ArticleBMC health services research2014
Equity in use of maternal health services in Western Rural China: a survey from Shaanxi province.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Inhibitors and facilitators to the utilization of postpartum care in China: an integrative review.Archives of public health = Archives belges de sante publique · 2022Pooled it
- Equity in maternal health care service utilization: a systematic review for developing countries.International journal of public health · 2015Pooled it
- Trend and Equity in Maternal and Child Health Resource Allocation in China Since the New Health System Reform: A Nationwide Study from 2008 to 2020.Risk management and healthcare policy · 2024Article
- Changes and Determinants of Maternal Health Services Utilization in Ethnic Minority Rural Areas in Central China, 1991-2015: An Ecological Systems Theory Perspective.Healthcare (Basel, Switzerland) · 2023Article
- Structural Determinants of Child Health in Rural China: The Challenge of Creating Health Equity.International journal of environmental research and public health · 2022Review
- Equity in maternal and child health care utilization in Guangdong province of China 2009-2019: A retrospective analysis.Frontiers in public health · 2022Article
- Influence of China's 2009 healthcare reform on the utilisation of continuum of care for maternal health services: evidence from two cross-sectional household surveys in Shaanxi Province.International journal for equity in health · 2020Article
- Equity and efficiency of maternal and child health resources allocation in Hunan Province, China.BMC health services research · 2020Article
- Inequality in the health services utilization in rural and urban china: A horizontal inequality analysis.Medicine · 2020Article
- Utilization of health services in Tenali Mandal, Andhra Pradesh- A cross-sectional study.Journal of family medicine and primary care · 2019Article
- Equity and efficiency of primary health care resource allocation in mainland China.International journal for equity in health · 2018Article
- Improving health equity: changes in self-assessed health across income groups in China.International journal for equity in health · 2018Article
- Inequity in the utilization of antenatal and delivery care in Yangon region, Myanmar: a cross-sectional study.International journal for equity in health · 2018Article
- Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China.PloS one · 2018Article
- Exploring status and determinants of prenatal and postnatal visits in western China: in the background of the new health system reform.BMC public health · 2017Article
- Inequality in the distribution of health resources and health services in China: hospitals versus primary care institutions.International journal for equity in health · 2017Article
- A Qualitative Inquiry Into the Challenges of Medical Education for Retention of General Practitioners in Rural and Underserved Areas of Iran.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2016Article
- The effect of herd formation among healthcare investors on health sector growth in China.International journal for equity in health · 2016Article
- Equity in utilization of health care services: Perspective of pregnant women in southern Odisha, India.The Indian journal of medical research · 2015Article
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Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 20th century was marked by a significant improvement in worldwide human health and access to healthcare. However, these improvements were not completely or uniformly distributed among, or even within, nations. This study was designed to assess the use of maternal health services by pregnant women in China, with a focus on the inequity related to family income level.
methodsTwo population-based cross-sectional surveys were carried out in the Zhenan and Lantian counties in March 2007 and from December 2008 to March 2009. A total of 2562 women completed the questionnaires, including 948 who were pregnant in 2006 and 1614 from 2008-2009. The concentration index (CI) was calculated and used to analyze the parameters of maternal health care in the two counties surveyed.
resultsThe responses in both 2006 and 2008-2009 indicated a bias towards higher (rich) economic statuses for the use of maternal and child health services. The CI of 'delivery at health facility' was 0.0206 (95% confidence interval between 0.0114 and 0.0299) for 2006 and 0.0053 (95% confidence interval between 0.0015 and 0.0091) for 2008, which represented a statistically significant inequity for women of lower (poor) economic statuses. Similar CI was observed in 'receiving antenatal care within 12 weeks' for 2006 (CI2006 = 0.0956, 95% confidence interval between 0.0516 and 0.1396). The CIs of 'postnatal visit' and 'postnatal visit >3-times' was positive (except for 2006), indicating that the poor used postnatal care less than the non-poor. In 2008, poor women had C-sections more often than non-poor women (CI2008 = -0.0629, 95% confidence interval between-0.1165 and -0.0093), but such a difference was not observed in 2006.
conclusionsIn 2006 and 2008, the use of maternal health services in western rural China was significantly unequal between pregnant women of poor and non-poor economic statuses. Financial support that enables poorer pregnant women to use health services will be beneficial. Utilization of maternal healthcare services can be improved if out-of-pocket expenses can be minimized.
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