To explore the factors affecting the acceptance of pre-pregnancy eugenic health examination for women of childbearing age and provide evidence for improving pre-pregnancy health care services.

A multi-stage stratified random sampling method was adopted to investigate the pre-pregnancy eugenic health examination of 1 995 women of childbearing age in Mianyang City, Sichuan Province through questionnaires. Based on the Andersen theoretical model, four logistic regression analysis models were established to explore the factors influencing the acceptance of pre-pregnancy eugenic health examination by women of childbearing age.

The rate of pre-pregnancy eugenic health examination was 61.1%, of which 53.1% were free and 46.9% were self-paid. The predisposing characteristics, enabling resource-financing, enabling resource-organization and perceived needs were incorporated into the regression model layer by layer. It was found that enabling resource-organization had the greatest impact. Model 4 had the strongest overall explanatory power. Logistic regression analysis results showed that women of childbearing age without insurance or only with commercial insurance (OR=0.526, 95% CI: 0.278-0.996) and those who purchased the urban-rural resident basic medical insurance (OR=0.757, 95% CI:0.597-0.959) had a lower rate of pre-pregnancy eugenic health examination compared to those who purchased urban employee basic medical insurance (P<0.05). From the organizational perspective, women of childbearing age who knew about the free pre-pregnancy eugenic health examination policy (OR=2.907, 95% CI: 2.267-3.728). From the perceived demand perspective, women who planned to get pregnant (OR=1.811,95% CI: 1.459-2.249) were more inclined to accept the pre-pregnancy eugenic health examination (P<0.05).

It is necessary to further promote the implementation of free pre-pregnancy health care service policy, strengthen health education based on primary medical and health institutions, and promote more women of childbearing age to take the initiative to accept pre-pregnancy eugenic health examination services.