Jing Zhengyue, Wang Yi, Ding Lulu, Tang Xue, Feng Yuejing, Zhou Chengchao
School of Public Health, Shandong University, Jinan, Shandong, China.
School of Public Health, Shandong University, Jinan, Shandong, China
BMJ Open. 2019 Dec 30;9(12):e034255. doi: 10.1136/bmjopen-2019-034255.
Essential public health service use among the migrants is the key obstacle of the equalisation of public health service in China. This study aims to investigate the status of the establishment of health records, and explore the effect of social integration on the establishment of health records among elderly migrants in China.
This is a cross-sectional study of data from the 2015 National Internal Migrants Dynamic Monitoring Survey in China.
Respondents who not clear about whether they had established health records and who lived in the inflow area for less than 6 months were excluded. A total of 3158 migrants aged over 60 years were included in this study. Univariate logistic regression and multivariate logistic regression were employed to explore the association between social integration and establishment of health records.
Approximately 41.6% of elderly migrants established health records in their inflow communities. Those elderly migrants from higher-income households were less likely to establish health records (p0.001; OR=0.64; 0.51-0.80). Elderly migrants with local medical insurance (p0.001; OR=2.03; 1.60-2.57), long-term settlement intention (p0.001; OR=1.37; 1.15-1.63), and had more than three local friends (p0.001; OR=1.54; 1.27-1.86) were more likely to establish health records.
This study demonstrates a relationship between social integration and establishment of the health records among elderly migrants in China. Improving the social integration of elderly migrants might be helpful to enhance the equalisation of essential public health services.
流动人口基本公共卫生服务利用是我国公共卫生服务均等化的关键障碍。本研究旨在调查健康档案建立状况，探讨社会融合对我国老年流动人口健康档案建立的影响。
这是一项基于2015年全国流动人口动态监测调查数据的横断面研究。
排除那些不清楚自己是否已建立健康档案以及在流入地居住时间少于6个月的受访者。本研究共纳入3158名60岁以上的流动人口。采用单因素logistic回归和多因素logistic回归探讨社会融合与健康档案建立之间的关联。
约41.6%的老年流动人口在其流入社区建立了健康档案。来自高收入家庭的老年流动人口建立健康档案的可能性较小（p<0.001；OR=0.64；0.51 - 0.80）。有当地医疗保险的老年流动人口（p<0.001；OR=2.03；1.60 - 2.57）、有长期定居意愿的老年流动人口（p<0.001；OR=1.37；1.15 - 1.63）以及有三个以上当地朋友的老年流动人口（p<0.001；OR=1.54；1.27 - 1.86）建立健康档案的可能性更大。
本研究表明我国老年流动人口的社会融合与健康档案建立之间存在关联。改善老年流动人口的社会融合可能有助于促进基本公共卫生服务均等化。
