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Assessing spatial accessibility to maternity units in Shenzhen, China.

Song P, Zhu Y, Mao X, Li Q, An L - PLoS ONE (2013)

Bottom Line: With the rapid development of urbanization, pregnant population is growing rapidly in Shenzhen, and it has been a difficulty to serve more and more pregnant women and reduce spatial access disparities to maternity units (MUs).The comparison between spatial accessibility to public MUs and private MUs shows statistically significant difference.For policy-making, strategy for the siting and allocation of future MUs, no matter public or private, should guarantee the greatest spatial accessibility for every pregnant woman.

View Article: PubMed Central - PubMed

Affiliation: Department of Child, Adolescent and Women's Health, School of Public Health, Peking University Health Science Center, Beijing, China.

ABSTRACT

Background: With the rapid development of urbanization, pregnant population is growing rapidly in Shenzhen, and it has been a difficulty to serve more and more pregnant women and reduce spatial access disparities to maternity units (MUs). Understanding of the current status of accessibility to MUs is valuable for supporting the rational allocation of MUs in the future.

Methods: Based on pregnant population data and MUs data, this study uses a two-step floating catchment area (2SFCA) method based on Geographic Information System (GIS) to analyze the current spatial accessibility to MUs, and then make a comparison between that to public MUs and private MUs.

Results: Our analysis of the accessibility to all MUs within a distance of 20 km shows that the accessibilities of the areas alongside the traditional border management line are acceptable, meanwhile highlights some critical areas, such as the west part of Nanshan district and the vast east part of Longgang district. The comparison between spatial accessibility to public MUs and private MUs shows statistically significant difference.

Discussion: Results of this study suggest a great effort should be made to improve the equity of spatial accessibility to MUs in Shenzhen. For policy-making, strategy for the siting and allocation of future MUs, no matter public or private, should guarantee the greatest spatial accessibility for every pregnant woman.

Show MeSH
Accessibility to MUs in Shenzhen using the 2SFCA method.A. Accessibility to all MUs. B. Accessibility to public MUs. C. Accessibility to private MUs.
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pone-0070227-g003: Accessibility to MUs in Shenzhen using the 2SFCA method.A. Accessibility to all MUs. B. Accessibility to public MUs. C. Accessibility to private MUs.

Mentions: Figure 3 depicts the spatial accessibilities to all MUs, public MUs and private MUs. 1) The accessibility to all MUs shows significant variation, and the scores range from 6.5 to 57.0 with a mean value of 30.93 and a standard deviation of 8.54, which means that within a threshold distance of 20 km, there are averagely 30.9 maternity beds accessible for 1,000 pregnant women. The most accessible areas are located alongside a section of Baoan district’s edge which borders Nanshan and Futian. The others are centered on both sides of the traditional border management line and tend to decrease in the city boundary, especially in relatively vast but the least densely populated east sub-districts (Nanao, Dapeng and Kuiyong) of Longgang district, and west sub-districts (Nanshan and Shekou) of Nanshan district. 2) The accessibility scores to public MUs range from 6.5 to 39.4 with a mean value of 22.84 and a standard deviation of 6.16. 3) The accessibility scores to private MUs range from 1.8 to 17.6 with a mean value of 8.09 and a standard deviation of 2.91, and Nanao sub-district of Longgang district has no accessibility to private MUs (score = 0) within the distance of 20 km.


Assessing spatial accessibility to maternity units in Shenzhen, China.

Song P, Zhu Y, Mao X, Li Q, An L - PLoS ONE (2013)

Accessibility to MUs in Shenzhen using the 2SFCA method.A. Accessibility to all MUs. B. Accessibility to public MUs. C. Accessibility to private MUs.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3716609&req=5

pone-0070227-g003: Accessibility to MUs in Shenzhen using the 2SFCA method.A. Accessibility to all MUs. B. Accessibility to public MUs. C. Accessibility to private MUs.
Mentions: Figure 3 depicts the spatial accessibilities to all MUs, public MUs and private MUs. 1) The accessibility to all MUs shows significant variation, and the scores range from 6.5 to 57.0 with a mean value of 30.93 and a standard deviation of 8.54, which means that within a threshold distance of 20 km, there are averagely 30.9 maternity beds accessible for 1,000 pregnant women. The most accessible areas are located alongside a section of Baoan district’s edge which borders Nanshan and Futian. The others are centered on both sides of the traditional border management line and tend to decrease in the city boundary, especially in relatively vast but the least densely populated east sub-districts (Nanao, Dapeng and Kuiyong) of Longgang district, and west sub-districts (Nanshan and Shekou) of Nanshan district. 2) The accessibility scores to public MUs range from 6.5 to 39.4 with a mean value of 22.84 and a standard deviation of 6.16. 3) The accessibility scores to private MUs range from 1.8 to 17.6 with a mean value of 8.09 and a standard deviation of 2.91, and Nanao sub-district of Longgang district has no accessibility to private MUs (score = 0) within the distance of 20 km.

Bottom Line: With the rapid development of urbanization, pregnant population is growing rapidly in Shenzhen, and it has been a difficulty to serve more and more pregnant women and reduce spatial access disparities to maternity units (MUs).The comparison between spatial accessibility to public MUs and private MUs shows statistically significant difference.For policy-making, strategy for the siting and allocation of future MUs, no matter public or private, should guarantee the greatest spatial accessibility for every pregnant woman.

View Article: PubMed Central - PubMed

Affiliation: Department of Child, Adolescent and Women's Health, School of Public Health, Peking University Health Science Center, Beijing, China.

ABSTRACT

Background: With the rapid development of urbanization, pregnant population is growing rapidly in Shenzhen, and it has been a difficulty to serve more and more pregnant women and reduce spatial access disparities to maternity units (MUs). Understanding of the current status of accessibility to MUs is valuable for supporting the rational allocation of MUs in the future.

Methods: Based on pregnant population data and MUs data, this study uses a two-step floating catchment area (2SFCA) method based on Geographic Information System (GIS) to analyze the current spatial accessibility to MUs, and then make a comparison between that to public MUs and private MUs.

Results: Our analysis of the accessibility to all MUs within a distance of 20 km shows that the accessibilities of the areas alongside the traditional border management line are acceptable, meanwhile highlights some critical areas, such as the west part of Nanshan district and the vast east part of Longgang district. The comparison between spatial accessibility to public MUs and private MUs shows statistically significant difference.

Discussion: Results of this study suggest a great effort should be made to improve the equity of spatial accessibility to MUs in Shenzhen. For policy-making, strategy for the siting and allocation of future MUs, no matter public or private, should guarantee the greatest spatial accessibility for every pregnant woman.

Show MeSH