Table 5 Determinants of 8 + ANC utilization

Predisposing Factors

 Place of residence

  Gansu®

  Yunnan

 < 0.001

4.871

3.549

6.685

 < 0.001

4.680

3.167

6.914

 Age

   ≤ 25®

  26–30

0.623

1.094

0.765

1.564

   > 30

0.338

1.184

0.838

1.672

 Education

  Primary school or below®

  Junior high school

 < 0.001

2.025

1.465

2.799

0.054

1.439

0.993

2.083

  Senior high school or above

 < 0.001

6.765

4.597

9.957

 < 0.001

3.679

2.343

5.778

 Number of children

  1®

  2

0.264

0.824

0.587

1.157

0.735

1.070

0.722

1.586

   ≥ 3

 < 0.001

0.289

0.188

0.446

0.212

0.720

0.430

1.206

Enabling factors

 Per capita household income (yuan)

   ≤ 4000®

   > 4000

 < 0.001

1.663

1.268

2.183

0.002

1.663

1.208

2.289

 Distance to health facility (km)

   < 2®

  2–4

0.004

2.360

1.305

4.268

0.716

1.135

0.573

2.248

  4–6

0.313

1.337

0.761

2.352

0.420

0.768

0.404

1.460

   > 6

 < 0.001

4.795

2.875

7.998

 < 0.001

3.180

1.784

5.668

 Health education during ANC

  No®

  Yes

0.031

1.814

1.055

3.120

0.427

0.763

0.392

1.486

 CCT project

  No®

  Yes

0.001

1.566

1.200

2.044

 < 0.001

1.981

1.416

2.771

Need Factor

 Self-rated health status

  Low®

  Medium

0.054

1.760

0.991

3.125

0.599

0.827

0.408

1.678

  High

0.231

1.397

0.808

2.415

0.273

0.685

0.349

1.347

 Health service satisfaction

  Low®

  Medium

0.054

3.454

0.981

12.157

0.123

3.235

0.726

14.413

  High

0.023

4.057

1.208

13.626

0.208

2.521

0.597

10.640