Survey on demand for primary child healthcare services among child caregivers
Objective To understand the demand and influencing factors of child caregivers for primary child healthcare services,so as to provide reference for improving primary child healthcare management services.Methods From No-vember 2020 to May 2021,a stratified cluster sampling method was used to select child caregivers from 40 primary health service institutions in the main urban area of Guiyang city,Guizhou province as survey subjects.A self-made questionnaire on child healthcare service needs was used to collect basic information of the survey subjects and their demand for child healthcare services.Binary logistic regression was applied to analyze the influencing factors of demand for primary child healthcare service items.Results The healthcare services needed by child caregivers during the neonatal period were health guidance(84.8％)and home visits(84.0％);during the one-month period,physical examinations(86.5％)and vi-tamin D supplementation guidance(84.5％)were required;during the infant period,physical examinations(86.5％)and hemoglobin tests(84.5％)were needed;during the preschool period,hemoglobin tests(80.6％)and physical examina-tions(79.2％)were necessary;during the school-age period,child caregivers required attention assessments(58.7％)and o-ral health care guidance(58.2％);during puberty,ultrasound bone age tests(40.7％)and emotional guidance for pubertal children(38.6％)were needed.The results of logistic multifac-torial regression analysis showed that the residential area(neo-natal period OR=0.38,95％CI:0.27-0.54;one-month period OR=0.49,95％CI:0.35-0.69;infant period OR=0.64,95％CI:0.49-0.84;preschool period OR=0.52,95％CI:0.37-0.72/OR=0.57,95％CI:0.42-0.78;school-age period OR=1.98,95％CI:1.59-2.46;puberty OR=2.97,95％CI:2.35-3.76),average annual family income(neonatal period OR=1.29,95％CI:1.14-1.45;one-month period OR=1.49,95％CI:1.30-1.70;infant period OR=1.34,95％CI:1.20-1.49;preschool period OR=1.44,95％CI:1.26-1.64/OR=1.31,95％CI:1.16-1.48;school-age period OR=1.25,95％CI:1.14-1.37;puberty OR=0.70,95％CI:0.63-0.76),family structure(neonatal period OR=2.97,95％CI:2.35-3.76;one-month period OR=3.80,95％CI:1.60-9.06;preschool period OR=3.20,95％CI:1.34-7.61),educational level of child caregivers(school-age period OR=1.24,95％CI:1.11-1.40),living situation(one-month period OR=2.39,95％CI:1.02-5.27),and age of child caregivers(school-age period OR=0.97,95％CI:0.96-0.98)were influencing factors of demand for primary child healthcare services(all P＜0.01).Conclusion Before the school-age period,child caregivers have a higher demand for healthcare services related to children's growth and development.During and after the school-age period,they gradually pay attention to the comprehensive development of children's physical and mental health.The residential area,average annual family income,family structure,educational level of child caregivers,living situation,and age of child caregivers have an impact on the demand for child healthcare services among child caregivers.
万方数据
维普
