| Objective Finding out present sanitation condition of reproductive women in the poor area,exploring the equity of health service of reproductive women in Gansu province.(1)Analyzing family sanitation and health of reproductive women in the poor area. (2) Understanding antenatal care and childbearing condition of reproductive women.(3) Analyzing breed level and influenced factors of reproductive women. (4) Analyzing the equity in health service and factors of impact of reproductive women.(5) Analyzing the major factors of impact female health. (6)Supplying baseline data to analyze present sanitation condition of reproductive women in the poor area, meanwhile, providing base to improve health level of female. Methods Adopted the method of multi-stage Stratified Cluster sampling , random drew five county of Gansu province : Zhang Xian county, Li Xian county, Xi He county, Ji Shi-shan county ,An Ding county. Each county was divided into three kinds according to economy level of the every county (best, better, good), each county random drew two countrysides, each countryside random drew three villages, every village cluster sample 300 households, women were investigated through questionnaire. Investigation content including Gynecological disease and condition of receiving medical treatment, childbearing place, prenatal health care, visit of after childbirth and corresponding medical cost ,et al. Expected to survey 7000 reproductive women. Results (1) The proportion of illiteracy and culture of elementary school among reproductive women was 57.40%, per capita pure income of family was 1312.18 Yuan ; living area was 39.20 m~2, Family average population was 4.86.(2) Building card rate of the prenatal health care was 33.32%; average accepts the prenatal check of each pregnant woman was 2.19 times, the rate of after parturition health maintenance was 37.49%.(3) Prevalence rate of the chronic disease was 24.71%, two weeks prevalence rate was 40.28% in equitable index of health. Logistic regression model display: Health status of reproductive women, average family income and distance from medical service to home are risk factor of two weeks sick. Culture degree, health status, average family income and distance of medical service to home were risk factor of chronic disease sick of reproductive age women. (4) The visit rates of two weeks sick was 53.46%. The visit rates of chronic disease sick are 52.30% in health service utilization .(5)Logistic regression model display: The culture degree of reproductive age women more high, the age more older, family income more high and the visit rate of two weeks sick was more high. The culture degree of reproductive women more high, the age more older, health status more bad, average family income more high, distance from medical service to home more near and the visit rate of chronic disease sick was more high. we could obtain that the culture degree of women at reproductive age, heath status, average family income and distance from medical service to home were risk factors of chronic disease sick.(6)Most married women had 2 children(52.22%), but a few women had 3 children(20.12%).Ideal children number of many married women were 2 children. Multiple linear regression display: The more family people, culture degree more bad, average family income more few and women had more children. Conclusion (1) The culture degree and average family income were generally fairly low for reproductive women in poverty-stricken zone of Gansu Province. (2) Prevalence rate of two weeks sick and gynaecopathia were higher in countryside, but each indicator of antenatal care was low in national level.(3) Married women had more children. Culture degree was important effect factor for procreation. (4) Health and utilization of health service were unfair for reproductive women in poverty-stricken zone of Gansu Province. (5) The culture degree, age, health status, average family income and distance from medical service to home were main effect factors of utilization and equity of health service. |
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