中青年流动人口慢性病防治教育现状及其影响因素分析  

Analy on the Education Status and Influencing Factors of Prevention and Treatment of Chronic Diseases among Young and Middle-aged Migrants in China

作　　者：廖智柳 褚美洁 王德文[1] 姜茂敏 Liao Zhiliu(School of Public Affairs,Xiamen University,Xiamen,P.R.China)

机构地区：[1]厦门大学公共事务学院,福建厦门361005 [2]厦门大学公共卫生学院预防医学系

出　　处：《中国卫生事业管理》2022年第4期312-315,320,共5页Chinese Health Service Management

基　　金：国家自然科学基金项目“农村中老年人健康素养测评指标构建及健康素养提升研究”(72074187)。

摘　　要：目的:探讨中青年流动人口慢性病防治教育现状及其影响因素,为提高中青年流动人口慢性病防治素养和促进慢性病防治教育服务和政策的制定提供参考依据。方法基于2017年全国流动人口动态监测调查数据中148850名15〜59岁中青年流动人口数据,利用SPSS 25.0统计软件分析其接受慢性病防治教育现状及影响因素。结果:148850名中青年流动人口中接受慢性病防治健康教育55566人,接受率为37.3%;其中,15〜35岁青年和36〜59岁中年流动人口慢性病防治健康教育接受率分别为36.8%、38.0%。慢性病防治教育接受方式主要为宣传资料(纸质、影视)、宣传栏/电子显示屏、公众健康咨询、健康知识讲座、社区短信/微信/网络和个性化面对面咨询,分别占93.6%、86.1%、64.9%、59.5%、53.2%和44.0%。二元Logistic回归分析发现,男性、36〜59岁、已建立健康档案、听说过“国家基本公共卫生服务”、患有慢性病、流动原因为经商、完全愿意融入本地人的中青年流动人口更倾向于接受慢性病防治健康教育。教育程度为小学及以下、家庭月总均收入≥10000元、跨省、无医疗保险、居住地到最近医疗机构所需时间≥15分钟的中青年流动人口更不倾向于接受慢性病防治教育。结论:中青年流动人口慢性病防治教育接受率较低,不同性别、年龄、受教育程度、家庭月均总收入、流动范围、流动原因、是否建立健康档案、是否听说“国家基本公共卫生服务”、是否患慢性病、医疗保险和居住地到最近医疗机构所需时间是影响中青年流动人口慢性病防治教育接受率的主要影响因素。Objective To explore the status of health education on prevention and treatment of chronic diseases and its influencing factors among young and middle-aged migrants in China,and provide references for policy-making.Methods Data of 148850 young and middle-aged migrants aged 15~59 in the National Floating Population Dynamics Monitoring in 2017 was obtained and analyzed with software of SPSS 25.0.Results Among all the participants,only 37.3%had received health education on prevention and treatment of chronic diseases,which was 36.8%,38.0%in the participants aged 15-35 and 36-59 years,respectively.The main patterns of chronic diseases prevention and treatment education were publicity materials(paper,film and television),billboards/electronic displays,public health consultation,health knowledge lectures,community short message service/WeChat/networks and personalized face-to-face consultation.The results of binary logistic regression analysis showed that the participants with following characteristics were more willing to receive health education service on prevention and treatment of chronic diseases,which were male,aged 36-59 years,personal health records having being established,knowing national basic public health service,suffering from chronic disease,migrating due to business,and having a strong willingness to integrate into local social environment,while the participants with following characteristics were more unwilling to receive health education service,which were education of primary school or below,average monthly family income≥10000 RMB Yuan,having cross-province migration,no insurance and the time from residence to the nearest medical service institution≥15 minutes.Conclusion The acceptance rate of health education on prevention and treatment of chronic diseases among young and middle-aged floating population was relatively low,which was influenced by gender,age,education level,total monthly household income,floating region,reasons for migration,establishment of personal health record,awareness of na

关 键 词：慢性病 慢性病防治教育 中青年流动人口 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]