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Community-level effects on the use of reproductive health services in rural china

  • Zheng Wu
  • , Shuzhuo Li
  • , Christoph M. Schimmele
  • , Yan Wei
  • , Quanbao Jiang
  • , Zhen Guo
  • University of Victoria BC
  • Xi'an University of Finance and Economics
  • Huazhong University of Science and Technology

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

This chapter uses an ecological approach to assess whether village development and county demographics have direct or indirect effects on the relative likelihood of married women having a reproductive health (RH) checkup in rural China. The analysis uses multilevel models and data from the National Population and Reproductive Health Survey and the 2000 census. The study demonstrates that the effects of the village-level predictors on RH checkup are wholly indirect and are accounted for by either county sociodemographics or individual characteristics. County sociodemographics have direct effects, and our primary conclusion is that regional differences appear to be more influential than subregional (between-village) differences in predicting the odds of RH checkups. The findings also suggest that the status of women has a significant influence on whether or not they have an RH checkup.

Original languageEnglish
Title of host publicationLow Fertility and Reproductive Health in East Asia
PublisherSpringer Netherlands
Pages187-209
Number of pages23
ISBN (Electronic)9789401792264
ISBN (Print)9789401792257
DOIs
StatePublished - 1 Jan 2015

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