武汉市流动人口基本公共卫生服务利用及影响因素分析  

Analysis of utilization and its influencing factors of basic public health services among migrant people in Wuhan

作　　者：夏庆华[1] 徐静东[1] 杨芳[1] 余惠红[1] 

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430079

出　　处：《中国健康教育》2017年第12期1082-1084,1099,共4页Chinese Journal of Health Education

基　　金：湖北省人口和计划生育委员会资助课题:流动人口基本公共卫生服务调查研究(鄂人口科学研究2013-2-8)

摘　　要：目的了解流动人口对基本公共卫生服务利用的情况及影响因素。方法采用课题组设计的问卷,按照行业、性别进行配额抽样,对抽取的440例外来务工人口开展面对面问卷调查。结果调查对象对基本公共卫生服务认知较少,仅4.2%的调查对象全面了解基本公共卫生服务的内容,流动人口对基本公共卫生服务利用最高的项目为健康教育(78.3%),其次为0~6岁儿童健康管理(11.8%),其余项目利用率均在10%以下。文化程度、家庭人口数、家庭年收入是影响流动人口利用基本公共卫生服务的主要因素,文化程度越高(OR=1.465,95%CI:1.160~1.851)、家庭人口数越多(OR=1.551,95%CI:1.061~2.269)、家庭年收入越高(OR=1.454,95%CI:1.048~2.017),流动人口对基本公共卫生服务服务的利用率越高。结论应针对流动人口文化程度普遍偏低的特点,制定合适的宣传策略;应加大对单独外出的流动人口、家庭年收入较低的流动人口的关注,制定相应干预措施,提高其对基本公共卫生服务卫生服务的认知和利用率。Objective To investigate the utilization of basic public health service among migrant people, and analyze its influence factors. Methods 440 migrant people were investigated with a structured questionnaire. Results Only 4. 2% of the participants knew all contents of basic public health services. The largest using rate of the service was health education service （78.3%）. The second was child health management （0 -6 years old, 11.8% ）. The using rates of other services were all lower than 10%. The educational level （ OR = 1. 465, 95% CI： 1. 160 - 1. 851 ） , family size （ OR = 1. 551, 95% CI： 1. 061 - 2. 269）, family income （ OR = 1. 454, 95% CI： 1. 048 - 2. 017） were main influential factors of migrant people using basic public health services. Conclusion The appropriate propaganda on utilization of basic public health services should be focus on low-educated floating people. More concern and intervention should be focused on single or low-income migrant people to increase their awareness and utilization on basic public health services.

关 键 词：流动人口 基本公共卫生服务 利用 

分 类 号：R193[医药卫生—卫生事业管理]