Hai Gu1, Hua You1,2,3, Weiqing Ning4, Hua Zhou5, Jianming Wang3, Ying Lu4, Jun Sun1, Yun Kou1, Hengjin Dong2. 1. Center for Health Policy and Management Studies, Nanjing University, Nanjing, China. 2. Center for Health Policy Studies, School of Medicine, Zhejiang University, Hangzhou, China. 3. Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, China. 4. Department of Women Health Care, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China. 5. Department of Child Health Care, Maternal and Child Health Hospital of Changzhou, Changzhou, Jiangsu, China.
Abstract
OBJECTIVES: To investigate the use of maternal health care services by internal migrants in view of their migration status. METHODS: Cross-sectional household survey in two cities of Jiangsu Province. Questions elicited data on socioeconomic information and MHC service use (pre-natal examination, post-natal visit, pre-natal health education). Chi-square tests and multivariate logistic regression analyses were used to identify factors associated with MHC service use. RESULTS: A total of 946 married women were recruited, of whom 22.3% were internal migrants. Compared to local residents, migrants were five times less likely to attend pre-natal examinations (84.4% vs. 91.7%; OR = 0.49, P = 0.002), three times less likely to have post-natal visits (15.6% vs. 50.2%; OR = 0.18, P < 0.001) and less likely to attend health education during pregnancy (87.0% vs. 95.7%; OR = 0.30, P < 0.001). Multivariate logistic regression also revealed a lower proportion of MHC use among migrants (ORm 0.52, 0.16, and 0.3, respectively). CONCLUSIONS: Internal migrants in Jiangsu Province underuse MHC services to a significant degree. More attention needs to be paid to pregnant migrant women, as they are vulnerable group in society.
OBJECTIVES: To investigate the use of maternal health care services by internal migrants in view of their migration status. METHODS: Cross-sectional household survey in two cities of Jiangsu Province. Questions elicited data on socioeconomic information and MHC service use (pre-natal examination, post-natal visit, pre-natal health education). Chi-square tests and multivariate logistic regression analyses were used to identify factors associated with MHC service use. RESULTS: A total of 946 married women were recruited, of whom 22.3% were internal migrants. Compared to local residents, migrants were five times less likely to attend pre-natal examinations (84.4% vs. 91.7%; OR = 0.49, P = 0.002), three times less likely to have post-natal visits (15.6% vs. 50.2%; OR = 0.18, P < 0.001) and less likely to attend health education during pregnancy (87.0% vs. 95.7%; OR = 0.30, P < 0.001). Multivariate logistic regression also revealed a lower proportion of MHC use among migrants (ORm 0.52, 0.16, and 0.3, respectively). CONCLUSIONS: Internal migrants in Jiangsu Province underuse MHC services to a significant degree. More attention needs to be paid to pregnant migrant women, as they are vulnerable group in society.
Authors: Heidi West; Marlar Than; Thinzar Win; Khin Thein Oo; Kyi Khaing; Thin Thin Aye; San Myint Yi; Su Yi Myo; Su Yi Toe; Maja Milkowska-Shibata; Kristin Ringstad; Can Meng; Tomoyuki Shibata Journal: Ann Glob Health Date: 2021-11-11 Impact factor: 2.462