Study on the Impact of Multidimensional Proximities on the Utilization of Chronic Disease Prevention and Treatment Ed-ucation among Migrant People with Chronic Diseases
Objective To explore the impact of multidimensional proximities on the utilization of chronic disease prevention and treatment education among migrant people with chronic diseases,and provide a reference for improving the utilization rate of chronic disease prevention and treatment education among migrant people with chronic diseases and improving their health level.Methods Data of 9272 migrant people with chronic diseases in Volume A of the 2017 National Floating Population Dynamic Monito-ring Survey were analyzed by using chi-square test and binary Logistic regression.Results The utilization rate of chronic disease prevention and treatment education among migrant people with chronic diseases was 38.35%,in which the utilization rates in the central and western regions were higher than those in the eastern and northeast regions,and the utilization rates in the patients with diabetes or hypertension and comorbid diabetes was higher than those in hypertension patients.The results of logistic regression showed that the migrant people with chronic diseases who had higher degree of geographical proximity(the nearest medical service within 15 minutes)(OR=1.131,95%CI:1.006～1.271),higher degree of organizational proximity(participating in organiza-tional or social activities in the inflow place)(OR=1.883,95%CI:1.711～2.072),higher degree of informal system proximi-ty(the area of common dialect)(OR=1.225,95%CI:1.093～1.373),and higher degree of social proximity(establishing so-cial security and insurance in the inflow place,OR=1.186,95%CI:1.059～1.328,and establishing health records in the in-flow place,OR=4.181,95%CI:3.799～4.607)were more likely to utilize the chronic disease prevention and treatment edu-cation.Conclusion The utilization rate of chronic disease prevention and treatment education among migrant people with chronic diseases was low,which varied in different areas and chronic diseases types.Geographical proximity,organizational proximity,in-formal system proximity and social proximity would have a significantly positive effect on the utilization of chronic disease preven-tion and treatment education among migrant people with chronic diseases.More attention should be paid to the impact of the differ-ence between the registered place and the residence place on the utilization of basic public health services of the migrant people,and multi-dimensional measures should be taken to promote the equalization of basic public health services.
multidimensional proximitiesmigrant populationchronic disease prevention and treatment education
NETL
NSTL
万方数据
