江苏省流动人口基本公共卫生服务利用及影响因素
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雷帅康(1998—),男,河南淮阳人,硕士研究生在读,研究方向为基层医疗与卫生政策;乔学斌(1970—),男,江苏海安人,教授,研究方向为卫生政策与健康管理,通信作者,qiaoxb@njmu.edu.cn。

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C913.4

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江苏省教育厅哲学社会科学重点研究基地“江苏重大风险管理与中医药防控政策研究中心”(2019A01)


Analysis on the utilization and influencing factors of basic public healthservice utilization among migrant population in Jiangsu Province
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    摘要:

    了解江苏省流动人口基本公共卫生服务利用情况,并分析其影响因素。利用2018年全国流动人口卫生计生动态监测调查(China Migrants Dynamic Survey,CMDS)中关于江苏省的流动人口动态监测数据,采用单因素分析和二分类Logistic回归进行统计分析。在流入江苏省且居住满6个月以上的7 161名被调查者中,2周患病率为2.47%,健康档案建档率为20.42%,至少接受过一次健康教育的比例为72.18%。流动人口建立健康档案的影响因素有性别、年龄、受教育程度、婚姻状态、家庭月均收入、居留意愿、医保参保类型、是否签约家庭医生。流动人口接受健康教育的影响因素有受教育程度、就业身份、医保参保类型、是否签约家庭医生。江苏省不同特征流动人口基本公共卫生服务利用不均衡,需重点关注受教育水平低、年龄大、未参保或在其他地区参加医保、无业或散工的流动人群,提供针对性的基本公共卫生服务。

    Abstract:

    This article aims to identify the utilization of basic public health services for the migrantpopulation in Jiangsu Province ,and analyze influencing factors by using the dynamic monitoring data of themigrant population in Jiangsu Province in CMDS2018 with the statistical analysis adopts univariate analysis anddichotomous Logistic regression. Among the 7 161 migrant participants who had migrated into Jiangsu Provinceand lived for more than six months,the prevalence rate of 2 weeks was 2.47%,the health record establishmentrate was 20.42%,and the proportion of those who received at least one health education session was 72.18%.The influencing factors for establishing health records for the migrant population include gender,age,educationlevel,marital status,average monthly family income,willingness to stay,type of medical insurance coverage,and whether to sign up for family doctors. The factors influencing the migrant population’s access to healtheducation include education level,employment status,health status,type of medical insurance coverage,andwhether to sign up for family doctors. The utilization of basic public health services for the migrant populationwith different characteristics in Jiangsu Province is uneven. Therefore,it is necessary to focus on the migrantpopulation with a lower education level,old age,uninsured or insured in other regions,unemployed or parttimeworkers to provide targeted basic public health services.

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雷帅康,乔学斌.江苏省流动人口基本公共卫生服务利用及影响因素[J].南京医科大学学报(社会科学版),2023,(3):273~277

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  • 收稿日期:2023-02-15
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  • 在线发布日期: 2023-07-05
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