从家庭化流动视角研究广东省流动人口卫生服务利用的影响因素  

Health service utilization of internal migrants in Guangdong province:from the family migration perspective

作　　者：宋笑蕾 邹冠炀[1,2] 石景容[1,2] 林艳伟[1,2] 凌莉[1,2] 

机构地区：[1]中山大学公共卫生学院,广东广州510080 [2]中山大学流动人口卫生政策研究中心,广东广州510080

出　　处：《现代预防医学》2017年第8期1454-1459,1469,共7页Modern Preventive Medicine

基　　金：基金项目:中山大学流动人口卫生政策研究中心能力建设(12-111)

摘　　要：目的从家庭化流动的视角分析广东流动人口卫生服务利用的影响因素。方法采用2014年全国流动人口卫生计生动态监测广东省数据。应用χ2检验比较有无家人随迁的流动人口基本情况及卫生服务利用情况的差别,应用Logistic回归分析影响流动人口卫生服务利用的因素。结果跨省流动占72.56%,家庭化流动比例为71.40%。年住院率4.03%,应住院未住院比例18.00%。有家人随迁的流动人口住院率(5.28%)高于有家人随迁的流动人口(0.90%)(P<0.001),应住院未住院比例(16.45%)则低于无家人随迁的流动人口(35.42%)(P<0.01)。多因素Logistic回归结果显示有家人随迁的流动人口更易利用卫生服务(OR=1.65,P<0.05)。分层分析结果表明有家人随迁的流动人口卫生服务利用影响因素包括学历、婚姻状况、就业情况和家庭月收入,而无家人随迁的流动人口则是婚姻状况、户口性质和就业情况。结论广东省流动人口以家庭化流动为主,有家人随迁的流动人口相比独自一人在流入地居住的流动人口更易利用卫生服务。Objective This study aimed to report the family migration and health service utilization of internal migrants in Guangdong province. Methods The data was collected from 2014 National Dynamic Floating Population Monitoring Survey. Chi-square test and logistic regression were applied in data analysis. Results The percentage of migrating with family members was 71.40%. 61.87% completed family migration. The annual hospitalization rate was 4.03%. The percentage of those who did not received hospitalization when they should be hospitalized was 18.00%. After adjusting the effect of gender and age, whether migrated with family members （OR=1.65, P〈0.05） was still found to be statistically significant with health service utilization. Conclusion Family migration was a main trend of internal migrants in Guangdong. Migrants who migrated with family members were more likely to utilize health service.

关 键 词：流动人口 卫生服务利用 家庭化流动 

分 类 号：R195[医药卫生—卫生统计学]