Health Status And Risk Factors Of Planed Pregnancy Population In Chongqing City

ObjectiveTo understand health status of planned pregnancy population and the distribution of pregnancy-related diseases, analysis the health status difference in wary age, education, occupation, nationality, etc, and in accordance with pre-pregnancy health checks eugenics risk assessment criteria to assess their health risk factors, found that the current existing problems, in order to carry out targeted eugenic knowledge of education and health services to help people prepare for the pregnancy, prenatal and postnatal care, improve the population quality. MethodsThis study was stratified by region in accordance with the proportion of the population in each region planned pregnancy multistage cluster random sampling. A total of 10786 people(5393 couples) were selected from 40 districts and counties to do the plan pregnancy-related questionnaires and physical examination. Sociological characteristics of the population census planned pregnancy, previous history of disease, breeding history, family history, bad habits, history of contact with the environment toxic and hazardous substances, psychosocial stress factors and healthy. 9384 valid questionnaires were returned with the return rate of 87%. Epi Data3.2 statistical software was used to establish a database, recorded by double data entry mode. Planned pregnancy people were classified into risk population and the general population according to risk assessment criteria. SPSS17.0 statistical software was adopted to analyze. The method of the status of the investigation, count data rate, composition ratio will be described on the relationship between the relevant factors and risk groups chi-square test were adopted. Risk factors that may affect the health of planned pregnancy people were analyzed by multivariate unconditional Logistic regression. Results1. Among the 9384 planned pregnancy people(4692 couples) in Chongqing, men in risk group accounted for 5.86%, while in general group accounted for 94.14%; women in risk groups accounted for 28.64%, while in general group accounted for 71.36%. The risk rate is low;2. According to the univariate analysis, the risk factors among male were age(χ2 = 14.5723,P = 0.0001), region(χ2 = 31.5502, P <0.0001), hepatitis B disease history(χ2 = 60.9689, P <0.0001), hepatitis B vaccination history(χ2 = 12.6811, P = 0.0004), BMI abnormal(χ2 = 6.5551, P = 0.0377), abnormal blood pressure(χ2 = 6.1461, P = 0.0132), HBs Ab(χ2 = 842.0512, P <0.0001). By multivariate logistic regression analysis, statistically significant results were: a history of hepatitis B disease(OR = 6.587), BMI≥24.00(OR = 1.577), hypertension(OR = 1.836) were risk factors risk male population; while 20≤Age<35(OR = 0.613), ecological protection zone in Southeast city functions with respect to the core area(OR = 0.434), hepatitis B vaccination history(OR = 0.608), HBs Ab positive(OR = 0.383) were male risk protective factors.3. According to the univariate analysis, the risk factors among female were region(χ2 = 45.4756, P<0.0001), race(χ2 = 5.8426, P = 0.0156), education level(χ2 = 94.9953, P <0.0001), occupation(χ2 = 25.4574, P = 0.0004), hepatitis B disease history(χ2 = 6.0067, P = 0.0143), rubella vaccination history(χ2 = 8.2669, P = 0.0040), living / working pressure(χ2 = 11.6018, P = 0.0007), economic pressure(χ2 = 12.9845, P = 0.0003). After logistic regression analysis, statistically significant results were: New urban development areas(OR = 1.641), northeast of Chongqing ecological conservation development areas(OR = 1.65), in Southeast ecological protection areas(OR = 2.028) with respect to city function core area, the history of hepatitis B disease were the risk factor for women; while the education level of high school(OR = 0.114) and the University(OR = 0.371) with respect to the primary school or less, workers with respect to farmers(OR = 0.656), rubella vaccination(OR = 0.686) were the protective factors. ConclusionThis study analyzed 9384 population(4692 couples) for their health status and health related risk. Analysis were done according to socio-demographic characteristics, physical examination, laboratory analysis, and classified in accordance with the risk factors, risk factors related Statistical analysis. The conclusions are as following:1. The health check and risk assessment resorts shows that, the overall health status of planned pregnancy population in Chongqing is well. The risk rate is low.2. Among the planned pregnancy population, women have higher risk proportion than men. Prepregnancy care amid to women should be taken more importance. More intervene should be taken to help women to improve their better pregnancy knowledge and increase their healthcare use rate.3. The main risk factors are male risk population history of hepatitis B disease, obesity, high blood pressure. Protective factors are of reproductive age, suitable environment and hepatitis B surface antibody positive. More education should be given to the men, to improve the prepregnancy health management of men to prevent risk.4. Risk Factors of female population are hepatitis B disease history, economic backwardness, occupational exposure. Protective factors are high levels of education, low occupational exposure and rubella vaccination. More education should be given to women to improve their healthcare awareness, so that to have more protection to themselves.