浙江省孕妇巨大儿相关知识的流行病学调查

俞莎; 郭长满; 席海洋; 朱利华; 马珊珊; 杨新军

Abstract

俞莎,郭长满,席海洋,朱利华,马珊珊,杨新军.浙江省孕妇巨大儿相关知识的流行病学调查[J].Chinese journal of Epidemiology,2015,36(7):695-700

浙江省孕妇巨大儿相关知识的流行病学调查

Epidemiological investigation of macrosomia-related knowledge awareness among pregnant women in Zhejiang province

Received:December 08, 2014

DOI：10.3760/cma.j.issn.0254-6450.2015.07.007

KeyWord: 巨大儿知晓率孕妇

English Key Word: Macrosomia Awareness rate Pregnant women

FundProject:浙江省自然科学基金(Y2101185); 国家自然科学基金(81072378)

Author Name	Affiliation	E-mail
Yu Sha	Department of Preventive Medicine, School of Environmental Science and Public Health, Wenzhou Medical University, Wenzhou 325035, China
Guo Changman	Department of Preventive Medicine, School of Environmental Science and Public Health, Wenzhou Medical University, Wenzhou 325035, China
Xi Haiyang	Department of Preventive Medicine, School of Environmental Science and Public Health, Wenzhou Medical University, Wenzhou 325035, China
Zhu Lihua	Department of Preventive Medicine, School of Environmental Science and Public Health, Wenzhou Medical University, Wenzhou 325035, China
Ma Shanshan	Department of Preventive Medicine, School of Environmental Science and Public Health, Wenzhou Medical University, Wenzhou 325035, China
Yang Xinjun	Department of Preventive Medicine, School of Environmental Science and Public Health, Wenzhou Medical University, Wenzhou 325035, China	xjyang@wzmc.edu.cn

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Abstract:

目的了解浙江省孕妇对巨大儿相关知识的知晓率及影响因素,为有针对性地开展孕前、孕期保健指导提供科学依据。方法采用多阶段整群随机抽样方法,用自行设计的调查问卷,对浙江省20个县(市、区)1 512名孕妇进行面对面调查,分析巨大儿知晓率及其影响因素。结果共回收有效问卷1 494份,巨大儿诊断标准的知晓率为40.7%(95%CI:38.2%~43.2%);巨大儿发生原因知晓率为55.0%(95%CI:52.4%~57.6%)、预防知识知晓率为62.4%(95%CI:59.9%~64.9%),两者均知晓的比例为49.0%(95%CI:46.4%~51.6%)。多因素logistic回归分析显示,孕晚期(OR=1.906,95%CI:1.128~3.221)、城市户籍(OR=1.335,95%CI:1.014~1.756)、教育程度为大专(OR=2.474,95%CI:1.635~3.744)和本科及以上(OR=2.072,95%CI:1.338~3.209)、参加孕期保健知识培训(OR=1.936,95%CI:1.509~2.484)和自学孕期保健知识(OR=2.065,95%CI:1.338~3.189)能够提高孕妇对巨大儿诊断标准和预防知识的知晓率。高龄孕妇(OR=2.103,95%CI:1.330~3.323)对巨大儿发生原因和预防知识知晓率高于低年龄者。结论浙江省孕妇对巨大儿诊断标准的知晓率不到50%,应加强对育龄妇女的孕前、孕期宣传教育和保健指导,特别是在农村地区多开展孕期保健知识培训。

English Abstract:

Objective To understand the awareness rate of macrosomia related knowledge and influencing factors among pregnant women in Zhejiang province and provide evidence for the improvement of pre-gestational and prenatal care. Methods A face to face questionnaire survey was conducted among 1 512 pregnant women selected through multistage cluster random sampling from 20 counties (district) in Zhejiang. Macrosomia-related knowbedge awareness and related factors were analyzed. Results A total of 1 494 valid questionnaires were analyzed, the awareness rate was 40.7% for macrosomia diagnostic criteria(95%CI:38.2%-43.2%), 55.0% for the cause of macrosomia(95%CI:52.4%-57.6%) and 62.4% for prevention related knowledge(95%CI:59.9%-64.9%) and the awareness rate of both the cause and the prevention related knowledge was 49.0%(95%CI:46.4%- 51.6%). Multivariate logistic regression analysis showed that the third trimester of pregnancy(OR=1.906, 95%CI:1.128-3.221), urban residence(OR=1.335, 95%CI:1.014-1.756), educational level of junior college(OR=2.474, 95%CI:1.635-3.744) and educational level of regular college or above(OR=2.072, 95%CI:1.338-3.209), receiving health education about health pregnancy(OR=1.936, 95%CI:1.509-2.484) and self-learning about the knowledge of health pregnancy(OR=2.065, 95%CI:1.338-3.189) were the influencing factors to the awareness rate of macrosomia diagnostic criteria and prevention related knowledge of macrosomia among pregnant women. The awareness rate of the cause and prevention related knowledge of macrosomia was higher in older age group(OR=2.103, 95%CI:1.330-3.323). Conclusion Among the pregnant women in Zhejiang, the awareness rate of macrosomia diagnostic criteria was less than 50%. Therefore, it was necessary to strengthen the health education during pre-gestational and gestational periods among reproductive women, especially the education about pregnancy health in rural area.

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