ArticlePloS one2018
Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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21 citing papers in PubMed, 40 citations in OpenAlex.
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- Predicting facility delivery and its determinants among reproductive-age women in Ethiopia using machine learning algorithm: evidence from performance monitoring for action Ethiopia 2019 dataset.BMC pregnancy and childbirth · 2026Article
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- Wealth disparities in maternal health service utilization among women of reproductive age in Ethiopia: findings from the mini-EDHS 2019.BMC health services research · 2024Article
- Utilizing maternal healthcare services: are female-headed households faring poorly?BMC pregnancy and childbirth · 2024Article
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- Geographic and urban-rural disparities in dietary energy and macronutrient composition among women of childbearing age: findings from the China health and nutrition survey,1991-2015.Nutrition journal · 2023Article
- Disparities and determinants of maternal health services utilization among women in poverty-stricken rural areas of China: a cross-sectional study.BMC pregnancy and childbirth · 2023Article
- Factors associated with maternal health services utilization in Pakistan: Evidence from Pakistan maternal mortality survey, 2019.PloS one · 2023Article
- Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018.BMC pregnancy and childbirth · 2022Article
- Hukou-based rural-urban disparities in maternal health service utilization and delivery modes in two Chinese cities in Guangdong Province.International journal for equity in health · 2021Article
- Childbirth at home and associated factors in Ethiopia: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2021Article
- Determinants of Health Facility Delivery in Northwest Ethiopia: A Community-Based Case-Control Study.International journal of general medicine · 2021Article
- Socioeconomic inequity in inpatient service utilization based on need among internal migrants: evidence from 2014 national cross-sectional survey in China.BMC health services research · 2020Article
- Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey.BMC public health · 2020Article
- Determinants of institutional delivery service utilization in Ethiopia: a population based cross sectional study.BMC public health · 2020Article
- 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
- Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015.Iranian journal of public health · 2020Article
- Inequities in the Uptake of Reproductive and Maternal Health Services in the Biggest Regional State of Ethiopia: Too Far from "Leaving No One Behind".ClinicoEconomics and outcomes research : CEOR · 2020Article
- Knowledge, attitude and practice level of women at the periconceptional period: a cross-sectional study in Shaanxi China.BMC pregnancy and childbirth · 2019Article
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9 authors at 1 institution in 1 country.
Funding
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Abstract
Prenatal health care interventions are effective ways to improve maternal and neonatal health. There have been few large investigations conducted on the inequalities in maternal health services utilization in Shaanxi Province of west China since the health care reform in 2009. This study examined the inequalities and determinants of maternal health services utilization in Shaanxi Province. A household survey was conducted from August to November in 2013. By using a multistage sampling method, local women aged 15-49 who had given birth in the preceding three years were recruited. Information including social-demographic characteristics and maternal health services utilization was collected through a face-to-face interview. A concentration index approach was used to measure inequalities in maternal health services utilization. A logistic regression model was employed to investigate the determinants of maternal health services utilization. There were 8,488 women from urban areas and 18,724 women from rural areas enrolled in this study. The concentration index for all the indicators of maternal health services utilization showed significance in these two areas. In urban areas, the concentration index of having 5 or more prenatal visits, receiving the first prenatal visit within 12 weeks, delivering at secondary- or higher-level health facilities and delivering by C-section were 0.0356, 0.0166, 0.0177 and 0.0591, respectively, while in rural areas, the corresponding figures were 0.0385, 0.0183, 0.0334 and 0.0566, respectively. The determinants related to maternal health services utilization were women's age at delivery, educational level, employment status, parity, health problems during pregnancy and household income. Inequalities in maternal health services utilization still exist in Shaanxi Province. Providing maternal health services for younger, less educated, unemployed, high parity and poorer women, especially in rural areas, is expected to reduce the inequalities in maternal health services utilization.
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