北京市外来农村流动人口自我医疗情况及其影响因素分析

Analysis on status and determinants of self-treatment of rural floating population in Beijing

目的:了解北京市外来农村流动人口自我医疗情况,分析影响自我医疗的主要因素。方法:采用第四次国家卫生服务调查——城市中农村流动人口健康与卫生服务利用调查数据,根据Andersen卫生服务利用模型建立Logistic回归模型进行影响因素分析。结果:在北京曾经感觉身体不适或患病时,51.7%的研究对象会首选自我医疗。预置因素、能力因素和需要因素对自我医疗均有不同程度的影响。结论:北京市外来农村流动人口存在一定比例的自我医疗行为,可以采取一定措施促进自我医疗的有效性和保证自我医疗安全性。

Objective：To understand the status and identify the determinants of self-treatment of rural floating population in Beijing. Methods： The data were derived from the Fourth National Health Service Investigation of China, part of which was about rural floating population in Beijing. According to Andersen health services utilization model, Binary Logistic Regression model was used to analyze the influencing fac-tors. Results：In the study, 51. 7% of the research objects were inclined to self-treatment when they ever felt uncomfortable or sick in Beijing. The Binary Logistic Regression model suggested that, some factors from predisposing, enabling and need, were statistically significant determinants of utilization of self-treat-ment. Conclusion：There exists a certain percentage of self-treatment behavior for rural floating population in Beijing, and we should take some measures to promote the efficacy and safety of self-treatment.