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目的:了解深圳市宝安区流动儿童保健现状及影响因素,为制定深圳市流动儿童健康管理政策提供依据。方法:从深圳市宝安区选取流动人口较集中的两个街道,对符合条件的805名0~36个月流动儿童的监护人进行调查。结果:宝安区流动儿童健康体检率及系统管理率分别为60.7%和38.9%;不同年龄组儿童的健康体检率和系统管理率比较差异均有统计学意义(χ2=45.44,P>0.05;χ2=37.22,P>0.05),低年龄组儿童的健康体检率及系统管理率均高于高年龄组儿童;“没有必要”是儿童未接受健康体检的首要原因,不同年龄组儿童未体检原因的构成比差异有统计学意义(χ2=23.28,P<0.05);“医生水平低”是体检儿童未达到系统管理的首要原因,不同年龄组儿童未达到系统管理原因的构成比差异无统计学意义(χ2=2.58,P>0.05)。结论:深圳市宝安区流动儿童保健形势严峻,提高儿童监护人保健意识及儿保医生技能水平是促进流动儿童保健资源利用水平提升的重要途径。
Objective: To understand the current situation and influencing factors of mobile child health in Bao’an District of Shenzhen City, and to provide basis for formulating the policy of migrant children health management in Shenzhen. Methods: Two streets with high concentration of migrants were selected from Bao’an District of Shenzhen City. 805 qualified guardians of children aged 0-36 months were investigated. Results: The physical examination rate and system management rate of floating children in Baoan District were 60.7% and 38.9%, respectively. There was significant difference in the rate of physical examination and management between children in different age groups (χ2 = 45.44, P> 0.05; χ2 = 37.22, P> 0.05). The rate of healthy and systematic management of children in the lower age group was higher than that of the children in the high age group. “Not necessary ” was the primary reason that the children did not receive the health examination. The children of different age groups did not get physical examination (Χ2 = 23.28, P <0.05). The “low physician level” is the primary reason why the physical examination did not reach the level of system management, and the proportion of the children in different age groups that did not reach the reason of system management was significantly different No statistical significance (χ2 = 2.58, P> 0.05). Conclusion: The current situation of mobile child health in Bao’an District of Shenzhen City is serious. Improving the health awareness of guardians and the skill level of child-protection doctors are important ways to promote the utilization of mobile child health resources.