流动与户籍人口慢病患者社区公共卫生服务利用差异及影响因素  

Differences and influencing factors of community public health service utilization between migrant and registered population with chronic diseases

作　　者：闫晓 张朝正 潘登 YAN Xiao;ZHANG Chaozheng;PAN Deng(Hebei Finance University,Baoding,Hebei Province 071051 China;不详)

机构地区：[1]河北金融学院,河北省保定071051 [2]国家食品安全风险评估中心,北京100022

出　　处：《中国慢性病预防与控制》2024年第11期832-836,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：北京市科技计划课题(Z221100007122008)。

摘　　要：目的 了解户籍与流动人口慢病患者社区公共卫生服务利用差异及其影响因素,为进一步加强慢病患者健康管理提供参考依据。方法 利用2017年8城市流动人口与户籍人口对比专题调查数据,选取确诊高血压或2型糖尿病的患者作为研究对象,纳入有效样本1 439人,其中流动人口慢病患者624人,户籍人口慢病患者815人。采用SPSS 19.0软件进行χ^(2)检验和多因素logistic回归分析。结果 户籍人口慢病患者与流动人口慢病患者接受社区健康服务的比例分别为65.6%和39.4%,接受慢性病防治教育的比例分别为55.5%和36.4%,差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示,建立居民健康档案(OR=6.593,95%CI:5.138~8.460)与慢病患者接受社区健康服务呈正相关;流动人口(OR=0.477,95%CI:0.366~0.622)、高中及以上学历(与小学及以下学历相比,OR_(高中或中专)=0.557,95%CI:0.384~0.807、OR_(大专及以上)=0.499,95%CI:0.328~0.759)与慢病患者接受社区健康服务呈负相关,均有统计学意义(P<0.05,P<0.01)。建立居民健康档案(OR=3.517,95%CI:2.782~4.447)、平均每日工作时长在8 h以内(OR=1.645,95%CI:1.181~2.291)与慢病患者接受慢性病防治教育呈正相关;流动人口(OR=0.779,95%CI:0.608~1.000)、多人同住(与和1人同住相比,OR_(2~3人)=0.579,95%CI:0.359~0.934、OR_(≥4人)=0.464,95%CI:0.284~0.759)与慢病患者接受慢性病防治教育呈负相关,均有统计学意义(P<0.05,P<0.01)。结论 慢病患者接受社区健康服务与慢性病防治教育的比例不高,尤其需要关注流动人口慢病患者,有针对性开展健康服务与健康教育工作,不断加强慢病患者健康管理。Objective To understand the difference and influencing factors of community public health service utilization between migrant and registered population with chronic diseases,and provide the reference basis for further strengthening the health management of chronic diseases patients.Methods The special survey data of the comparison between the migrant population and the registered residence population of eight cities in 2017 were used to select 1439(624 migrant population and 815 registered residence population)hypertension or type 2 diabetes patients as the subjects.Theχ^(2)test and multivariate logistic regression model were used to analyze the data.The used software was SPSS 19.0.Results The proportions of receiving community health services in registered population and migrant population with chronic disease were 65.6%and 39.4%,respectively;and the proportions of chronic disease prevention education were 55.5%and 36.4%,respectively(P<0.05).The results of multivariate logistic regression analysis showed that the establishment of resident health records(OR=6.593,95%CI:5.138-8.460)was positively correlated with the acceptance of community health services by chronic disease patients;the migrant population(OR=0.477,95%CI:0.366-0.622),high school and above education level(compared with primary school and low education level OR of high school or vocational school level=0.557,95%CI:0.384-0.807;OR of college and above=0.499,95%CI:0.328-0.759)were negatively correlated with the acceptance of community health services by chronic disease patients(P<0.05 or P<0.01);the establishment of resident health records(OR=3.517,95%CI:2.782-4.447),within 8 hours of average daily working hours(OR=1.645,95%CI:1.181-2.291)were positively correlated with the acceptance of community health services by chronic disease patients;the migrant population(OR=0.779,95%CI:0.608-1.000),multiple residents living together(compared with one person,OR2-3=0.579,95%CI:0.359-0.934,OR≥4=0.464,95%CI:0.284-0.759)were negatively correlated with the accepta

关 键 词：户籍人口 流动人口 慢病患者 社区公共卫生服务 影响因素 

分 类 号：R181.3[医药卫生—流行病学]