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严琼, 童连. 青年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): 680-684. DOI: 10.11847/zgggws1119401
引用本文: 严琼, 童连. 青年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): 680-684. DOI: 10.11847/zgggws1119401
Qiong YAN, Lian TONG. Utilization of basic public health services and its influence factors among young migrants[J]. Chinese Journal of Public Health, 2019, 35(6): 680-684. DOI: 10.11847/zgggws1119401
Citation: Qiong YAN, Lian TONG. Utilization of basic public health services and its influence factors among young migrants[J]. Chinese Journal of Public Health, 2019, 35(6): 680-684. DOI: 10.11847/zgggws1119401

青年流动人口基本公共卫生服务利用及影响因素分析

Utilization of basic public health services and its influence factors among young migrants

  • 摘要:
    目的 了解青年流动人口基本公共卫生服务的利用现状及其影响因素,为制定青年流动人口健康保障相关政策提供依据。
    方法 采用2014年全国流动人口卫生计生动态监测数据中的29 281名15~24岁青年人群资料,用分层线性回归模型和logistic回归对青年流动人口基本公共卫生服务利用及影响因素进行分析。
    结果 青年流动人口基本公共卫生服务利用总体水平较低,15~24岁的青年流动人口中只有18.0 %的人建立健康档案;28.5 %的人接受过职业病防治的健康教育,分别有43.0 %、22.6 %的人接受过艾滋病防治和结核病防治的健康教育,分别有38.4 %和31.6 %的人接受过生殖与避孕和性病防治的健康教育;多因素分析显示,青年流动人口基本公共卫生服务利用的影响因素为性别(OR = 1.101)、年龄(OR = 1.153)、文化程度(OR = 0.937)、婚姻状况(OR = 1.300)、单位性质(国企OR = 1.666、外企OR = 1.494;私企及其他等OR < 1)、流动地区(OR = 2.132、2.716、2.248)、是否有长期居住打算(否、没想好OR < 1)、是否有医疗保险(OR = 1.704)。
    结论 青年流动人口对基本公共卫生服务可及性差,应加强健康教育的宣传,重视青年流动人口的职业病防治、性别防治、生殖保健方面的健康教育。

     

    Abstract:
    Objective To explore the utilization of basic public health services (BPHS) and its influence factors among young migrants.
    Methods We extracted the data on 29 281 migrants aged 15 – 24 years from the National Dynamic Surveillance on Health and Family Planning for Migrant Population conducted in May 2014. Hierarchical linear regression model and multivariate logistic regression model were used to examine the influence factors of BPHS utilization in the participants.
    Results The utilization of BPHS was generally at a low level among the participants. For all the participants, only 18% had their health records established; 28.5%, 43.0%, and 31.6% reported having received health education on prevention of occupational disease, AIDS, and sexually transmitted diseases; and 38.4% reported having received health education on reproduction and contraception. Multivariate analyses revealed following significant impact factors for BPHS utilization of the participants: gender (female vs. male: odds ratio OR = 1.101), age (18 – 24 vs. 15 – 17: OR = 1.153), education (junior high school vs. primary school or lower: OR = 0.937), marital status (married vs. unmarried: OR = 0.937), employment (governmental or public institution vs. state-owned enterprise/foreign enterprise, privat enterprise and other employment: OR = 1.666/1.494, OR < 1), region of migration (central/northeastern/western vs. eastern: OR < 1), willingness to stay in the region of migration for a long time (yes vs. no or uncertain: OR < 1), and whether having medical insurance (yes vs. no: OR = 1.704).
    Conclusion The accessibility of basic public health services for young migrants is poor; the result suggests that health education should be strengthened in the population.

     

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