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郭静, 杨洪玲, 刘凌琳, 邵飞. 流动人口基本公共卫生服务知晓率及影响因素分析[J]. 中国公共卫生, 2019, 35(1): 63-66. DOI: 10.11847/zgggws1117247
引用本文: 郭静, 杨洪玲, 刘凌琳, 邵飞. 流动人口基本公共卫生服务知晓率及影响因素分析[J]. 中国公共卫生, 2019, 35(1): 63-66. DOI: 10.11847/zgggws1117247
Jing GUO, Hong-ling YANG, Ling-lin LIU, . Status quo and determinants of awareness on basic public health service among migrant population[J]. Chinese Journal of Public Health, 2019, 35(1): 63-66. DOI: 10.11847/zgggws1117247
Citation: Jing GUO, Hong-ling YANG, Ling-lin LIU, . Status quo and determinants of awareness on basic public health service among migrant population[J]. Chinese Journal of Public Health, 2019, 35(1): 63-66. DOI: 10.11847/zgggws1117247

流动人口基本公共卫生服务知晓率及影响因素分析

Status quo and determinants of awareness on basic public health service among migrant population

  • 摘要:
      目的  了解流动人口基本公共卫生服务知晓率及其影响因素,为在流动人口中进一步落实基本公共卫生服务项目和促进基本公共卫生服务均等化提供参考依据。
      方法  选取北京、上海、深圳作为研究现场,在每个城市随机抽取2个区,每个区抽取5个街道,每个街道选取100名流动人口作为研究对象,有效调查2 504人,对其基本公共卫生服务知晓率及影响因素进行分析。
      结果  流动人口基本公共卫生服务知晓率偏低,为37.5 %。知晓率最高的3项是:预防接种(34.4 %)、建立居民档案(30.4 %)和孕产妇健康管理(28.2 %),最低的3项是:中医药健康管理(4.2 %)、重性精神疾病患者管理(5.5 %)和儿童健康管理(7.6 %)。多因素分析显示,流动人口基本公共卫生服务知晓率的影响因素有:性别、年龄、流动稳定性、住房情况、每周工作时间和健康自评。
      结论  我国流动人口基本公共卫生服务存在知晓率低、各项服务知晓情况不平衡、服务利用率与知晓率存在较大偏差的问题,需进一步加强宣传教育工作的广度和深度,灵活选取宣传场所,改善流动人口基本公共卫生服务知晓情况。

     

    Abstract:
      Objective  To examine the rate and influencing factors of awareness on basic public health service (BPHS) among migrant population and to provide references for implementing BPHS projects and promoting the equalization of BPHS among migrant populations.
      Methods  Three cities (Beijing, Shanghai and Shenzhen) were selected as the research sites; two districts were randomly selected in each city and five neighborhoods were selected in each district; and 100 migrant people aged 15 years and older and residing in the neighborhood more than one month were recruited. Then, we conducted a questionnaire survey on awareness and relevant factors of BPHS among a total of 2 504 migrant people selected.
      Results  Among the participants, the overall awareness rate of BPHS was only 37.5%; three items of BPHS with a higher awareness rate were vaccination (34.4%), establishment of resident health records (30.4%), and maternal health management (28.2%) and the three with a lower awareness rate were management on traditional Chinese medicine (4.2%), management of patients with severe mental illness (5.5%), and child health management (7.6%), respectively. Multivariate analysis revealed that factors influencing the awareness rate of BPHS were gender, age, migration stability, housing situation, weekly working hours, and self-evaluated health.
      Conclusion  The rate of awareness on BPHS is low and there are disparities in the awareness on various BPHS items and between the awareness rate and utilization rate of BPHS items among migrant population in China. The results suggest that comprehensive and flexible education programs on BPHS should be promoted among migrant populations.

     

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