老年流动人口线上健康教育利用现状及影响因素分析  

Online heath education and influencing factors in the elderly migrant population

作　　者：范子娜 尹文强[1] 唐晓朦 张晗 范成鑫 胡金伟[1] 陈钟鸣[1] 郭洪伟[1] FAN Zi-na;YIN Wen-qiang;TANG Xiao-meng;ZHANG Han;FAN Cheng-xin;HU Jin-wei;CHEN Zhong-ming;GUO Hong-wei(School of Management,Weifang Medical University,Wei fang,Shandong 261053,China)

机构地区：[1]潍坊医学院管理学院,山东潍坊261053

出　　处：《中国预防医学杂志》2022年第3期185-190,共6页Chinese Preventive Medicine

基　　金：山东省自然科学基金(ZR2020MG055)。

摘　　要：目的 通过分析老年流动人口线上健康教育的现状,探究影响其使用线上健康教育的因素,为改进老年流动人口健康教育工作提出建议。方法 收集2017年全国流动人口卫生计生动态监测调查数据中流入时间≥6个月且≥60周岁流动人口的相关数据,利用SPSS软件分析老年流动人口线上健康教育的现状及影响因素。结果 老年流动人口5 729人,接受过线上健康教育的有902人,线上健康教育接受率为15.74%;9项健康教育内容中,线上接受率从高到低依次为控制吸烟、慢性病防治、突发公共事件自救、心理健康、结核病防治、性病/艾滋病防治、妇幼保健/优生优育、职业病防治、生殖健康与避孕,接受率分别为13.49%、13.06%、12.24%、11.50%、10.67%、10.12%、9.97%、9.37%、9.36%;年龄在70~<80岁(OR=0.78,95%CI:0.63~0.96)及≥80岁(OR=0.56,95%CI:0.32~0.98)、跨省流动(OR=0.77,95%CI:0.62~0.94)、随家属迁移(OR=0.77,95%CI:0.63~0.94)的老年人线上健康教育利用率较低。结论 老年流动人口线上健康教育的利用率较低,且线上健康教育项目利用的结构不均;不同年龄、文化程度、户口性质、婚姻状况、家庭月均收入、流动范围、流动原因、自评健康状况、健康档案建立情况、距最近医疗服务机构的时间及是否认同自己为本地人的线上健康教育接受率不同;年龄、文化程度、家庭月收入、流动范围、流动原因、自评健康状况、健康档案建立情况、距离最近医疗服务机构的时间是影响老年流动人口利用线上健康教育的因素。Objective To understand the status of online health education in the elderly migrant population,and to discuss its influencing factors. Methods The relevant data of 5 729 migrant population of≥60 years old were retrieved from the 2017 National Dynamic Surveillance on Health and Family Planning of Migrant Population.SPSS statistical software was used to analyze the status of online health education and its influencing factors. Results Among the 5 729elderly migrant individuals,902 (15.74%)received online health education,with the highest of 13.49% on tobacco control,followed by 13.06% on prevention and control of chronic diseases,12.24% on self-help in public emergencies,11.50%on mental health,10.67% on tuberculosis prevention and control,10.12% on STD/AIDS prevention and control,9.97% on maternal and child health care and eugenics,9.37% on occupational disease prevention and control,9.36% on reproductive health and contraception.The elderly migrant individuals aged 70-79years(OR=0.78,95%CI:0.63-0.96),or over 80 years(OR=0.56,95%CI:0.32-0.98),migrating to other provinces(OR=0.77,95%CI:0.62-0.94) or migrating with their families(OR=0.77,95%CI:0.63-0.94) were less likely to receive online health education. Conclusions The overall utilization rate of online health education among the elderly migrant population is low.Age,education,monthly family income,residency,reasons of migrating,self-rated health status,health records,and distance to the nearest medical service institution are major influencing factors for online health education of the elderly migrant population.

关 键 词：老年流动人口 线上健康教育 利用现状 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]