南充地区留守儿童就医及时性及其影响因素分析

Analysis of the Timeliness and Influencing Factors of Left-Behind Children’s Medical Treatment in Nanchong Area

目的:探讨南充地区留守儿童就医及时性及其影响因素。方法:2020年10月至2021年4月在南充市选择497名留守儿童及其监护人进行调查,以多因素分析法评估各因素对留守儿童就医及时性的影响。结果:本次调查共发放问卷497份,回收有效问卷490份,有效回收率为98.59%,共19人2周内患病未就医,未就医率为3.88%。多因素Logistic回归分析结果显示:留守女童(OR=1.465,95%CI:1.069~2.009)、主要照顾者年龄增加(OR=1.449,95%CI:1.032~2.034)、离家最近医疗机构距离≥3 km(OR=1.404,95%CI:1.099~1.793)为南充地区留守儿童就医及时性的危险因素,独生子女(OR=0.687,95%CI:0.497~0.950)、家庭月收入增加(OR=0.662,95%CI:0.460~0.951)、参加新型农村合作医疗(OR=0.707,95%CI:0.562~0.889)为南充地区留守儿童就医及时性的保护因素。结论:南充地区留守儿童2周内患病未就医率为3.88%,主要受留守儿童性别、主要照顾者年龄、离家最近医疗机构距离等因素的影响,相关部门可针对上述因素进行干预以提高该地区留守儿童的就医及时性。

Objective:To explore the timeliness and influencing factors of left-behind children’s medical treatment in Nanchong area.Methods:From October 2020 to April 2021,497 left-behind children and their guardians were selected in Nanchong City for investigation.The effects of various factors on the medical timeliness of left-behind children were evaluated by multivariate analysis.Results:A total of 497 questionnaires were issued in this survey,of which 490 valid questionnaires were retrieved,with an effective rate of 98.59%.A total of 19 people did not see a doctor within 2 weeks of illness,and the non-seeing rate was 3.88%.The results of multivariate Logistic regression analysis showed that the left-behind girls(OR=1.465,95%CI:1.069~2.009),the increase in the age of the main caregivers(OR=1.449,95%CI:1.032~2.034),and the distance from the nearest medical institution to home≥3km(OR=1.404,95%CI:1.099~1.793)were risk factors for the left-behind children in Nanchong area who did not seek medical treatment for illness within 2 weeks.The only child(OR=0.687,95%CI:0.497~0.950),the increase in family monthly income(OR=0.662,95%CI:0.460~0.951),and participation in the new rural cooperative medical system(OR=0.707,95%CI:0.562~0.889)were protective factors.Conclusion:In Nanchong area,the rate of the left-behind children who fell ill within 2 weeks without seeing a doctor was 3.88%,which is mainly affected by the gender of left-behind children,the age of main caregivers and the distance from the nearest medical institution to home.Relevant departments can intervene against the above factors to improve the medical immediacy of left-behind children in Nanchong Area.