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张晓芳, 李琛, 何甜田, 姜俊丰, 张玲, 刘艺敏. 湖北省流动人口基本公共卫生服务利用及影响因素分析[J]. 中国公共卫生, 2019, 35(6): 693-696. DOI: 10.11847/zgggws1118116
引用本文: 张晓芳, 李琛, 何甜田, 姜俊丰, 张玲, 刘艺敏. 湖北省流动人口基本公共卫生服务利用及影响因素分析[J]. 中国公共卫生, 2019, 35(6): 693-696. DOI: 10.11847/zgggws1118116
Xiao-fang ZHANG, Chen LI, Tian-tian HE, . Status and influencing factors of basic public health service utilization in migrant population in Hubei province[J]. Chinese Journal of Public Health, 2019, 35(6): 693-696. DOI: 10.11847/zgggws1118116
Citation: Xiao-fang ZHANG, Chen LI, Tian-tian HE, . Status and influencing factors of basic public health service utilization in migrant population in Hubei province[J]. Chinese Journal of Public Health, 2019, 35(6): 693-696. DOI: 10.11847/zgggws1118116

湖北省流动人口基本公共卫生服务利用及影响因素分析

Status and influencing factors of basic public health service utilization in migrant population in Hubei province

  • 摘要:
    目的 了解湖北省流动人口建立健康档案和接受健康教育情况,并分析其影响因素,为推进湖北省基本公共卫生服务均等化提供建议。
    方法 利用2017年湖北省流动人口动态监测数据,采用多水平logistic回归模型,对流动人口卫生服务利用情况及其影响因素进行分析。
    结果 在流入湖北省半年以上的4 726名流动人口中,2 174人(46.0 %)在本地社区建立了居民健康档案,3 871人(81.9 %)接受过至少一种类型的健康教育,教育形式主要为传统的宣传资料、宣传栏/电子显示屏。健康档案建立的影响因素有性别(OR = 1.388, 95 % CI = 1.162~1.659)和流动时间(OR = 1.643, 95 % CI = 1.120~2.409),接受健康教育的影响因素有年龄(OR = 0.883, 95 % CI = 0.828~0.942)、婚姻状况(OR = 1.895, 95 % CI = 1.307~2.747)和样本点类型(OR = 0.444, 95 % CI = 0.214~0.919)。
    结论 流动人口对本地公共卫生服务的利用不足,建档率低;接受健康教育比例较高,但健康教育内容不够全面,教育方式较为单一。

     

    Abstract:
    Objective To investigate the status and main influencing factors of health record establishment and health education participation in migrant population in Hubei province and to provide evidences for promoting the equalization of basic public health service in the province.
    Methods We used data extracted from Dynamic Monitoring Survey among Migrants in Hubei Province – 2017. Multivariate logistic regression model was used to analyze associated factors of basic public health service utilization.
    Results Of the 4 726 migrants who had lived in local areas for more than a half of a year, 46.0% had their health records established in local communities and 81.9% received at least one health education program. Distributions of health related information via conventional publicity material, bulletin board and electronic signs were main forms of health education. Factors influencing health records establishment included female gender (odds ratio OR = 1.388, 95% confidence interval 95% CI: 1.162 – 1.659) and duration of migration of ≥ one year (OR = 1.643, 95% CI: 1.120 – 2.409). Age (OR = 0.883, 95% CI: 0.828 – 0.942), married (OR = 1.895, 95% CI: 1.307– 2.747) and residing in rural area temporarily (OR = 0.444, 95% CI: 0.214 – 0.919) influenced the participation in health education.
    Conclusion For the migrants in Hubei province, the utilization of basic public health services is inadequate; the rate of health record establishment is low; and the contents and means of health education are monotonous although the participation rate is relatively high.

     

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