中国流动人口传染病防治健康教育现状及影响因素分析

Factors associated with the health education on the prevention and treatment of infectious diseases among migrants in China

目的了解流动人口传染病防治健康教育现状及其影响因素,为流动人口传染病健康教育工作的开展提供参考依据。方法收集2018年全国流动人口卫生计生动态监测中传染病防治健康教育数据,描述流动人口传染病健康教育接受现状,利用二元logistic回归分析影响流动人口接受传染病健康教育的因素。结果本次调查人员中接受过传染病防治健康教育的占39.72%(60368/152000)。女性(OR=0.96,95%CI=0.94~0.98)、在婚(OR=0.91,95%CI=0.88~0.94)、年龄≥55岁(55~<65岁:OR=0.88,95%CI=0.82~0.93,≥65岁:OR=0.89,95%CI=0.81~0.98)、家庭月均收入>9000元(OR=0.94,95%CI=0.90~0.98)、流动因素(社会因素:OR=0.94,95%CI=0.90~0.97,其他因素:OR=0.76,95%CI=0.67~0.87)、职业类型(商业及服务业:OR=0.91,95%CI=0.87~0.94,生产及运输业:OR=0.81,95%CI=0.77~0.84,其他:OR=0.65,95%CI=0.62~0.68)的流动人口传染病防治教育接受率较低(均P<0.05)。结论流动人口传染病教育接受率仍有待提高,应考虑流动人口的不同特征差异开展精准化、多元化的传染病健康教育,改善流动人口传染病教育整体接受情况。

Objective To understand the current status of health education on the prevention and treatment of infectious diseases among China migrants,and to discuss its influencing factors,in order to provide a reference for the development of the health education of infectious diseases for the migrants.Methods Health education data of infectious disease prevention and control were acquired from the 2018 China migrants health and family planning dynamic monitoring survey,the acceptability of health education was described.Binary logistic regression model was used to analyze the factors associated with the health education.Results Among the participants,only 39.72%(60368/152000)had received health education on the prevention and control of infectious dis-eases.Female migrants(OR=0.96,95%CI:0.94-0.98),married(OR=0.91,95%CI:0.88-0.94),age of≥55 years(55-<65 years old:OR=0.88,95%CI:0.82-0.93,≥65 years old:OR=0.89,95%CI:0.81~0.98),average monthly household income of over 9000(OR=0.94,95%CI:0.90-0.98),mobility factor(social factor:OR=0.94,95%CI:0.90-0.97,other factors:OR=0.76,95%CI:0.67-0.87),occupation type(business and service industry:OR=0.91,95%CI:0.87-0.94,production and transportation industry:OR=0.81,95%CI:0.77-0.84,others:OR=0.65,95%CI:0.62-0.68)were less likely to receive health education on infectious disease prevention and control(all P<0.05).Conclusions The percentage of migrants receiving health education on infectious disease prevention needs to be elevated.Considering the different characteristics and differences of the migrating population,accurate and diversified infectious disease health education should be carried out to improve the overall acceptance of infectious disease education among the fmigrating population.