影响流动儿童卫生保健服务利用的因素分析

Analysis of Factors Influencing Health Care Services Utilization of Migrant Children

目的探讨影响流动儿童卫生保健服务利用的因素,进一步制定有效的干预措施。方法对4个城市3152名流动儿童卫生保健服务利用影响因素进行单因素分析和多因素logistic分析。结果父母文化程度不同、家庭收入水平不同的流动儿童,其系统保健建卡率间差别均有显著性意义(P<0.01);父母文化程度不同、家庭收入水平不同的流动儿童,其预防接种建卡率间差别均有显著性意义(P<0.01);母亲年龄与母亲工作状态不同的流动儿童,其“四苗”接种率间差别均有显著性意义(P<0.01)。结论影响流动儿童系统保健服务的因素是父母的文化程度、家庭收入水平、母亲的工作状态与母亲的年龄,影响流动儿童预防接种建卡的主要因素是父母的文化程度与家庭收入水平,影响“四苗”接种率的主要因素是母亲的年龄与母亲的工作状态。为提高流动儿童卫生保健服务的利用率,应加强流动人口家庭儿童保健与计划免疫意识,降低接受儿童健康体检与系统保健管理的费用,吸引流动儿童接受儿童系统保健服务,将流动儿童纳入流入地儿童健康管理范围。

Objective To investigate the influencing factors of health care services utilization for migrant children. Methods Single factor analysis and multi - factor Logistic regression were used in the investigation of possible influencing factors to health care service utilization for 3152 migrant children in 4 citiesResults The parent＇s education level, income level had significant influences on the utilization of health care services for migrant children （ P 〈 0. 01 ） , the parent＇s education level and income level had significant influences on the establishment of vaccination card （ P 〈 0. 01 ） , and maternal employment status and maternal age has significant influences on the vaccination rates （ P 〈0. 01）. Conclusion To increase the health care service utilization of migrant children, the measures should be enhanced in improving migrant＇s health and immunization sense, reducing the health care service cost for migrant children, and bringing migrant children into the local children health management range.