摘要
目的本研究对中国流动老年慢性病患者健康管理服务利用现状及影响因素进行系统分析并比较城乡差异,以期为实现基本公共卫生服务均等化、提升流动老年慢病患者生活质量和健康水平提供对策建议。方法利用2017年中国流动人口动态监测调查数据,以60岁及以上患有医生确诊慢性病的流动老年人为研究对象,在社会生态理论的指导下,采用二元logistic回归模型分析整体、农村以及城镇地区流动老年慢病患者利用健康管理服务的影响因素。结果在2158名流动老年慢病患者中,健康管理服务利用率为46.6%,农村地区利用率为47.2%、城镇地区利用率为45.9%。二元logistic回归结果显示性别、年龄、自评健康状况、两周内就诊情况、家庭月收入、是否听说过国家基本公卫项目、流动范围、流动时间、流入地区域对流动老年慢病患者利用健康管理服务产生影响(P<0.05)。结论我国流动老年慢病患者健康管理服务利用率较低,服务利用会受到个人特征、个体行为、人际层次、社会环境、流动特征等多维因素的影响,并且城乡之间存在一定差异性。
Objective Our study systematically analyzed the utilization status and influencing factors of health management services for floating elderly patients with chronic diseases in China,and compares the differences between urban and rural areas,in order to provide countermeasures and suggestions for realizing the equalization of basic public health services and improving the quality of life and health level of floating elderly population.Methods We used the dynamic monitoring survey data of China′s floating population in 2017,floating elderly aged 60 and above with chronic diseases diagnosed by doctors were selected as the research objects.Under the guidance of social ecological theory,the binary logistic regression model was used to analyze the influencing factors of the utilization of health management services by floating elderly patients with chronic diseases in the whole,rural and urban areas.Results Among the 2158 floating elderly patients with chronic diseases,the utilization rate of health management services was 46.6%,47.2% in rural areas and 45.9% in urban areas.The results of binary logistic regression showed that gender,age,self-rated health status,two-week visiting rate,family monthly income,whether they had heard of national basic public health projects,flow range,flow time and inflow region had an impact on the utilization of health management services by floating elderly patients with chronic diseases(P<0.05).Conclusion The utilization rate of health management services for floating elderly patients with chronic diseases in China is low.Service utilization is affected by multidimensional factors such as personal characteristics,individual behavior,interpersonal level,social environment and mobility characteristics,and there are some differences between urban and rural areas.
出处
《中国卫生统计》
CSCD
北大核心
2023年第6期832-835,共4页
Chinese Journal of Health Statistics
基金
山东省自然科学基金(ZR2019M G010)。
关键词
流动老人
慢性病患者
健康管理服务利用
二元LOGISTIC回归
Floating elderly population
Patients with chronic diseases
Utilization of health management services
Binary logistic regression
作者简介
通信作者:尹文强,E-mail:yinwq1969@126.com。
