care (ANC) services by pregnant women played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. This study aimed to investigate the ANC use, and to explore th...

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Main Authors: Xue Tang, Lulu Ding, Yuejing Feng, Yi Wang, Chengchao Zhou
Format: Article
Language:English
Published: BMC 2019-10-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12884-019-2520-3
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author Xue Tang
Lulu Ding
Yuejing Feng
Yi Wang
Chengchao Zhou
author_facet Xue Tang
Lulu Ding
Yuejing Feng
Yi Wang
Chengchao Zhou
author_sort Xue Tang
collection DOAJ
description Abstract Background Reasonable use of antenatal care (ANC) services by pregnant women played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. This study aimed to investigate the ANC use, and to explore the factors associated with ANC use among migrant women during the first delivery in China. Methods This study used the data of National Health and Family Planning Commission of People Republic of China in 2014. A total of 1505 migrant primiparous women were included in our current analysis. Frequencies and proportions were used to describe the data. Chi-square tests and multivariate binary logistic regression models were performed to explore the determinants that affect the number of times migrant women used ANC during their first delivery. Results Of the 1505 participants, 279 (18.54%) women received the ANC less than 5 times, and 1226 (81.46%) women used the ANC at least 5 times during the first delivery. The multivariate logistic regression model showed that migrant primiparous women with college and above education(P < 0.05;OR = 2.57;95%CI = 1.19–5.55), from the households with higher monthly income (P < 0.01;OR = 2.01;95%CI = 1.30–3.13), covered by maternity insurance(P < 0.01;OR = 2.01;95%CI = 1.28–3.18), with maternal health records (P < 0.001;OR = 2.44;95%CI = 1.61–3.69), migrating across county (P < 0.05;OR = 2.57;95%CI = 1.14–5.81), having migration experience before pregnancy(P < 0.05;OR = 1.37;95%CI = 1.03–1.81) were more likely to use ANC for at least five times. Conclusions This study demonstrated that there were still some migrant maternal women (18.54%) who attended the ANC less than 5 times. Targeted policies should be developed to improve the utilization of ANC among migrant pregnant women.
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spelling doaj.art-511365c3d74244399a9f8af83a2571462022-12-21T23:10:07ZengBMCBMC Pregnancy and Childbirth1471-23932019-10-0119111010.1186/s12884-019-2520-3Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in ChinaXue Tang0Lulu Ding1Yuejing Feng2Yi Wang3Chengchao Zhou4School of Public Health, Shandong University; NHC Key Laboratory of Health Economics and Policy Research (Shandong University)School of Public Health, Shandong University; NHC Key Laboratory of Health Economics and Policy Research (Shandong University)School of Public Health, Shandong University; NHC Key Laboratory of Health Economics and Policy Research (Shandong University)School of Public Health, Shandong University; NHC Key Laboratory of Health Economics and Policy Research (Shandong University)School of Public Health, Shandong University; NHC Key Laboratory of Health Economics and Policy Research (Shandong University)Abstract Background Reasonable use of antenatal care (ANC) services by pregnant women played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. This study aimed to investigate the ANC use, and to explore the factors associated with ANC use among migrant women during the first delivery in China. Methods This study used the data of National Health and Family Planning Commission of People Republic of China in 2014. A total of 1505 migrant primiparous women were included in our current analysis. Frequencies and proportions were used to describe the data. Chi-square tests and multivariate binary logistic regression models were performed to explore the determinants that affect the number of times migrant women used ANC during their first delivery. Results Of the 1505 participants, 279 (18.54%) women received the ANC less than 5 times, and 1226 (81.46%) women used the ANC at least 5 times during the first delivery. The multivariate logistic regression model showed that migrant primiparous women with college and above education(P < 0.05;OR = 2.57;95%CI = 1.19–5.55), from the households with higher monthly income (P < 0.01;OR = 2.01;95%CI = 1.30–3.13), covered by maternity insurance(P < 0.01;OR = 2.01;95%CI = 1.28–3.18), with maternal health records (P < 0.001;OR = 2.44;95%CI = 1.61–3.69), migrating across county (P < 0.05;OR = 2.57;95%CI = 1.14–5.81), having migration experience before pregnancy(P < 0.05;OR = 1.37;95%CI = 1.03–1.81) were more likely to use ANC for at least five times. Conclusions This study demonstrated that there were still some migrant maternal women (18.54%) who attended the ANC less than 5 times. Targeted policies should be developed to improve the utilization of ANC among migrant pregnant women.http://link.springer.com/article/10.1186/s12884-019-2520-3Antenatal careTimesDeterminantsMigrant maternalFirst delivery
spellingShingle Xue Tang
Lulu Ding
Yuejing Feng
Yi Wang
Chengchao Zhou
Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China
BMC Pregnancy and Childbirth
Antenatal care
Times
Determinants
Migrant maternal
First delivery
title Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China
title_full Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China
title_fullStr Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China
title_full_unstemmed Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China
title_short Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China
title_sort antenatal care use and its determinants among migrant women during the first delivery a nation wide cross sectional study in china
topic Antenatal care
Times
Determinants
Migrant maternal
First delivery
url http://link.springer.com/article/10.1186/s12884-019-2520-3
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AT yuejingfeng antenatalcareuseanditsdeterminantsamongmigrantwomenduringthefirstdeliveryanationwidecrosssectionalstudyinchina
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