Chinese General Practice ›› 2020, Vol. 23 ›› Issue (10): 1305-1310.DOI: 10.12114/j.issn.1007-9572.2019.00.786

• Monographic Research • Previous Articles     Next Articles

Maternal-infant Health Information Needs among Pregnant and Postpartum Women:a Correspondence Analysis of the Target Group Index Data 

  

  1. 1.School of Management/Health Management and Policy Research Center,Shanxi Medical University,Taiyuan 030001,China
    2.School of Nursing,Shanxi Medical University,Taiyuan 030001,China
    3.Children's Hospital of Shanxi/Women Health Center of Shanxi,Taiyuan 030013,China
    *Corresponding authors:ZHANG Juan,Associate professor,Master supervisor;E-mail:lizhao2000849@126.com
    HU Xianming,Chief physician,Professor;E-mail:13835151930@126.com
  • Published:2020-04-05 Online:2020-04-05

基于目标群体指数和对应分析的孕产妇母婴保健信息需要研究

  

  1. 1.030001山西省太原市,山西医科大学管理学院 卫生管理与政策研究中心 2.030001山西省太原市,山西医科大学护理学院 3.030013山西省太原市,山西省儿童医院 山西省妇幼保健院
    *通信作者:章娟,副教授,硕士生导师;E-mail:lizhao2000849@126.com
    胡先明,主任医师,教授;E-mail:13835151930@126.com
  • 基金资助:
    基金项目:国家自然科学基金资助项目(71503153);山西省软科学研究计划项目(2018041037-6)

Abstract: Background As an important part of maternal and child health care receiving increased attention,understanding and mastering maternal health information needs is of great significance for improving maternal and child health and safety.Objective The aim of this study was to investigate maternal-infant health information needs,and the association of health information with acquiring methods in pregnant and postpartum women in Taiyuan,providing a reference for effective delivery of maternal-infant health education.Methods A survey was conducted with 1 100 pregnant and postpartum women who sought outpatient care in a provincial maternal and child health hospital,a private hospital and a township hospital in Taiyuan from November 2016 to August 2017 using a self-made questionnaire.Analysis of maternal-infant health information needs by target group index(TGI) and correspondence analysis.1 048(95.27%) of the participants responded effectively.Results Among the respondents,the data about prenatal care(70.90%,743/1 048),nutrition during pregnancy(68.42%,717/1 048) and neonatal care(52.29%,548/1 048) were the most needed,and information concerning maternity insurance(23.85%,250/1 048) and labor analgesia(28.53%,299/1 048) was least needed.It is more difficult for them to get maternal psychological health care(31.77%,333/1 048),labor analgesia(25.19%,264/1 048),common physical discomforts during pregnancy(24.90%,261/1 048) and maternity insurance(24.24%,254/1 048) information.Age(χ2=18.331,P=0.787) and education level(χ2=20.139,P=0.065) were not associated with the differences in needs of maternal-infant health information content in the respondents.However,the respondents had different TGI requirements for various types of information.Place of residence(χ2=23.288,P=0.025) and gestational period(χ2=56.181,P=0.017) were associated with the differences in needs of various types of information content.Conclusion The TGI of various maternal-infant health information needs was different in pregnant and postpartum women with different characteristics.And these women also had different preferences when acquiring maternal-infant health information.Hence,maternal-infant health education should be delivered in accordance with the needs of pregnant and postpartum women,namely,it is should be precisely delivered to them according to their needed contents via their preferred ways.

Key words: Maternal and child health care, Access to information, Health education, Pregnant and postpartum women

摘要: 背景 母婴保健工作日渐受到人们的重视,孕产妇健康信息需求是母婴保健工作的重要组成部分,了解和掌握孕产妇健康信息需求情况对改善妇幼健康与安全有重要的意义。目的 了解太原市孕产妇母婴保健信息需要,以及信息与获取途径的对应关系,为有效开展母婴健康教育提供参考。方法 采用自行设计的问卷,对2016年11月—2017年8月在太原市1所省级妇幼保健院、1所民营医院及1所乡镇卫生院的门诊就诊的1 100例孕产妇的母婴保健信息需要进行调查。采用目标群体指数(TGI)和对应分析对数据进行分析。收回有效问卷1 048份,有效回收率为95.27%。结果 孕产妇对产前检查(70.90%,743/1 048)、孕期营养(68.42%,717/1 048)、新生儿保健(52.29%,548/1 048)信息的需求较多,对生育保险(23.85%,250/1 048)、分娩镇痛(28.53%,299/1 048)的需求较少;孕产妇获取孕产期心理保健(31.77%,333/1 048)、分娩镇痛(25.19%,264/1 048)、孕期常见身体不适的缓解(24.90%,261/1 048)、生育保险(24.24%,254/1 048)等方面的信息时较困难。不同年龄(χ2=18.331,P=0.787)、学历(χ2=20.139,P=0.065)的孕产妇对母婴保健信息内容的需求比较,差异无统计学意义,但对各类信息需求的TGI有所不同。不同居住地(χ2=23.288,P=0.025)、孕产期(χ2=56.181,P=0.017)的孕产妇对各类信息内容的需求比较,差异有统计学意义。结论 不同特征孕产妇对各类母婴保健信息需求的TGI不同,获取不同类别的母婴保健信息偏好不同的获取途径。为此,健康教育应主动回应孕产妇对母婴保健信息的需求,针对不同孕产妇设计不同的信息内容、采取其偏好的传播途径,实施精准传播。

关键词: 母婴保健, 信息获取, 健康教育, 孕产妇