深圳市龙岗区外来务工人员中医常用适宜技术认知和需求现状

Analysis on the status and influencing factors of traditional Chinese medicine appropriate technical cognition and demand of migrant workers in Longgang district,Shenzhen city

目的随着城市化进程加快,城市外来务工人员急剧增加,就医需求迅速扩张。本研究分析深圳市龙岗区外来务工人员中医认知和需求现状及其影响因素。方法采用整群分层抽样法选取2017-07-01-2017-12-31龙岗区521名外来务工人员作为研究对象进行现场问卷调查,共回收有效问卷510份,调查内容包括基本情况,中医治疗知晓率、经历率、需求率和满意度及其影响因素。结果 510名外来务工人员中医治疗经历率为33.7%(172/510),其中中药、推拿、拔罐较多,熏洗、穴位注射较少。≥5种中医常用适宜技术知晓率为39.2%(200/510),其中中药、拔罐、推拿知晓率较高,耳穴、穴位注射知晓率较低。中医常用适宜技术需求率为91.2%(465/510),其中拔罐、推拿和艾灸需求较大,耳穴和穴位注射需求较小。中医治疗满意满意度为86.0%(148/172),其中对中医安全、不良反应少和简便满意度较高,对疗效满意度稍低。单因素和多因素分析结果均显示,年龄是知晓率影响因素;性别、年龄和自评健康状况是经历率和需求率影响因素。结论龙岗区外来务工人员中医总体需求度和满意度均较好,但其认知和利用不足,且认知、利用及需求不均衡。

OBJECTIVE With the acceleration of urbanization,the number of migrant workers in cities has increased dramatically,and the demand for medical treatment has expanded rapidly.This study aims to analyze the cognition and demand of traditional Chinese medicine among migrant workers and its influencing factors in Longgang district of Shenzhen city.METHODS A total of 521 migrant workers from Longgang district from July 1 to December 31 in 2017 were selected by cluster stratified sampling method as the research object.The questionnaire survey was conducted.A total of510 valid questionnaires were collected.The survey included basic information,awareness rate,experience rate,demand rate and satisfaction rate of TCM treatment and its influencing factors.RESULTS The experience rate of TCM treatment of 510 migrant workers was 33.7%(172/510).The experience rate of Chinese herbals,massage and cupping treatment was higher than that of fumigation and acupoint injection treatment.The awareness rate of five kinds of suitable techniques commonly used in TCM was 39.2%(200/510),among which the awareness rate of Chinese herbals,cupping and massage was higher,while the awareness rate of ear acupoint and acupoint injection was lower.The demand rate of suitable techniques in TCM was 91.2%(465/510),among which cupping,massage and moxibustion were more demanded,while ear acupoint and acupoint injection were less demanded.Satisfaction degree of TCM treatment was 86.0%(148/172).Satisfaction degree of safety,less adverse reactions and simplicity of TCM treatment was higher,and satisfaction degree of curative effect was slightly lower.Univariate and multivariate analysis showed that age was the influencing factor of awareness rate,while gender,age and self-rated health status were the influencing factors of experience rate and demand rate.CONCLUSION The overall demand and satisfaction of migrant workers in Longgang district are good,but their cognition and utilization are insufficient,and their cognition,utilization and demand are not balanced.