上海市0～6岁非户籍儿童卫生服务需求和利用分析

Study on the requirements and utilizations of health care in temporal residents under 7 years old in Shanghai

【目的】了解上海市非户籍儿童的保健状况和服务需求,为相关部门制定卫生保健政策提供依据。【方法】分别于2006、2009年对上海0～6岁非户籍与户籍儿童就其定期体检、营养知识、卫生服务需求等儿童保健内容进行回顾性调查。【结果】非户籍儿童体重低下、生长迟缓的比例比户籍儿童高,且差异有统计学意义(P<0.05);非户籍家长对"定期体检"的认知上升明显,差异有统计学意义(P<0.01);非户籍和户籍家长对儿童保健知识需求的排序相同,为"生长发育"、"营养与喂养"和"智力发育"。【结论】为非户籍儿童提供基本卫生保健服务,针对性健康宣传教育,可以促进非户籍儿童的健康发展。

[Objective] To investigate the health status and to analyze the requirements and utilizations of the Children＇s health eare service for the temporal residents. [Methods] Unite inquiry card and questionnaire were used to investigate the parents＇ knowledge and requirements about the children＇s health care. T-test was used to examine the relation- ship of health care access and utilization in temporal resident of children. [Results] The health status of the temporal children was quite improved but still not as good as the permanent ones （P〈0.05）. More parents realized the importance of the health examination regularly （P〈0.01）. Both parents wanted more information on the growth development, nutrition, intelligence development and to improve children＇s health status. [Conclusion] Health administration and medical service department should afford effective educations and accessible services to make the temporal families improve their utilization of the children＇s health care services.