一线城市中青年流动人口社会经济特征与高血压患病状况:兼论社会融入中介效应  

Research on the Influencing Factors of Hypertension among the Young and Middle-aged Floating Population in First-tier Cities:The Mediating Effect of Social Integration

作　　者：徐心怡 朱平华 廖松强 XU Xinyi;ZHU Pinghua;LIAO Songqiang(School of Humanities and Social Sciences,Guangxi Medical University,Nanning,530021,China;不详)

机构地区：[1]广西医科大学人文社会科学学院,广西南宁530021 [2]南宁市第二人民医院,广西南宁530021

出　　处：《中国社会医学杂志》2024年第5期550-554,共5页Chinese Journal of Social Medicine

基　　金：广西高校人文社会科学重点研究基地课题(2022RWB15)。

摘　　要：目的探讨社会融入在中青年流动人口社会经济特征与高血压患病状况之间的中介效应,为该人群高血压防治提供参考依据。方法采用2017年中国流动人口动态监测数据,筛选出41349名一线城市中青年流动人口,运用单因素分析和二分类Logistic回归分析,探究该人群高血压患病影响因素。运用中介效应模型,分析社会融入程度在社会经济特征与高血压患病关联作用中的影响。结果一线城市中青年流动人口高血压患者占比为3.34%,影响中青年流动人口高血压患病的社会经济特征因素有性别、婚姻状况、医保类型、受教育程度、职业、收入状况。在社会经济特征与高血压患病关联作用中,社会融入的中介效应具有显著性,中介效应表现为遮掩效应,中介效应值及其Bootstrap 95%CI为-0.0004(-0.0006~-0.0002)。中介效应占比为3.17%。不同社会融入水平下,社会经济地位与高血压患病风险关联作用不同。结论中青年流动人口社会经济特征对高血压患病风险影响显著,社会融入在流动人口的社会经济特征与高血压患病风险之间具有遮掩效应。建议基层医疗机构针对中青年流动人口开展个性化高血压健康教育,强化流动人口健康档案运用与高血压健康管理相结合。积极举办社区文娱活动,加大志愿活动宣传力度,依托家庭医生签约服务提升中青年流动人口基本医疗卫生服务均等化水平。Objective To analyze the relationship between socioeconomic characteristics and hypertension prevalence status of young and middle-aged migrant population in first-tier cities in China,and to explore the mediating effect of social integration between socioeconomic characteristics and hypertension prevalence status of young and middle-aged migrant population,in order to provide a reference basis for the prevention and treatment of hypertension in this population.Methods Using the 2017 China Mobile Population Dynamic Monitoring data,41349 young and middle-aged mobile populations in first-tier cities were screened to explore the factors influencing the prevalence of hypertension and the degree of influence in this population by using univariate analysis and dichotomous logistic regression.The mediation effect model was used to analyze the influence of social integration in the association between socioeconomic characteristics and hypertension.Results The proportion of young and middle-aged migrants with hypertension in first-tier cities was 3.34%.The factors affecting the prevalence of hypertension among young and middle-aged migrants in terms of socioeconomic characteristics were gender,marital status,education level,occupation,and income status.In the role of the association between socioeconomic characteristics and hypertension prevalence,the mediating effect of social integration was significant,and the mediating effect was manifested as a masking effect,with a mediating effect value and its Bootstrap 95%CI of-0.0004(-0.0006 to-0.0002).The mediating effect percentage was 3.17%.The role of the association between socioeconomic status and the risk of hypertension differed for different levels of social integration.Conclusion The socioeconomic characteristics of the middle-aged and young migrant population have a significant impact on the risk of hypertension,and social integration has a masking effect between the socioeconomic characteristics of the migrant population and the risk of hypertension.It is recommended

关 键 词：高血压 中青年 流动人口 一线城市 社会融入 

分 类 号：R19-0[医药卫生—卫生事业管理]