Study On The Willingness Of Antenatal Care And The Pregnancy-related Knowledge On The Premarital Youths In Funan Country

ObjectiveTo evaluate the willingness of antenatal care and its influencing factors in the marriageable youth in Funan country.To study the different characteristics of pregnancy health careknowledge among the marriageable youth,and to compare their differences.To examine the factors that affect the difference.To strength the combination of the premarital medical examination and the prenatal care of new service mode to meet the various needs of health care.MethodFrom December,2014 to February,2015,data were collected with the random sampling method through self-designed questionnaires among the respondents who went for PME at Marriage Registration Office in the Funan Maternal and Child Health-care Institute.Chi-square test,t test,Variance Analysis,rank sum test,Binarylogistics regression analysis,multinomiallogistic regression analysis were used to analyze the willingness of antenatal care and its influencing factors,and the difference between the pregnancy health careknowledge.Results(1)918 people,413 males(45.0%),505 women(55.0%)who participate in PME were investigated.98.5% Han,only 14 are members of ethnic minority and females.The first marriage and remarriage accounted for 94.1% and 3.5% respectively.The primary purpose of participating PME is To get married,accounting for 79.5%,followed by freshmen matriculation need and economic problems.The education degree mainly included junior middle school,then senior high school / technical secondary school;The number of people with primary school degree was almost the same as with the undergraduate degree.Male and female who took jobs in cities accounted for 40.0% and37.8% respectively.There were obvious differences between males and females in job.There were no obvious differences between males and females(P <0.05)who went out to work last year.The people who spent more than six months accounted for 66.4%.The people who spent between 3 months and 6 months accounted for 9.2%.There were significant differences between males and females who were willing to go out to work after their marriage.Males and females who tend to takejobs in cities together accounted for 66.8% and 71.7% respectively.Obvious differences were found in economic income.The males and females who earn between 2000-4000 yuan account for 58.9% and 56.4%.In the people who earn of 4000 yuan or more per month,the number of males is more than females.But in otherwise the number of the females more than males.Both men and women are facing the same economic pressure.They mainly live with the groom's parents after marriage.29.7% of them living far from their parents,2.1% of them living with the bride's parents.The people who enjoy the new rural Cooperation Medical System account for 78.0%,which is higher in female than in male.The people who enjoy the urban health insurance and the health insurance in male were higher than that in female.Both the male and female the parental status are similar.Respectively,80.6%,79.6% of men and women own the fertility desire.There are no fertility desire and uncertain attitude in women more than in men.The number of the women who have been conceived is 362,including 185 people who have been given birth.(2)The differences of the willing of participate in PME between different living pattern,pregnancy knowledge level of youth who intend to get marriage were significant.There were no obvious differences between Different gender,educational level,occupation,income,marriage registration,medical security,Condition of parents,fertility Condition,the abortion history of the mother(P >0.05).Multivariable logistic regression analysis showed that pregnancy health care knowledge was the main influential factors of the willing of prenatal care.(3)Prenatal care related knowledge are quite different,in addition to postpartum depression-related knowledge,the rest of the response rate all over 90%.The rate of the correct answers about fetus period is the highest,up to 62.54%.The lowest rate is prenatal diagnosis(15.40%).The differences of the prenatal care knowledge score between different gender,marriage form,condition of parents were not significant(P>0.05).There were obvious differences between educational level,occupation,income,medical security,fertility Condition,immigration,marriage registration(P <0.05).Binary logistic regression analysis showed that educational level,occupation and fertility condition knowledge were the main influential factors of the prenatal care knowledge.Conclusion The rate of low education level in the premarital youths of Funan country is higher.The proportion of migrant workers was high.The willing for outside after their married life and the time for outside are intense.Most of young people with low economic income take medical insurance which was the new rural cooperative medical care.The main factor of the willing of participate in PME was pregnancy knowledge level.There was great difference among the knowledge points of pregnancy health care.educational level,occupation and fertility condition knowledge are the main influential factors of the prenatal care knowledge.