Analysis on the utilization and influence factors of premarital medical examinations service in Guangdong province in 2017

Objective To analyze the utilization of premarital medical examinations (PME) service and factors that influence the PME rate in Guangdong. Method Descriptive analysis was used to descript county PME institutional coverage rate, the number of PEM personnel per 10000 marriages and PME rate in 21 metropolitan in Guangdong Province. Concentration index and concentration curve were adopted to analyze the economic factor on PME rate. The situation of PME service utilization and resources allocation was divided into six types through comparative analysis.Results In 2017, the county PME institutional coverage rate was 92. 4%, the number of PEM personnel per 10000 marriages was 17. 5 and the PME rate was 43. 8%. The CI of PME service utilization among 21 metropolitan cities was 0. 22. PME rate among 12 (57. 1%) cities was lower than the average rate of Guangdong Province. PME resources allocation among 10 cities (47. 6%) was inadequate. 66. 7% cites were short of PME resources among 12 cities that have low PME rate. 4 Cities (19. 0%) have sufficient or adequate PME resources but low PME rate.Conclusion Economic level is not the decisive factor that influencing the PME rate. PME resources allocation is an important factor affecting PME rate. As for the cities with sufficient or adequate PME resources allocation but low PME rate, they need to consider for other important factors that influence PME rate.