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The Impact of Husbands' Gender Equity Awareness on Wives' Reproductive Health in Rural Areas of China

Ying, Cui MD*; Li, Yang PhD; Hui, Han MD

Obstetrical & Gynecological Survey: February 2011 - Volume 66 - Issue 2 - p 103-108
doi: 10.1097/OGX.0b013e31821b8de9
CME Program: CME REVIEW ARTICLE 4

Objective. The aim of this study was to investigate the effect of husbands' gender equity awareness on wives' reproductive health in rural areas of China.

Methods. A qualitative study of 1919 wives aged from 18 to 69 years and their husbands was conducted in rural China. Data were collected through 3838 structured interviews. We quantified “belief in gender equity” based on responses to 7 specific statements and graded the responses according to a system scoring the strength of the overall belief (a total score 19 or higher, strong; 15–18, moderate; and 14 or less, weak). Data were recorded by bi-input with EpiData 3.1 after being carefully checked. χ2 tests and logistic regression were performed in this study.

Results. Only 20.0% of the husbands demonstrated strong convictions about gender equity. Husbands' gender equity awareness is related to wives' receiving any prenatal care, the number of prenatal visits to a healthcare provider, having a hospital delivery of a newborn, and having gynecological examination one time per year.

Conclusion. Raising husbands' gender awareness on wives' reproductive health and reducing female illiteracy were very necessary. The whole community should participate actively in the progress of reproductive health promotion. China's Health System requires an integration of its various sectors, including family planning, maternal and child care in resource sharing, and service delivery.

Target Audience: Obstetricians & Gynecologists

Learning Objectives: After completing this CME activity, physicians should be better able to evaluate the impact of husbands' gender equity awareness on wives' reproductive health in rural areas of China; assess how raising husbands' gender awareness on wives' reproductive health and reducing female illiteracy will improve wives' reproductive health; and analyze how China's Health System can integrate its various sectors, including family planning, maternal, and childcare in resource sharing, and service delivery, to improve wives' reproductive health.

*Physician, †Master, Social Medicine and Health Management; ‡Physician, Epidemiology and Health Statistics, International Cooperative Project Department, National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, People's Republic of China

Chief Editor's Note: This article is part of a series of continuing education activities in this Journal through which a total of 36 AMA/PRA category 1 credits™ can be earned in 2011. Instructions for how CME credits can be earned appear on the last page of the Table of Contents.

The authors, faculty, and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interest in, any commercial organizations pertaining to this educational activity.

Correspondence requests to: Cui Ying, International Cooperative Project Department, National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Address no. 27, Nanweilu Rd, Xicheng District, Beijing, People's Republic of China 100013. E-mail: cuiying@chinawch.org.cn.

© 2011 Lippincott Williams & Wilkins, Inc.