基于Logistic回归与决策树模型的流动女性健康教育现状及影响因素分析  

Analysis on the Status and Influencing Factors of Health Education on Migrant Women Based on the Logistic Regression and Decision Tree Models

作　　者：陈琪 郝晓宁 丰志强 李岩静 Chen Qi(School of Management,Weifang Medical University,Weifang,P.R.China.)

机构地区：[1]潍坊医学院管理学院,山东潍坊261053 [2]国家卫生健康委卫生发展研究中心 [3]南京医科大学医政学院

出　　处：《中国卫生事业管理》2023年第10期769-774,共6页Chinese Health Service Management

基　　金：国家自然科学基金项目“基于健康公平视角的老年流动人口健康社会支持网络研究:理论模型、制度构建和路径选择”(71774034)。

摘　　要：目的:分析流动女性健康教育接受现状及其影响因素,为健全流动女性健康教育体系,提高流动女性的健康水平提供相应的对策建议。方法:以2018年全国流动人口动态监测调查中67724名流动女性为研究对象,利用SPSS23.0进行数据分析,χ2检验比较不同特征流动女性接受健康教育的差异,二元Logistic回归和决策树模型进行分析健康教育的影响因素。结果:67724名流动女性健康教育接受率为81.8%,宣传资料(纸质、影视)和宣传栏/电子显示屏仍是其接受健康教育的主要途径。多因素分析显示,不在婚、受教育程度越高、流动范围为省内跨市和市内跨县流动、流入地区为中、西部地区的流动女性健康教育接受水平较高(P<0.05)。决策树模型分析显示健康档案是影响流动女性接受健康教育的最主要因素,其次是家庭医生签约、流入地区和受教育程度。结论:流动女性健康教育覆盖率不均衡,应完善和落实健康教育服务项目政策宣传,基于不同特征的流动女性呈现出健康教育水平的差异性,有针对性地开展个性化健康教育活动,推进基本公共卫生服务均等化。Objective To analyze the status of migrant women′s acceptance of health education and its influencing factors,and propose corresponding countermeasures and suggestions for improving migrant women′s health education system and upgrading the health level of migrant women.Methods 67,724 migrant women were chosen from the 2018 National Survey on Monitoring the Mobility of the Population.Data were analyzed by using SPSS 23.0.The differences in health education received by migrant women with different characteristics were analyzed byχ~2 test,and the influencing factors of health education were studied with binary logistic regression and decision tree models.Results The acceptance rate of health education among 67724 migrant women was 81.8%.Promotional materials(paper,video)and bulletin boards/electronic displays were still the main ways for them to receive health education.Multifactorial analysis showed that migrant women who not married,receiving higher education,migrants within the province and city,migrants in central and western region had higher acceptance of health education(P0.05).The decision tree model analysis revealed that health records were the most important factor to influence the acceptance of health education by migrant women,followed by family doctor contracting,migrating area and educational background.Conclusion The coverage of health education for migrant women is uneven.The policy of health education service projects should be improved and implemented based on the different level of health education presented by migrate women with different characteristics.And the targeted personalized health education activities should be carried out to promote the equalization of basic public health services.

关 键 词：流动女性 健康教育 流动人口 影响因素 决策树模型 

分 类 号：R193[医药卫生—卫生事业管理]