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汪晓慧, 李剑波, 杨洋. 中国老年流动人口接受健康教育和建立健康档案现状及其影响因素分析[J]. 中国公共卫生, 2021, 37(2): 203-208. DOI: 10.11847/zgggws1128961
引用本文: 汪晓慧, 李剑波, 杨洋. 中国老年流动人口接受健康教育和建立健康档案现状及其影响因素分析[J]. 中国公共卫生, 2021, 37(2): 203-208. DOI: 10.11847/zgggws1128961
WANG Xiao-hui, LI Jian-bo, YANG Yang. Status and influencing factors of receiving health education and personal health record establishment among elderly migrant population in China[J]. Chinese Journal of Public Health, 2021, 37(2): 203-208. DOI: 10.11847/zgggws1128961
Citation: WANG Xiao-hui, LI Jian-bo, YANG Yang. Status and influencing factors of receiving health education and personal health record establishment among elderly migrant population in China[J]. Chinese Journal of Public Health, 2021, 37(2): 203-208. DOI: 10.11847/zgggws1128961

中国老年流动人口接受健康教育和建立健康档案现状及其影响因素分析

Status and influencing factors of receiving health education and personal health record establishment among elderly migrant population in China

  • 摘要:
      目的  了解中国老年流动人口接受健康教育和建立健康档案现状及其影响因素,为促进老年流动人口基本卫生服务的利用与供给提供科学依据。
      方法  收集2017年5 — 8月中国流动人口卫生计生动态监测数据中8090名 ≥ 60周岁老年人健康教育接受情况和健康档案建立情况相关数据,应用多水平logistic回归模型分析老年流动人口接受健康教育和建立健康档案的影响因素。
      结果  中国8090名老年流动人口中,接受过健康教育者4818人,健康教育接受率为59.56 %;建立健康档案者2575人,健康档案建立率为31.83 %。多水平logistic回归分析结果显示,文化程度为中学、家庭月均收入 ≥ 3000元、中部和西部地区、有医疗保险、流动范围为市内跨县、居留意愿为没想好的中国老年流动人口健康教育接受率较高,女性、年龄 ≥ 65岁、居住在农村的中国老年流动人口健康教育接受率较低;女性、年龄 ≥ 70岁、家庭月均收入3000~6000元、住房为自购房、中部和西部地区、有医疗保险、流动范围为省内跨市和市内跨县的中国老年流动人口健康档案建立率较高。
      结论  中国老年流动人口的健康教育接受率和健康档案建立率均较低,性别、年龄、家庭月均收入、地区、医疗保险情况和流动范围是中国老年流动人口接受健康教育和建立健康档案的共同影响因素。

     

    Abstract:
      Objective  To explore the status quo and influencing factors of receiving health education and personal health record establishment among elderly migrant population in China and to provide evidences for promoting utilization of basic health services in the population.
      Methods  From the dataset of National Dynamic Surveillance on Health and Family Planning for Migrant Population conducted across China during May – August 2017, we extracted the data on health education and personal health record establishment for 8 090 migrant people aged 60 years and above; multivariate logistic regression model was adopted to analyze influencing factors of receiving health education and personal health record establishment in the migrant population.
      Results  Of the elderly migrant people surveyed, 4 818 (59.56%) had received health education and 2 575 (31.83%) had their health records being established. The results of multivariate logistic regression analysis indicated that the elderly migrant people with following characteristics were more likely to ever receive health education: with middle school education, having an average monthly household income of 3 000 yuan (RMB) or more, living in the central or western region, participating in medical insurance, having a migration of cross-county but within a municipality, and being uncertain of residing in an immigration region; while, the elderly migrant people of being female, aged 65 years and above, and residing in rural regions were less likely to ever receive health education; the results also revealed that the elderly migrant people of being female, aged 70 years and above, having an average monthly household income of 3 000–6 000 yuan, having a self-purchased house, living in the central or western region, participating in medical insurance, and having a migration of cross-county but within a municipality were more likely to have their health records being established.
      Conclusion  The accessibility of health education and the establishment of health records for the elderly migrant population in China were both at a low level. Gender, age, monthly household income, living region, medical insurance and range of migration are common factors influencing health education acceptance and personal health record establishment for the elderly migrant population in China.

     

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