兰州市儿童卫生保健服务可及性影响因素研究

Research on Factors Associated with Child Health Care Utilization in Lanzhou

目的了解兰州市0~6岁儿童保健卫生服务现状,找出影响兰州市0~6岁儿童获取卫生保健服务的不利因素,为相关部门进行卫生决策提供科学依据。方法以分层整群随机抽样的方式,在兰州市抽取634名儿童看护人完成问卷调查,获取0~6岁儿童卫生保健服务等信息。结果抚养人文化程度和家庭平均月收入较高为定期健康检查、儿童保健指导、合理喂养指导以及开展早期教育的保护因素,非本地户口、看护人儿童保健知识缺乏为其危险因素。结论家庭平均收入、教育水平及儿童保健知识水平是影响兰州市儿童获取卫生保健服务的主要因素。

OBJECTIVES To explore the child health care status of aged 0~6 in Lanzhou areas and analyze the main risk factors. METHODS A questionnaire investigation was conducted. A total of 634 children＇ s caregivers were selected using stratified sampling technique from Lanzhou. Unconditional logistic regression models were used to identify factors associated with child health care utili- zation. RESULTS Average monthly income, educational Status, migrant population and lack of child health care knowledge were asso- ciate with the child health care. The children＇s caregivers who had a higher education level and higher monthly income were more likely to provide child health care to their children. CONCLUSIONS Corresponding intervention measures should be carried out as soon as possible in order to improve the situations of child health care and provide basic information for the relevant departments to formulate child health care policy among thepoverty and poor educational family.