四川省流动人口子女儿童保健服务利用行为的潜在类别分析

发布时间：2018-03-30 03:41

本文选题：流动人口子女　切入点：儿童保健服务　出处：《四川大学学报(医学版)》2017年01期

【摘要】：目的了解流动人口子女在不同流动特征下儿童保健服务利用行为现况,确立该行为潜在特征分类。方法采取分层、多阶段、与规模成比例的PPS方法进行抽样调查四川省1 943名0~7岁流动人口子女("外流者"605人、"留守者"468人、"常驻者"822人和"回流者"48人)。利用潜在类别分析(LCA)进行流动人口不同流动特征子女儿童保健服务(体检卡、健康体检、预防接种卡、疫苗注射)利用行为潜在特征分类。结果流动人口子女总体体检卡建卡率、过去一年免费体检接受率、预防接种证(卡)建卡率、国家规定疫苗接种率分别达到84.30%、68.90%、97.70%、94.30%。"留守"与"外流"子女、"留守"与"常驻"子女的体检卡建卡率差异和过去一年免费体检接受率的差异均有统计学意义(P0.008)。而四种流动特征子女在预防接种卡建卡率与国家规定疫苗接种率上均表现出超过94%的高覆盖率现况。LCA发现,"留守"子女主要存在健康体检缺失(18.38%,186人)、外流子女存在体检卡与健康体检双重缺失(12.73%,77人),而"常驻"子女存在健康体检缺失(27.01%,222人)的情况。结论应增加对流动人口子女的免费体检的获得率。不同流动特征子女儿童保健服务利用行为特征分类不一致,可能受户籍因素干扰。
[Abstract]:Objective to understand the current situation of children's health care service utilization behavior in floating population under different mobility characteristics, and to establish the classification of the potential characteristics of the behavior. A sample survey of 1 943 migrant children aged 0 to 7 years of age in Sichuan Province was conducted by the scale proportional PPS method (605 "outflow", 468 "stay", 822 "resident" and 48 "return"). The potential category analysis was used to carry out the floating population. Child Health Services for Children with different characteristics of mouth Mobility (physical examination Card, Results the overall card establishment rate of children of floating population, the acceptance rate of free physical examination in the past year, the rate of card establishment of vaccination certificate (card establishment rate), The vaccination coverage rate reached 84.30% (68.90%) and 97.70% (94.30%) respectively. There were significant differences in the rate of card establishment between "stay" and "outflow", between "stay" and "resident" children, and the acceptance rate of free medical examination in the past year (P 0.008). The mobile characteristic children showed a high coverage rate of more than 94% in the rate of card card vaccination and the immunization coverage rate prescribed by the state. LCA found that the "left behind" children mainly had a lack of health checkup (18.38%), and the outflow children had a physical examination. The double deficiency of card and health examination was 12.7310 / 77, while "resident" children had 27.01 / 222 health checkups. Conclusion the rate of free physical examination for children of floating population should be increased, and the children's health clothing with different mobile characteristics should be increased. The classification of behavior characteristics of service utilization is inconsistent, May be affected by the household registration factor.
【作者单位】：四川大学华西公共卫生学院健康与社会行为学系;
【基金】：国家自然科学基金(No.71473172) 四川省卫计委项目(No.2015WJW-06)资助
【分类号】：R179

【参考文献】