湖北省女性流动人口基本公共卫生服务利用及影响因素分析  

Utilization of Basic Public Health Services and Its Influence Factors among Female Migrants in Hubei Province

作　　者：刘艺敏 何甜田 孙宇恒 LIU Yimin;HE Tiantian;SUN Yuheng(Wuhan University,Wuhan,430072,China)

机构地区：[1]武汉大学医学部健康学院,湖北武汉430072

出　　处：《中国社会医学杂志》2020年第5期549-552,共4页Chinese Journal of Social Medicine

摘　　要：目的了解湖北省女性流动人口基本公共卫生服务利用及其影响因素,为促进基本公共卫生服务均等化在女性流动人口中的落实提供实证依据。方法以2018年湖北省流动人口动态监测数据中的2508名女性流动人口为研究对象,对女性流动人口卫生服务的利用情况进行描述性分析,利用Logistic回归分析其影响因素。结果湖北省女性流动人口基本公共卫生服务利用的总体水平不高,只有39.7%的女性建立了健康档案,84.1%的女性流动人口接受过至少一项健康教育,教育形式为传统的宣传资料、宣传栏等。Logistic回归分析显示,影响流动女性建立健康档案的因素有文化程度(高中OR=0.576,95%CI0.425~0.781;大学及以上OR=0.653,95%CI0.461~0.927)、婚姻状况(OR=1.500,95%CI1.081~2.081)、医保(OR=2.102,95%CI1.399~3.157)、个人月收入(OR=1.261,95%CI1.064~1.494)和流动范围(OR=1.253,95%CI1.012~1.533);接受健康教育的影响因素为文化程度(初中OR=1.884,95%CI1.380~2.571;高中OR=3.158,95%CI2.152~4.634),大学及以上(OR=2.347,95%CI1.524~3.614)和医疗保险制度(OR=0.581,95%CI0.386~0.874)。结论湖北省女性流动人口的基本公共卫生服务利用率并不理想,其中健康档案的建档率较低,健康教育的接受情况相对较好。文化程度、婚姻状况、是否参加医疗保险、个人月收入和流动范围均会对女性流动人口接受基本公共卫生服务产生影响。Objective To explore the utilization of basic public health services(BPHS)and its influence factors among female migrants in Hubei province and to provide evidences for promoting the equalization of BPHS for female migrants.Methods 2508 female data in the Migrants Population Dynamic Monitoring Survey in Hubei province in 2018 were collected and then were analyzed by the descriptive analysis to describe the utilization of BPHS among female migrants.Logistic regression was used to analyze its influencing factors.Results The utilization of BPHS was generally at a low level among the participants with only 39.7%of women had established health records,and 84.1%of female migrants had received at least one health education.Health education included propaganda mate-rials,bulletin boards,etc.The Logistic regression showed that the factors affecting the establishment of health records for female migrants were education(high school OR=0.576,95%CI:0.425~0.78;college and above OR=0.653,95%CI:0.461~0.927),marital status(OR=1.500,95%CI:1.081~2.081),medical insurance(OR=2.102,95%CI:1.399~3.157),personal monthly income(OR=1.261,95%CI:1.064~1.494)and flow range(OR=1.253,95%CI:1.012~1.533);the factors influencing health education were education(junior high school OR=1.884,95%CI:1.380~2.571,high school OR=3.158,95%CI:2.152~4.634,college and above OR=2.347,95%CI:1.524~3.614)and medical insurance(OR=0.581,95%CI:0.386~0.874).Conclusion The utilization rate of basic public health services for female migrants in Hubei province is not satisfactory.The filing rate of health records is relatively low,and the acceptance of health education is relatively good.The level of education,marital status,participation in health insurance,personal monthly income,and range of mobility have an impact on female migrants'access to basic public health services.

关 键 词：女性流动人口 基本公共卫生服务 健康档案 健康教育 

分 类 号：R197.1[医药卫生—卫生事业管理] D442.7[医药卫生—公共卫生与预防医学]