Table 4 Determinants of 5 + ANC utilization

Predisposing Factors

 Place of residence

  Gansu®

  Yunnan

 < 0.001

9.260

5.879

14.584

 < 0.001

7.995

4.873

13.116

 Age

   ≤ 25®

  26–30

0.103

1.535

0.917

2.568

0.008

2.217

1.227

4.004

   > 30

0.159

0.725

0.463

1.134

0.548

0.849

0.496

1.451

 Education

  Primary school or below®

  Junior high school

 < 0.001

4.057

2.671

6.164

 < 0.001

2.505

1.546

4.059

  Senior high school or above

 < 0.001

7.171

3.536

14.543

0.021

2.519

1.148

5.530

 Number of children

  1®

  2

0.147

0.648

0.360

1.164

0.655

0.859

0.442

1.672

   ≥ 3

 < 0.001

0.291

0.160

0.531

0.191

0.618

0.301

1.271

Enabling factors

 Per capita household income (yuan)

   ≤ 4000®

   > 4000

 < 0.001

2.232

1.555

3.205

 < 0.001

2.115

1.400

3.195

 Distance to health facility (km)

   < 2®

  2–4

0.521

0.806

0.417

1.557

  4–6

0.219

0.693

0.386

1.243

   > 6

0.282

1.375

0.770

2.456

 Health education during ANC

  No®

  Yes

 < 0.001

5.472

3.365

8.900

 < 0.001

2.985

1.666

5.349

 CCT project

  No®

  Yes

0.334

0.839

0.587

1.198

Need Factors

 Self-rated health status

  Low®

  Medium

0.692

1.142

0.591

2.209

  High

0.238

1.607

0.859

3.008

 Health service satisfaction

  Low®

  Medium

0.833

1.114

0.409

3.039

0.670

1.275

0.417

3.895

  High

0.144

2.006

0.788

5.107

0.916

0.946

0.338

2.648