中国年轻移民健康记录的建立及其相关因素。
Establishment and associated factors of health records among young Chinese migrants.
机构信息
Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, 130021, China.
Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, 130021, China.
出版信息
Environ Health Prev Med. 2021 Mar 24;26(1):39. doi: 10.1186/s12199-021-00961-1.
BACKGROUND
Most Chinese migrants have been faced with obstacles to getting access to local public health services. Young migrants among internal migrants make a major contribution to the economy. However, the establishment of their health records has been ignored. This research was aimed at exploring the status and associated factors of the establishment of health records among young Chinese migrants.
METHODS
Data were obtained from the 2017 China Migrants Dynamic Survey (CMDS). Chi-square test and binary logistic regression were performed to investigate the associated factors of the establishment of health records among young Chinese migrants.
RESULTS
Approximately 30.2% of young migrants had their health records established in inflow communities. Urban residence, medical insurance (insured), and lower average monthly household income were attributed to the establishment of more health records. Young migrants who were in northeast China and across provinces and immigrated for working or engaging in trade were less likely to have health records established. Young migrants who participated in social activities and public affairs activities and took type of people in touch as natives in the inflow area showed a higher possibility of establishing health records. Meanwhile, receiving health education and hearing about national basic public health services (BPHSs) were beneficial for establishing the health records of more young migrants.
CONCLUSION
This study showed that the health records of young migrants had a relatively low establishment rate. Sociodemographic and migration characteristics, health status, public health services, and social integration factors were all related to the health record establishment of young Chinese migrants.
背景
大多数中国移民在获得当地公共卫生服务方面面临障碍。内部移民中的年轻移民为经济做出了重大贡献。然而，他们的健康记录的建立却被忽视了。本研究旨在探讨年轻中国移民健康记录建立的现状及其相关因素。
方法
数据来自 2017 年中国流动人口动态监测调查（CMDS）。采用卡方检验和二元逻辑回归分析方法，探讨年轻中国移民健康记录建立的相关因素。
结果
约 30.2%的年轻移民在流入社区建立了健康记录。城市居住、医疗保险（参保）和较低的月均家庭收入与建立更多健康记录有关。来自东北地区和跨省份、以工作或从事贸易为目的移民的年轻移民建立健康记录的可能性较低。参与社会活动和公共事务活动、将流入地区的人视为本地人接触的年轻移民建立健康记录的可能性更高。同时，接受健康教育和了解国家基本公共卫生服务（BPHS）对建立更多年轻移民的健康记录是有益的。
结论
本研究表明，年轻移民的健康记录建立率相对较低。社会人口学和迁移特征、健康状况、公共卫生服务和社会融合因素都与年轻中国移民的健康记录建立有关。
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