中国西部流动人口健康档案建立现状及其影响因素

Status Quo of Establishment of Health Records Among Floating Population in Western China and Its Influencing Factors

目的:分析西部流动人口健康档案建立现状及其影响因素,为推进我国西部基本公共卫生服务均等化,完善流动人口健康档案建设提供政策建议。方法:采用二分类logistic回归分析方法,分析我国西部流动人口健康档案建立现状及其影响因素。结果:被调查的流动人口中,有16867人(37.0%)已经建立健康档案,其中建档率较高的是新疆生产建设兵团(58.9%)、青海省(56.2%)、新疆维吾尔自治区(55.2%),建档率较低的是云南省(14.0%)、陕西省(19.0%)、广西壮族自治区(19.8%)。多因素分析结果显示,年龄、婚姻状况、受教育程度、家庭规模、流动范围、流动原因、是否具有居留意愿、是否年内患病、是否听说过国家基本公共卫生服务项目、居住地到达最近医疗点的时间、是否接受健康教育是影响西部流动人口健康档案建立的主要因素。结论:我国西部流动人口健康档案建设工作有待加强,西部各省(市)之间建档率差异较大,流动人口的社会人口学特征、流动特征和居留意愿情况、健康和公共服务特征是建档率的影响因素。

Objective:To analyze the status and influencing factors of the establishment of health records among floating population in western China,and to put forward policy suggestions for promoting the equalization of basic public health services and improving health record establishment for floating population in western China.Methods:Binary logistic regression was used to analyze the status and influencing factors of the establishment of health records among floating population in western China.Results:Among all the floating population surveyed,16867(37.0%)had established health records.Among them,Xinjiang Production and Construction Corps(58.9%),Qinghai province(56.2%)and Xinjiang Uygur Autonomous Region(55.2%)had higher proportions of health record establishment.Yunnan province(14.0%),Shaanxi province(19.0%)and Guangxi Zhuang Autonomous Region(19.8%)had lower proportions of health record establishment.Multivariate analysis results showed that age,marital status,education level,family size,flow range,flow reasons,whether they had the willingness to settle at migrant destination,whether they were sick during the year,whether they had heard of the National Basic Public Health Service,the arrival time from their residence to the nearest medical point,and whether they received health education were the main factors affecting the establishment of health records of floating population in western China.Conclusion:The establishment of health records among floating population in western China needs to be strengthened.There is a large difference in health records rate among provinces and municipalities in western China.The socio-demographic characteristics,status of being floating and residence willingness,health and public service characteristics of floating population are the influencing factors of the proportions of health record establishment.