中国东部地区流动人口健康档案建立现状及影响因素分析

黄倩雯; 李珍; 叶苗苗; 张颂

doi:10.11847/zgggws1125562

中国东部地区流动人口健康档案建立现状及影响因素分析

Establishment of health records in migrant population and its determinants in Eastern China, 2016 – 2017

摘要

摘要:
目的了解中国东部地区10个省（市）流动人口健康档案建立情况及其影响因素，为提高和推进东部地区基本公共卫生服务提供对策和建议。
方法收集中国2016年5月 — 2017年5月流动人口动态监测调查数据中东部地区10个省（市）69 000名流动人口相关数据，应用Stata 12.0统计软件分析其健康档案建立现状及其影响因素。
结果东部地区10个省（市）69 000名流动人口中，建立健康档案者19 527人，建档率为28.30 %；其中北京市、福建省、广东省、海南省、河北省、江苏省、山东省、上海市、天津市和浙江省的建档率分别为18.53 %、44.81 %、43.85 %、23.80 %、13.92 %、25.61 %、50.75 %、17.50 %、28.50 % 和13.16 %。多因素非条件logistic回归分析结果显示，女性、文化程度初中及以上、在婚、家庭月均收入5 001～10 000元、社区类型为居委会、有本地长期居留意愿和有医疗保险的东部地区流动人口更愿意建立健康档案；年龄 ≥ 50岁和家庭月均收入 > 10 000元的东部地区流动人口更不愿意建立健康档案。
结论中国东部地区10个省（市）流动人口健康档案建档率较低，性别、年龄、文化程度、婚姻状况、家庭月均收入、社区类型、有无长期居留意愿和有无医疗保险是该地区流动人口健康档案建立的主要影响因素。

Abstract:
Objective To explore the status and influencing factors of health record establishment in migrant populations in 10 provincial-level regions in Eastern China and to provide evidences for promoting basic public health services in the regions.
Methods The information about health record establishment among 69 000 migrant people in 10 provinces/municipalities in eastern part of China were extracted from National Dynamic Surveillance on Migrant Population conducted from May 2016 to May 2017. Statistical analysis on collected data was carried out using Stata 12.0 software.
Results Of all the migrant people surveyed, 28.3% (19 527) had their health records established and the proportions of health record establishment for the migrants in various provincial-level regions in descending order were 50.75% (Shandong), 44.81% (Fujian), 43.85% (Guangdong), 28.50% (Tianjin), 25.61% (Jiangsu), 23.80% (Hainan), 18.53% (Beijing), 17.50% (Shanghai), 13.92% (Hebei), and 13.16% (Zhejiang), respectively. Multivariate logistic regression analysis demonstrated that the migrants with following characteristics were more likely to have their health records established: aged 20 – 34, being female, with the education of junior high school and above, married, having a family average monthly income of 5 001 – 10 000 yuan (RMB), living in a community under administration of neighborhood committee, willing to live permanently in the region of immigration, and participating in a medical insurance; while, the migrants aged 50 years and above and having a family average monthly income of more than 10 000 yuan were less likely to have their health records established.
Conclusion The establishment of health records for migrant people is at a relatively low level in ten provincial level regions of Eastern China and the health record establishment is correlated with the migrants' gender, age, education, marital status, average family monthly income, type of residential community, the willingness to live permanently in a region of immigration, and the participation in a medical insurance.

HTML全文

参考文献(11)

施引文献

资源附件(0)