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| Characteristics of free prepregnancy health exam’s target population and cause of participation or nonparticipation |
1.Key Lab. of Reproduction Regulation of NHFPC, SIPPR, IRD, Fudan University, Shanghai, 200032;
2.Baoshan District Health and Family Planning Commission |
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Abstract Objective: To know the characteristics of free prepregnancy health exam’s target population including eugenic knowledge and to understand motivation, satisfaction of participation, main causes of nonparticipation and to provide inspiration for future work. Methods: Two groups of individuals living in Baoshan district who ever participated in or did not participated in the free prepregnancy exam（participation group or noparticipation group） were enrolled in this study. There were approximately 600 individuals in each group. A questionnaire survey was conducted to collect demographic information, knowledge level, awareness, satisfaction, participation motivation, willingness, and reasons for nonparticipation. Statistical differences were confirmed by both univariate χ2 test and multivariate Logistic regression for analyzing the association between participation and knowledge level. Results: Individuals in the participation group were more likely to live in south sector of Baoshan district and also experienced higher level of education. Other demographic characteristics were not significantly different between groups. The individuals in participation group had higher awareness in the necessity of prepregnancy exam, government’s providing of free exam, folic acid’s effect on nerve growth, hazards of overdrinking, and the necessity of consulting before administration of over the counter drugs (OTCs). Most common motivation of individuals participated in the free prepregnancy exam was for eugenic consideration (96.2%). There were 51.4% of individuals who were very satisfied with this service and 46.4% who were basically satisfied. Lacking of time accounted for 45.7% of all causes of nonparticipated in the free prepregnancy exam, preferring higher level of service accounted for 35.8% of all causes, and lacking of knowledge accounted for 20.6% of all causes. There were 92.3% of all subjects willing to recommend this service to others. Conclusion: The target population who accepted free prepregnancy exam has good knowledge of eugenics, but has cognitive deficiencies on the risk of alcoholism, high temperature, and noise. The knowledge level is correlation to participation or nonparticipation free prepregnancy exam, which should be further researched and interpretation. Based on the free service well known, related government can try to combine with free charging services for enhancing current service quality and comprehensive service to meet the need of individuals.
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