浙江省部分地区工伤保险参保现况及其影响因素  

The coverage of work injury insurance and its affecting factors in Zhejiang Province, China

作　　者：段胜楠[1,6] 董恒进[2] 吴媛[3] 叶驰宇[4] 刘小方[2] 尤华[2] 胡慧美[2] 王林浩[2] 张幸 

机构地区：[1]浙江大学医学部卫生政策学研究中心,杭州310058 [2]浙江大学医学部卫生政策学研究中心,杭州310058 [3]浙江大学医学部卫生政策学研究中心,杭州310058 [4]浙江大学医学部卫生政策学研究中心,杭州310058 [5]浙江省医学科学研究院 [6]大连医科大学

出　　处：《中华劳动卫生职业病杂志》2014年第12期892-897,共6页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：美国中华医学基金会会( Gr ant No．11-066)，浙江省重大科技专项课题( 2008C13029-2，职业病与工伤社会保险的可行性及政策( 2012C35048)

摘　　要：目的 了解浙江省部分地区企业职工的工伤保险参保现状及影响工伤保险参保率的因素.方法 依照《企业职业卫生调查表》和《职业卫生与工伤(职业病)保险可行性调查表》,采用多阶段整群抽样问卷调查的方法对浙江省3县(市)9家企业2 836名工人进行调查.结果 9家企业普遍存在职业有害因素,接毒职工人数多;在职职工平均年龄小,文化程度低,收入差距大,防护意识薄弱,防护行为不积极.所调查职工工伤保险参保率为50.1％,不清楚是否参加工伤保险者占29.6％.男性、浙江当地职工、工龄长、对职业病及工伤保险知晓情况好、工作期间被告知存在职业有害因素和参加职业卫生培训的职工参加工伤保险的可能性大,接触物理有害因素及管理岗位职工参加工伤保险的可能性大;参加医保的职工的工伤保险参保可能性大.平均家庭人口数多、每周工作时间长、参加岗前体检的职工参加工伤保险的可能性小.结论 浙江省部分地区职工工伤保险参保率高于全国平均水平,但与国际水平差距显著;职工工伤保险参保率与职工对职业病及工伤保险的知晓情况关联密切;提高职工文化程度,加强职业卫生培训,有助于提高职工对职业病与工伤保险的知晓情况,从而提高工伤保险参保率.Objective In China,the coverage rate of work injury insurance was 23.2％ in 2011,which was far lower than expected.The factors affecting the insurance''s enrollment has very little known.This paper aims to study the existing coverage of work injury insurance scheme and its influencing factors.Methods The data were collected from 2 836 workers who came from 9 industries in three cities of Zhejiang province using face-to-face questionnaire interview.Results Of these 2836 workers,the work injury insurance coverage was 50.1％,and 29.6％ were not sure if they were covered or not.The results showed that the awareness of occupational disease and industrial injury insurance was helpful in increasing the coverage rate.Besides,the logistic regression analysis showed that in certain circumstances working population shared higher coverage of work injury insurance.For examples,male workers with local household registration and longer working years; people who had been informed about occupational risk factors,and thus gained more training on the issue; people who had exposed to occupational hazards or involved in administrative duties; and people who had already insured by a medical insurance scheme.In the contrary,the heavier family burden with longer working hours per week they needed,the lower possibility they joined the insurance scheme.Conclusions The coverage of work injury insurance is higher than native average level but much lower than the average international level.The awareness of occupational disease and injury insurance was closely associated with the coverage of work injury insurance.Therefore,it is imperative to popularize the knowledge on OHS for migrant workers,as well as to reinforce the supervision and management of the issue would have been an effective way to elevate the coverage rate of work injury insurance.

关 键 词：职工 工伤保险 参保率 

分 类 号：F842.616[经济管理—保险]