Han Bingxue, Guan Hongyi, Guan Ming
Xuchang Urban Water Pollution Control and Ecological Restoration Engineering Technology Research Center, Xuchang University, Xuchang, China.
College of Urban and Environmental Sciences, Xuchang University, Xuchang, China.
Cost Eff Resour Alloc. 2022 Apr 2;20(1):15. doi: 10.1186/s12962-022-00349-0.
Health equity remains a priority concerns by central government in China. This study aimed to explore ethnic gaps in access to health knowledge categories and sources based on the survey data from a publicly available dataset.
Data were from 2015 China Migrants Dynamic Survey issued by The National Health Commission in China. Descriptive analyses were performed to reflect geodemographic differences in the floating population of ethnic minority (EMFP) and Han majority (HMFP) with Chi-square test. Ethnic gaps in access to health knowledge categories and sources were explored with Poisson regressions, logistic regressions, and bivariate ordered probit regressions.
In the sample, most of participants had inadequate health information literacy. There were significant differences regarding geodemographic factors between EMFP and HMFP. Illiterate EMFP had likelihood to obtain less health knowledge categories (IRR = 0.80, 95% CI 0.77-0.84) and sources (IRR = 0.83, 95% CI 0.80-0.86) as compared to illiterate HMFP. Most of correlations between health knowledge categories and sources were weak in the samples of EMFP and HMFP.
Ethnic disparities in access to health knowledge categories and sources among the floating population in China were confirmed. Further effective efforts should be provided to reduce ethnic disparities in access to health knowledge under the ethnicity-orientated support of public health resource.
健康公平仍是中国中央政府优先关注的问题。本研究旨在基于公开可用数据集的调查数据,探讨在获取健康知识类别和来源方面的民族差距。
数据来自中国国家卫生健康委员会发布的《2015年中国流动人口动态监测调查》。进行描述性分析以通过卡方检验反映少数民族流动人口(EMFP)和汉族流动人口(HMFP)在地理人口统计学上的差异。采用泊松回归、逻辑回归和双变量有序概率回归探讨在获取健康知识类别和来源方面的民族差距。
在样本中,大多数参与者的健康信息素养不足。EMFP和HMFP在地理人口统计学因素方面存在显著差异。与文盲的HMFP相比,文盲的EMFP获得的健康知识类别(IRR = 0.80,95% CI 0.77 - 0.84)和来源(IRR = 0.83,95% CI 0.80 - 0.86)较少。在EMFP和HMFP样本中,健康知识类别和来源之间的大多数相关性较弱。
证实了中国流动人口在获取健康知识类别和来源方面存在民族差异。应在以民族为导向的公共卫生资源支持下,进一步采取有效措施减少在获取健康知识方面的民族差异。