中国老年流动人口健康状况及卫生服务利用分析

发布时间：2019-05-09 01:24

【摘要】：目的描述老年流动人口目前基本健康状况及公共卫生服务利用情况,分析影响老年流动人口接受体检的影响因素。方法从2015年国家卫生计生委流动人口动态监测数据中筛选流动家庭中的65岁及以上同住老人进行分析。描述老年流动人口的健康状况及公共卫生服务利用状况,并采用单因素分析及logistic回归分析的方法分析影响其接受体检的因素。结果共纳入样本4 751例,老年流动人口自评健康状况较好,27.3%调查对象患有被医生确诊的高血压或糖尿病,其中有36.9%在过去一年接受过医生的随访;36.0%的人在过去一年参加过社区卫生服务中心组织的免费体检。教育水平高、接受过医生随访对参加健康体检有促进作用,参保地在户籍地、流动范围大对参加健康体检有不利影响,差异有统计学意义(P0.05)。结论虽然老年流动人口的身体健康状况相对良好,高血压和糖尿病患病率低于同年龄一般老年人的水平,但针对老年流动人口公共卫生服务利用情况有待改善,配套健康管理措施仍需完善。
[Abstract]:Objective to describe the basic health status and utilization of public health services in the elderly floating population, and to analyze the influencing factors on physical examination of the elderly floating population. Methods from the dynamic monitoring data of floating population from the National Health and Family Planning Commission in 2015, the elderly aged 65 years or older from floating families were screened for analysis. This paper describes the health status of elderly floating population and the utilization of public health services, and analyzes the factors influencing physical examination by univariate analysis and logistic regression analysis. Results A total of 4,751 samples were included. The elderly floating population had better self-rated health status. 27.3% of the subjects had hypertension or diabetes diagnosed by doctors, and 36.9% of them had been followed up by doctors in the past year. 36. 0% of people have attended a free medical examination organized by a community health service center in the past year. A high level of education, the doctor follow-up to participate in the health check-up has a promoting effect, the insured place in the registered place, the mobile scope has a negative impact on the participation in health examination, the difference is statistically significant (P0.05). Conclusion although the health status of the elderly migrant population is relatively good, and the prevalence of hypertension and diabetes is lower than that of the same age group, the utilization of public health services for the elderly migrant population needs to be improved. Supporting health management measures still need to be improved.
【作者单位】：北京大学公共卫生学院社会医学与健康教育系;
【分类号】：R161.7

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