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宋月萍, 张光赢. 中国流动人口慢性病患者公共卫生服务利用现状及其影响因素[J]. 中国公共卫生, 2021, 37(2): 198-202. DOI: 10.11847/zgggws1123492
引用本文: 宋月萍, 张光赢. 中国流动人口慢性病患者公共卫生服务利用现状及其影响因素[J]. 中国公共卫生, 2021, 37(2): 198-202. DOI: 10.11847/zgggws1123492
SONG Yue-ping, ZHANG Guang-ying. Utilization of public health services and its influencing factors among migrant people with hypertension or diabetes in China[J]. Chinese Journal of Public Health, 2021, 37(2): 198-202. DOI: 10.11847/zgggws1123492
Citation: SONG Yue-ping, ZHANG Guang-ying. Utilization of public health services and its influencing factors among migrant people with hypertension or diabetes in China[J]. Chinese Journal of Public Health, 2021, 37(2): 198-202. DOI: 10.11847/zgggws1123492

中国流动人口慢性病患者公共卫生服务利用现状及其影响因素

Utilization of public health services and its influencing factors among migrant people with hypertension or diabetes in China

  • 摘要:
      目的   了解中国流动人口高血压和2型糖尿病2种慢性病患者公共卫生服务利用现状及其因素,为提高流动人口慢性病患者公共卫生服务利用率提供参考依据。
      方法   收集2017年流动人口动态监测调查中9 272例高血压和2型糖尿病患者的相关数据,并应用Probit回归模型分析中国流动人口慢性病患者公共卫生服务利用的影响因素。
      结果   中国2017年流动人口高血压和2型糖尿病2种慢性病的患病率为5.45 %,其中高血压的患病率为4.76 %,2型糖尿病的患病率为1.23 %;流动人口慢性病患者的公共卫生服务利用率仅为36.4 %。Probit回归模型分析结果显示,女性和年龄 ≥ 55周岁同时患高血压和2型糖尿病的慢性病患者基本公共卫生服务利用率较高,非农业户口、居住在东北地区、未建立或不清楚是否建立健康档案、未接受慢性病健康教育和居住地到最近医疗服务机构所需时间 ≥ 15 min同时患高血压和2型糖尿病的慢性病患者基本公共卫生服务利用率较低;年龄 ≥ 55周岁、少数民族、居住在中部和西部地区的高血压患者基本公共卫生服务利用率较高,未建立或不清楚是否建立健康档案和未接受或不清楚是否接受慢性病健康教育的高血压患者基本公共卫生服务利用率较低;居住在中部和西部地区的2型糖尿病患者基本公共卫生服务利用率较高,未建立或不清楚是否建立健康档案和未接受慢性病健康教育的2型糖尿病患者基本公共卫生服务利用率较低。
      结论   中国流动人口慢性病患者公共卫生服务利用率较低;性别、年龄、民族、户口类型、居住地区、建立健康档案情况、接受慢性病健康教育情况和居住地到最近医疗服务机构所需时间是中国流动人口慢性病患者公共卫生服务利用的主要影响因素。

     

    Abstract:
      Objective   To examine the status and influencing factors of basic public health services (BPHS) utilization among migrant people with hypertension or diabetes in China and to provide evidences for promoting the utilization of BPHS among migrant population with chronic diseases.
      Methods   We extracted the data on 9 272 migrant people with hypertension or type 2 diabetic mellitus (T2DM) from the Dynamic Monitoring Survey on Migrant Population – 2017 sponsored by the National Health and Family Planning Committee. Probit regression model was adopted to analyze influencing factors of BPHS utilization among the migrant population.
      Results   Among the 169 989 migrant people aged 15 years and above, the prevalence rate of the two chronic diseases was 5.34% (4.74% for hypertension and 1.23% for T2DM). The rate of BPHS utilization was only 36.4% among the migrant people with hypertension or T2TM. The results of Probit regression model analysis indicated that among the migrants suffering from both hypertension and T2DM, those being female and aged 55 years and above were more likely to utilize BPHS; while, those with non-agricultural household registration, residing in northeastern regions, without health records being established or not being sure about the establishment of their health records, receiving no health education on chronic disease, and living at a residence at least 15 minutes away from a nearest medical institutions were less likely to utilize BPHS. The results also revealed that for the migrant hypertension patients, 55 years and above, being minority ethnics, living in central or western regions were more likely to utilize BPHS; but those without health records being established or not being sure about the establishment of their health records and those not receiving or being not sure about having received health education on chronic disease were less likely to utilize BPHS; for the migrant T2DM patients, those living in central or western regions were more likely to utilize BPHS, while those without health records being established or not being sure about the establishment of their health records and those not receiving health education on chronic disease were less likely to utilize BPHS.
      Conclusion   The utilization rate of basic public health services is low and mainly influenced by gender, age, ethnic, type of household registration, establishment of health record, health education on chronic disease, and the time required from residence to nearest medical institution among migrant people with hypertension or type 2 diabetic mellitus in China.

     

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