江苏省流动人口基本公共卫生服务利用及影响因素研究
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南京医科大学医政学院

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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 health service 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CMDS2018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7161名被调查流动人口中,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%。影响流动人口建立健康档案的因素有:性别、年龄、受教育程度、婚姻状态、家庭月均收入、健康状况、居留意愿、医保参保类型、是否签约家庭医生。影响流动人口接受健康教育的影响因素有年龄、受教育程度、婚姻状态、就业身份、健康状况、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、未参保或在户籍地或其他地区参加医保、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:

    Abstract: The utilization of basic public health services for the migrant population in Jiangsu Province and its influencing factors were analyzed. Using the dynamic monitoring data of migrant population in Jiangsu Province in CMDS2018, univariate analysis and dichotomous logistic regression were used for statistical analysis. Among the surveyed 7161 migrants who had migrated into Jiangsu Province and lived for more than 6 months, the prevalence rate of 2 weeks was 2.47%, the rate of health record establishment was 20.42%, and the proportion of those who received at least one health education was 72.18%. The factors influencing the establishment of health records by floating populations include: gender, age, education level, marital status, average monthly family income, health status, willingness to stay, type of medical insurance enrollment, and whether to contract a family doctor. The factors influencing the migrant population's access to health education include age, education level, marital status, employment status, health status, type of medical insurance enrollment, and whether family doctors are contracted. Jiangsu Province has uneven utilization of basic public health services for the migrant population with different characteristics, and it is necessary to focus on the migrant population with low education level, old age, uninsured or unemployed or part-time workers in their place of residence or other areas, and provide targeted basic public health services.

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  • 收稿日期:2023-02-15
  • 最后修改日期:2023-03-10
  • 录用日期:2023-04-28
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