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中国流动人口的健康教育、健康行为与健康状况之间的关系:基于中国流动人口动态监测调查的横断面研究

Relationships between Health Education, Health Behaviors, and Health Status among Migrants in China: A Cross-Sectional Study Based on the China Migrant Dynamic Survey.

作者信息

Kim Minji, Gu Hai

机构信息

School of Government, Nanjing University, Nanjing 210023, China.

Center for Health Policy and Management Research, Nanjing University, Nanjing 210023, China.

出版信息

Healthcare (Basel). 2023 Jun 15;11(12):1768. doi: 10.3390/healthcare11121768.

Abstract

Managing the health of migrants has become a crucial aspect of promoting social harmony and cohesion in China. This study investigates the impact of public health education on the health status of migrants in China using cross-sectional data from the China Migrants Dynamic Survey 2017. A total of 169,989 migrants in China were selected as samples for empirical test. Data were analyzed using descriptive statistics, logistic regression, and the structural equation model. The findings show that health education significantly influences the health status of migrants in China. Specifically, health education related to occupational diseases, venereal diseases/AIDS, and self-rescue in public emergencies had a significant positive impact on migrants' health, while health education regarding chronic diseases had a significant negative impact. Health education delivered through lectures and bulletin boards had a significant positive impact on migrants' health, but online education had a significant negative effect on the health status of migrants. The effects of health education differ by gender and age, with a stronger positive impact on female migrants and elderly migrants aged 60 and above. The mediating effect of health behaviors was significant only in the total effect. In conclusion, health education can effectively enhance the health status of migrants in China by modifying their health behaviors.

摘要

管理移民健康已成为促进中国社会和谐与凝聚力的关键因素。本研究利用2017年中国流动人口动态监测调查的横断面数据,探讨公共卫生教育对中国移民健康状况的影响。共选取169989名中国移民作为实证检验样本。采用描述性统计、逻辑回归和结构方程模型对数据进行分析。研究结果表明,健康教育对中国移民的健康状况有显著影响。具体而言,与职业病、性病/艾滋病以及公共突发事件中的自救相关的健康教育对移民健康有显著的正向影响,而关于慢性病的健康教育则有显著的负向影响。通过讲座和宣传栏开展的健康教育对移民健康有显著的正向影响,但在线教育对移民的健康状况有显著的负面影响。健康教育的效果因性别和年龄而异,对女性移民和60岁及以上的老年移民有更强的正向影响。健康行为的中介作用仅在总效应中显著。总之,健康教育可以通过改变移民的健康行为有效提高其在中国的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5146/10298536/76656ee4cd78/healthcare-11-01768-g001.jpg

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