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少数民族流动人口基本医疗保险参保选择及影响因素分析

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目的 了解少数民族流动人口基本医疗保险参保选择及影响因素,为提升少数民族流动人口参保率提供建议.方法 对2018年中国流动人口卫生计生动态监测调查数据(CMDS)进行整理获取本文所需数据,单因素分析采用x2检验,多因素分析采用无序多分类logistic回归.结果 12 318名少数民族流动人口中,参加城镇职工基本医疗保险的有2 241人(18.2%),参加城乡居民基本医疗保险的有9 191人(74.6%),基本医疗保险参保率为92.8%.回归分析结果显示,在参加城镇职工基本医疗保险与不参保之间选择时,流动人口的文化程度、婚姻状况、月收入、流动范围、流入区域、定居意愿和接受健康教育状况有统计学意义(P<0.05);在参加城乡居民基本医疗保险与不参保之间选择时,流动人口的就业身份、月收入、流动范围、流入区域、定居意愿和主要职业有统计学意义(P<0.05).结论 少数民族流动人口基本医疗保险的整体参保率还可以提高,应重视对流动人口的宣传教育,充分考虑流动人口的特征,提高流动人口的参保意识和参保能力.
The choice and influencing factors of basic medical insurance for ethnic minority migrants
Objective To know about the selection and influencing factors of basic medical insurance for ethnic minority migrants,and to provide suggestions for improving the participation rate of ethnic minority mi-grants.Methods Data from the 2018 China Migrants Dynamic Survey(CMDS)were sorted out and analyzed.Chi-square test was performed for single factor analysis and unordered multiclass logistic regression for multivari-ate analysis.Results Among the 12 318 ethnic minority migrants,2 241(18.2%)participated in the basic medical insurance for urban employees and 9 191(74.6%)participated in the basic medical insurance for urban and rural residents,with a basic medical insurance coverage rate of 92.8%.The regression analysis results showed that when the migrants chose between participation in basic medical insurance for urban employees and non-participation,their educational level,marital status,monthly income,mobility range,inflow area,settlement intention,and health education status were statistically significant(P<0.05);when they chose between partici-pation in basic medical insurance for urban and rural residents and non-participation,their employment status,monthly income,mobility range,inflow area,settlement intention,and main occupation had statistical significance(P<0.05).Conclusions The overall coverage rate of basic medical insurance for ethnic minority migrants can still be improved.Emphasis should be placed on educating the migrants,fully considering the characteristics of the migrants,and improving their awareness and ability to participate in insurance.

Ethnic minoritiesMigrantsBasic medical insuranceChoice of insuranceInfluence factorMulti-class logistic regression

黄艺、李佳佳、岳林琳、王波

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山东大学公共卫生学院,山东济南 250012

国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南 250012

山东第二医科大学,潍坊 261053

天津师范大学政治与行政学院,天津 300387

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少数民族 流动人口 基本医疗保险 参保选择 影响因素 多分类logistic回归

2024

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子:0.744
ISSN:1005-5916
年,卷(期):2024.44(12)