中国妇幼健康研究2016，Vol.27Issue(6)：671-675,5.DOI:10.3969/j.issn.1673-5293.2016.06.001
农村家庭生活水平与产前检查的关系研究--基于不同的家庭生活水平测量方法
Association between living standards of household and antenatal examination in rural areas based on different measurement of household living standards
摘要
Abstract
Objective To compare the correlations among different measurement methods for living standards of household and to further evaluate the association between living standards of household and antenatal care services utilization in rural areas .Methods Data were collected from the Perinatal Health Care Survey in Rural Areas of Shaanxi Province in 2010.The data of families of 4 719 pregnant women were classified by self -rated economic condition and wealth index constructed by the first principal component and latent class model , and antenatal examination indicators among families with different living standards were compared . Unconditional multivariable logistic regression analyses and receiver operating characteristic ( ROC) were considered in the analysis to evaluate which measurement of living standards of household was more predictive over the antenatal care services utilization .Results It was significantly coherent between wealth indexes constructed by the first principal component and the latent class model , but not for the self-rated economic condition ( Spearman value was -0.175 and -0.111 respectively, and the corresponding P value was less than 0.001 and 0.003, respectively).Rates of antenatal care services utilization in the richer household were higher than those in the poor household according to classifies of wealth indexes (χ2 value between family economy index based on principal component classification and frequency of prenatal examination more than or equal to 5 times, the first prenatal examination earlier than gestational 12 weeks, completing recommend examination contents , and delivering in hospitals at or beyond the township level was 21.8, 20.5, 13.1 and 13.7, respectively; χ2 value between family economy index based on latent class classification and frequency of prenatal examination more than or equal to 5 times, the first prenatal examination earlier than gestational 12 weeks, completing recommend examination contents , and delivering in hospitals at or beyond the township level was 64.2, 35.1, 17.6 and 20.7, respectively, all P<0.001).The area under ROC curve(AUC) of the living standards of household classified by the latent class model over the antenatal care services was higher than that by first principal component , but the difference was not significant (P>0.05), so was predictive probabilities of Logistic analysis .Conclusion The household living standards measured by wealth index constructed by the latent class model and first principal component are suitable for evaluating the associations between living standards of household and antenatal care services utilization in rural areas , and the latent class model seems to be more predictive .关键词
家庭生活水平/主成分分析/潜在类别模型/自感经济/产前检查Key words
household living standards/first principal component/latent class model/self-rated economic condition/antenatal examination分类
医药卫生引用本文复制引用
朱中海,杨雪,刘丹丽,程悦,曾令霞..农村家庭生活水平与产前检查的关系研究--基于不同的家庭生活水平测量方法[J].中国妇幼健康研究,2016,27(6):671-675,5.基金项目
教育部新世纪优秀人才支持计划资助项目 （）
