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杜洁, 田仕静, 王娜, 赵民, 林钧昌. 少数民族流动人口健康教育现状及影响因素分析[J]. 中国公共卫生, 2021, 37(2): 233-237. DOI: 10.11847/zgggws1126041
引用本文: 杜洁, 田仕静, 王娜, 赵民, 林钧昌. 少数民族流动人口健康教育现状及影响因素分析[J]. 中国公共卫生, 2021, 37(2): 233-237. DOI: 10.11847/zgggws1126041
DU Jie, TIAN Shi-jing, WANG Na, . Status and influencing factors of health education in ethnic minority migrant population in China[J]. Chinese Journal of Public Health, 2021, 37(2): 233-237. DOI: 10.11847/zgggws1126041
Citation: DU Jie, TIAN Shi-jing, WANG Na, . Status and influencing factors of health education in ethnic minority migrant population in China[J]. Chinese Journal of Public Health, 2021, 37(2): 233-237. DOI: 10.11847/zgggws1126041

少数民族流动人口健康教育现状及影响因素分析

Status and influencing factors of health education in ethnic minority migrant population in China

  • 摘要:
      目的  了解少数民族流动人口健康教育现状及其影响因素,为加强少数民族流动人口健康教育,推进少数民族流动人口基本公共卫生计生服务均等化提供参考依据。
      方法  收集2017年5 — 8月全国流动人口卫生计生动态监测调查数据中14 226名少数民族流动人口相关数据,应用SPSS 25.0统计软件分析少数民族流动人口健康教育现状及其影响因素。
      结果  14 226名少数民族流动人口中,接受过健康教育者10 724人,健康教育接受率为75.4 %;其中,接受率从高到低的健康教育依次为生殖健康与避孕、控制吸烟、妇幼保健与优生优育、性病/艾滋病防治、突发公共事件自救、慢性病防治、结核病防治、心理健康和职业病防治,健康教育接受率依次为53.9 %、53.2 %、53.1 %、47.9 %、43.3 %、41.6 %、40.4 %、37.9 % 和34.9 %。10 724名接受过健康教育的少数民族流动人口中,接受方式为宣传资料(纸质、影视)、宣传栏/电子显示屏、健康知识讲座、公众健康咨询、社区短信/微信/网站和个性化面对面咨询者分别占84.3 %、71.9 %、47.0 %、46.2 %、38.2 % 和32.4 %。多因素非条件logistic回归分析结果显示,民族为壮族和维吾尔族、文化程度初中及以上、已婚、有稳定工作、就业单位性质为集体或国有控股或股份联营企业、流入地为中部和西部区域、有医疗保险、本地建立健康档案、自评基本健康和健康的少数民族流动人口更愿意接受健康教育;年龄 ≥ 45岁的少数民族流动人口更不愿意接受健康教育。
      结论  少数民族流动人口接受健康教育的水平偏低且不够全面,宣传方式仍以纸质和影视宣传资料为主;年龄、民族、文化程度、婚姻状况、有无稳定工作、就业单位性质、流入地区域、有无医疗保险、本地健康档案建立情况和自评健康情况是少数民族流动人口接受健康教育的主要影响因素。

     

    Abstract:
      Objective  To examine the status quo and influencing factors of health education among ethnic minority migrant population in China and to provide references for promoting the equalization of basic public health services in the population.
      Methods  Relevant data on 14 226 ethnic minority migrant people aged ≥ 15 years were from the National Dynamic Surveillance on Health and Family Planning of Migrant Population carried out during May – August 2017. SPSS 25.0 statistical software was used to analyze the status quo and influencing factors of health education in the population.
      Results  Of all the people surveyed, 75.4% (10 724) had received health education on various topics; the proportions of the people ever receiving the education on various health issues were 53.9% for reproductive health and contraception, 53.2% for tobacco control, 53.1% for maternal and child health care and eugenics, 47.9% for the prevention and control of sexual transmitted disease/human immunodeficiency virus infection/acquired immunodeficiency syndrome (STD/HIV/AIDS), 43.3% for self-help in a public emergency, 41.6% for chronic disease prevention and control, 40.4% for tuberculosis prevention and control, 37.9% for mental health, and 34.9% for occupational disease prevention, respectively. The ways of acquiring related information reported by the people ever receiving health education were as following: publicity materials such as paper, film and television (reported by 84.3% of the people), bulletin board/public electronic display screens (71.9%), health knowledge lecture (47.0%), public health consultation (46.2%), community-delivered short massage /WeChat/website (38.2%) and personalized face-to-face consultation (32.4%). Unconditioned multivariate logistic regression analysis revealed that the people with following characteristics were more likely to have health education: being Zhuang or Uygur ethnic, with the education of junior high school and above, married, with a stable employment, employed by a collective/state-run/joint venture enterprise, immigrating to central or western regions, having medical insurance, with established health records in local region, and with a self-rated good or generally good health; while the people of ≥ 45 years were less likely to receive health education.
      Conclusion  The health education among ethnic minority migrant population is at a low level and less comprehensive. Main impact factors for acceptance of health education in ethnic minority migrant population include age, nationality, education level, marital status, employment status, nature of employer, region of immigration, medical insurance, establishment of health record in local residence, and self-rated health.

     

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