摘要
目的 了解流动人口对基本公共卫生服务利用的情况及影响因素.方法 采用课题组设计的问卷,按照行业、性别进行配额抽样,对抽取的440例外来务工人口开展面对面问卷调查.结果 调查对象对基本公共卫生服务认知较少,仅4.2%的调查对象全面了解基本公共卫生服务的内容,流动人口对基本公共卫生服务利用最高的项目为健康教育(78.3%),其次为0~6岁儿童健康管理(11.8%),其余项目利用率均在10%以下.文化程度、家庭人口数、家庭年收入是影响流动人口利用基本公共卫生服务的主要因素,文化程度越高(OR=1.465,95%CI:1.160 ~1.851)、家庭人口数越多(OR=1.551,95% CI:1.061~2.269)、家庭年收入越高(OR=1.454,95% CI:1.048~2.017),流动人口对基本公共卫生服务服务的利用率越高.结论 应针对流动人口文化程度普遍偏低的特点,制定合适的宣传策略;应加大对单独外出的流动人口、家庭年收入较低的流动人口的关注,制定相应干预措施,提高其对基本公共卫生服务卫生服务的认知和利用率.
Abstract
Objective To investigate the utilization of basic public health service among migrant people,and ana lyze its influence factors.Methods 440 migrant people were investigated with a structured questionnaire.Results Only 4.2% of the participants knew all contents of basic public health services.The largest using rate of the service was health ed-ucation service (78.3%).The second was child health management (0-6 years old,11.8%).The using rates of other services were all lower than 10%.The educational level (OR =1.465,95% CI:1.160-1.851),family size (OR =1.551,95%CI:1.061-2.269),family income (OR=1.454,95%CI:1.048-2.017) were main influential factors of migrant people using basic public health services.Conclusion The appropriate propaganda on utilization of basic public health services should be focus on low-educated floating people.More concern and intervention should be focused on single or low-income migrant people to increase their awareness and utilization on basic public health services.
基金项目
湖北省人口和计划生育委员会资助课题(2013-2-8)