title: Internal migration and maternal health service utilisation in Jiangsu, China.
abstract: To investigate the use of maternal health care services by internal migrants in view of their migration status.
  
  
  
  Cross-sectional household survey in two cities of Jiangsu Province. Questions elicited data on socioeconomic information and MHC service use (pre-natal examination, post-natal visit, pre-natal health education). Chi-square tests and multivariate logistic regression analyses were used to identify factors associated with MHC service use.
  
  
  
  A total of 946 married women were recruited, of whom 22.3% were internal migrants. Compared to local residents, migrants were five times less likely to attend pre-natal examinations (84.4% vs. 91.7%; OR = 0.49, P = 0.002), three times less likely to have post-natal visits (15.6% vs. 50.2%; OR = 0.18, P < 0.001) and less likely to attend health education during pregnancy (87.0% vs. 95.7%; OR = 0.30, P < 0.001). Multivariate logistic regression also revealed a lower proportion of MHC use among migrants (ORm 0.52, 0.16, and 0.3, respectively).
  
  
  
  Internal migrants in Jiangsu Province underuse MHC services to a significant degree. More attention needs to be paid to pregnant migrant women, as they are vulnerable group in society.
authors.affiliation: Center for Health Policy and Management Studies, Nanjing University, Nanjing, China.
authors.forename: Hai
authors.initials: H
authors.lastname: Gu
authors.affiliation: Center for Health Policy and Management Studies, Nanjing University, Nanjing, China.|Center for Health Policy Studies, School of Medicine, Zhejiang University, Hangzhou, China.|Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, China.
authors.forename: Hua
authors.initials: H
authors.lastname: You
authors.affiliation: Department of Women Health Care, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
authors.forename: Weiqing
authors.initials: W
authors.lastname: Ning
authors.affiliation: Department of Child Health Care, Maternal and Child Health Hospital of Changzhou, Changzhou, Jiangsu, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Zhou
authors.affiliation: Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, China.
authors.forename: Jianming
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Women Health Care, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Lu
authors.affiliation: Center for Health Policy and Management Studies, Nanjing University, Nanjing, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Sun
authors.affiliation: Center for Health Policy and Management Studies, Nanjing University, Nanjing, China.
authors.forename: Yun
authors.initials: Y
authors.lastname: Kou
authors.affiliation: Center for Health Policy Studies, School of Medicine, Zhejiang University, Hangzhou, China.
authors.forename: Hengjin
authors.initials: H
authors.lastname: Dong
mesh_terms: D000328:Adult; D002681:China / Q000208:ethnology; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005260:Female; D006801:Humans; D008427:Maternal Health Services / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D014171:Transients and Migrants / Q000706:statistics & numerical data*
keywords: health service utilisation; internal migrant; logistic regression; maternal health care