摘要
目的对比分析2018年江苏省流动人口健康行为及影响因素。方法选取全国第6次卫生服务调查中的江苏省卫生服务调查数据,通过单因素卡方分析、多因素有序Logistic回归及倾向性匹配得分匹配法分析流动人口与户籍人口不同的健康行为及影响因素。结果流动人口受年龄段更低等方面的影响,在匹配前比相较于户籍人口,健康行为的良好及以上表现更好,达到了87.3%;经匹配后在具有相同年龄段及性别分布的户籍人群和流动人口,健康行为总体情况的差异减小。匹配后户籍人口女性相比男性(OR=1.708,95%CI:1.263~2.310)、婚姻状态为未婚(OR=3.686,95%CI:1.289~10.539)、高文化程度(OR=0.367,95%CI:0.222~0.606)、年龄段更低(OR=2.749,95%CI:1.099~6.874),签约家庭医生(OR=1.507,95%CI:1.004~2.261)拥有健康行为的概率更高,更受人口学相关因素影响。在流动人群中,女性相比男性(OR=1.798,95%CI:1.306~2.474)、购买商业保险(OR=0.546,95%CI:0.357~0.835)、高收入(OR=0.397,95%CI:0.180~0.880)、高文化程度(OR=0.284,95%CI:0.173~0.464)拥有健康行为的概率更高,更受相关经济因素影响。结论要提升流动人口的健康行为需要对症下药,关注加强流动人口健康意识,确保经济支撑等方面。
Objective To analyze the health behaviors and its influencing factors among migrantpopulation in Jiangsu Province in 2018.Methods The data of Jiangsu Province health service survey in the national health service survey 6thwere selected to analyze the different health behaviors and influencing factors of migrant population and registered population by single factor Chi-square analysis,multi-factor ordered logistic regression and propensity matching score matching method.Results The migrant population was affected by the lower age.Compared with the registered population,the performance of good or above health behavior was better before matching,reaching 87.3%.After matching,the registered population of female was higher than that of male(OR=1.708,95%CI:1.263-2.310),and the marital status was unmarried(OR=3.686,95%CI:1.289-10.539),high education(OR=0.367,95%CI:0.222-0.606),younger age(OR=2.749,95%CI:1.099-6.874),contracted family doctors(OR=1.507,95%CI:1.004-2.261)were more likely to have healthy behaviors,which were more influenced by demographic-related factors.Among migrant population,females(OR=1.798,95%CI:1.306-2.474),buyingcommercial insurance(OR=0.546,95%CI:0.357-0.835),high income(OR=0.397,95%CI:0.180-0.880),high education(OR=0.284,95%CI:0.173-0.464)had higher probability of healthy behavior,and were more affected by related economic factors.Conclusion In order to improve the health behavior of migrant population,it is necessary to pay attention to strengthening the health awareness of floating population and ensuring economic support.
作者
涂忆雪
钱东福
TU Yixue;QIAN Dong-fu(School of Public Health,Nanjing Medical University,Nanjing 210029,China)
出处
《中国健康教育》
北大核心
2022年第11期1017-1021,共5页
Chinese Journal of Health Education
基金
国家社科基金重点项目“基本医疗服务治理体系研究”(20AZD081)
关键词
流动人口
健康行为
影响因素
Migrant population
Health behavior
Influencing factors
作者简介
涂忆雪(1997-),女,硕士在读,研究方向:流动人口及流行病相关;通信作者:钱东福,男,教授,研究方向:社会医学与卫生事业管理。E-mail:dqian@njmu.edu.cn
