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目的探索四城市企业流动人口社会融合对其预防保健行为的影响。方法采用立意抽样的方法选取6个大企业15~59岁流动人口,运用自填式问卷调查方法收集资料。结果共有2 168位流动人口接受调查,流动人口社会融合程度较低(16.139±4.213,满分32分)。近1年内,50.90%的人参加过健康体检,26.30%的人参加过健康知识及技能讲座,43.10%的人参加过社区卫生中心的预防保健服务。学历、医保、平均每天工作时间、社会融合、健康知识得分及慢病是影响健康体检的主要因素;性别、学历、医保、平均每天工作时间及社会融合是影响健康知识和技能培训参与的主要因素。年龄、婚姻、学历、平均每天工作时间及医保是影响社区卫生中心预防保健服务利用的主要因素。结论企业流动人口预防保健行为发生率低,完善流动人口医疗保障、制定合理的劳动时间、促进流动人口社会融合,有助于促进流动人口预防保健行为。
Objective To explore the impact of social integration of floating population in four cities on their prevention and health care behavior. Methods The method of intentional sampling was adopted to select floating population aged from 15 to 59 in six large enterprises and the data were collected by self-contained questionnaire. Results A total of 2 168 floating population were surveyed, and the social integration of migrants was relatively low (16.139 ± 4.213, out of 32). In the recent one year, 50.90% of the people took part in the physical examination, 26.30% attended the health knowledge and skills lecture, and 43.10% attended the community health center’s preventive health care service. Education, health insurance, average daily working hours, social integration, health knowledge scores and chronic diseases are the main factors influencing the health examination. Gender, education, health insurance, average daily working hours and social integration are the main factors affecting the participation of health knowledge and skills training . Age, marriage, education, average daily working hours and health insurance are the main factors affecting the utilization of preventive health care services in community health centers. Conclusions The low incidence of prevention and health care activities of floating population, improvement of medical security for floating population, development of reasonable working hours, promotion of social integration of floating population and promotion of preventive health care for floating population.