我国流动人口对突发公共事件自救健康教育的接受情况及其影响因素  

Acquirement of Self-rescue Health Education on Public Emergencies and Its Influencing Factors Among Chinese Migrants

作　　者：张秀敏[1] 张文静 时宏 于洗河[1] 赵晗方 王铈迅 崔莉 赵婕妤 李文君[1] 魏亚晨 陈自强 ZHANG Xiumin(School of Public Health,Jilin University,Changchun,Jilin,130021,China)

机构地区：[1]吉林大学公共卫生学院,吉林长春130021

出　　处：《医学与社会》2023年第12期59-65,85,共8页Medicine and Society

基　　金：教育部人文社会科学研究规划基金资助项目,编号为18YJAZH118。

摘　　要：目的:探究我国流动人口对突发公共事件自救健康教育的接受情况及其影响因素,为改善流动人口应急素养状况提供参考依据。方法:使用2018年全国流动人口动态监测调查数据,通过随机森林模型对影响因素进行重要性排序并降维,将袋外估算误差率最小的变量集纳入logistic回归模型,分析自变量的作用方向和相对危险度。结果:流动人口对突发公共事件自救健康教育的接受率为32.2%,变量数为8时袋外估算误差率最低,重要性排名前8的变量依次为受教育程度、建立健康档案、流入地区、家庭平均月收入、流动范围、户口性质、年龄、流动原因。回归结果显示,与小学及以下相比的初中(OR=1.361)、高中和中专(OR=1.651)、大专及以上(OR=1.709)和与低收入组相比的中低收入组(OR=1.204)、中等收入组(OR=1.380)、中高收入组(OR=1.428)、高收入组(OR=1.404)以及与跨省相比的省内跨市(OR=1.078)和市内跨县(OR=1.049)的流动人口接受突发公共事件自救健康教育的可能性更大。60岁及以上(OR=0.898)、农业户口(OR=0.880)、未建档(OR=0.630)、流动原因为家属随迁(OR=0.649)和婚姻嫁娶(OR=0.702)、东北地区(OR=0.722)的流动人口接受突发公共事件自救健康教育的可能性更小。结论:流动人口的突发公共事件自救健康教育接受率较低,总体接受水平随受教育程度及家庭平均月收入的提升而增高,且存在人群差异和地区差异,需针对重点人群加大应急教育宣传力度,加强资源配置,促进基本公共卫生服务均等化。Objective:To analyze the acceptance of self-rescue health education for public emergencies among Chinese migrants and its influencing factors,so as to provide reference for improving the situation of emergency literacy of Chinese migrants.Methods:Data of the 2018 China migrants dynamic survey were used for analysis,and the random forest model was used to rank the importance of variables and reduce their dimensions.Variables with the minimum error rate of out-of-bag estimation was incorporated into the logistic regression to analyze the direction and relative risk of the independent.Results:The acceptance rate of self-rescue health education in public emergencies of Chinese migrants was 32.2%,and the error rate of out-of-bag estimation was lowest when the number of variables was 8.The top eight variables of importance were education level,health records,inflow region,average monthly household income,range of flow,household registration,age and reason of flow.The regression results showed that the middle school(OR=1.361),high school and junior college(OR=1.651),and college and above(OR=1.709)compared to elementary school and below,and the lower-middle-income(OR=1.204),middle-income(OR=1.380),middle-upper-income(OR=1.428),and upper-income(OR=1.404)compared to the low-income group as well as Chinese migrants within the province across municipalities(OR=1.078)and within municipalities across counties(OR=1.049)compared to across provinces were more likely to receive self-help health education on public emergencies.Chinese migrants aged 60 years and above(OR=0.898),agricultural household registration(OR=0.880),health record unregistered(OR=0.630),the reason of mobility was family moving(OR=0.649)and marriage(OR=0.702),and northeast region(OR=0.722)were less likely to receive self-rescue health education in public emergencies.Conclusion:The acceptance rate of self-help education on public emergencies among Chinese migrants is low.The overall level of acceptance of self-help health education increases with the level of ed

关 键 词：健康教育 突发公共事件 流动人口 影响因素 

分 类 号：R-05[医药卫生]