我国中老年流动人口慢性病防治教育影响因素重要性分析—基于2018年CMDS数据的分析  

Importance of influencing factors in the prevention and treatment of chronic diseases in the middle-aged and elderly floating population in China——analysis based on 2018 CMDS data

作　　者：杨晓花 许静怡 李月 马春芳 汤榕 YANG Xiao-hua;XU Jing-yi;LI Yue;MA Chun-fang;TANG Rong(School of Public Health and Management,Ningxia Medical University,Yinchuan,Ningxia 750000,China)

机构地区：[1]宁夏医科大学公共卫生与管理学院,宁夏银川750000

出　　处：《现代预防医学》2023年第8期1410-1416,共7页Modern Preventive Medicine

基　　金：宁夏自然科学基金项目(2022AAC03212);宁夏教育厅2018年产教融合人才培养专业建设项目(2018SFZY08)。

摘　　要：目的了解我国中老年流动人口慢性病防治教育现状及其影响因素重要性排序,为改善我国中老年流动人口慢性病防治教育接受情况,顺利开展慢性病防控工作提供参考依据。方法利用2018年流动人口动态监测平台中24075名中老年流动人口调查数据,采用χ^(2)检验与二元logistic回归分析我国中老年流动人口慢性病防治教育影响因素,随机森林模型分析影响因素重要性。结果我国中老年流动人口慢性病防治教育接受率为34.28%;二元logistic回归结果显示,女性(OR=0.928,95%CI=0.873~0.986)、老年人(OR=1.302,95%CI=1.192~1.422)、初中及以上受教育层次(OR=1.165/1.289/1.464,95%CI=1.090~1.244/1.181~1.407/1.267~1.692)、样本点类型为居委会(OR=1.294,95%CI=1.207~1.388)、非跨省流动(OR=1.161/1.151,95%CI=1.086~1.241/1.060~1.250)、流入中西部地区(OR=1.410/1.652,95%CI=1.293~1.537/1.542~1.769)、有继续居留意愿(OR=1.083,95%CI=1.003~1.170)、已建立健康档案(OR=1.983,95%CI=1.847~2.130)、已签约家庭医生(OR=1.895,95%CI=1.726~2.080)、已参保(OR=1.325,95%CI=1.170~1.501)是影响中老年流动人口慢性病防治教育的因素;影响因素按重要性得分排序依次为是否建立健康档案(372.636)、是否签约家庭医生(248.416)、流入地区(165.753)、受教育层次(65.957)、流动范围(64.299)、样本点类型(58.315)、年龄阶段(52.429)、是否参保(22.452)、继续居留意愿(21.528)、性别(17.609)。结论我国中老年流动人口慢性病防治教育接受水平较低,是否建立健康档案、是否签约家庭医生和流入地区是中老年流动人口慢性病防治教育的重要影响因素,应关注女性、受教育层次低、跨省流动、未参保等边缘群体。Objective To understand the current status and influencing factors of chronic disease prevention and control education for the middle-aged and elderly floating population in China,to improve the acceptance of education on prevention and treatment of chronic diseases among them,and to provide a reference for promoting the prevention and treatment of chronic diseases for the floating population.Methods Using the survey data of 24075 middle-aged and elderly floating population in the dynamic monitoring platform of floating population in 2018,the influencing factors of chronic disease prevention and treatment education of middle-aged and elderly floating population in China were analyzed byχ^(2) test and binary logistic regression,and the importance of influencing factors was analyzed by random forest model.Results The acceptance rate of chronic disease prevention and treatment education among middle-aged and elderly floating population in China was 34.28%.The results of binary logistic regression showed that women(OR=0.928,95%CI:0.873-0.986),elderly(OR=1.302,95%CI:1.192-1.422),junior high school and above education level(OR=1.165/1.289/1.464,95%CI:1.090-1.244/1.181-1.407/1.267-1.692),the sample point types being neighborhood committee(OR=1.294,95%CI:1.207-1.388),non-inter-provincial flow(OR=1.161/1.151,95%CI:1.086-1.241/1.060-1.250),inflow into the central and western regions(OR=1.410/1.652,95%CI:1.293-1.537/1.542-1.769),and willingness to continue residence(OR=1.083,95%CI:1.003-1.170),established health records(OR=1.983,95%CI:1.847-2.130),contracted family doctors(OR=1.895,95%CI:1.726-2.080),and insured(OR=1.325,95%CI:1.170-1.501)were the factors affecting the prevention and treatment education of chronic diseases among middle-aged and elderly floating population.The influencing factors were,in order of importance score,whether to establish a health record(372.636),whether to contract a family doctor(248.416),inflow areas(165.753),educational levels(65.957),floating range(64.299),sample point types(58.315),age sta

关 键 词：中老年流动人口 慢性病防治教育 影响因素重要性 随机森林模型 

分 类 号：R193[医药卫生—卫生事业管理]