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目的探讨影响流动儿童卫生保健服务利用的因素。方法在南宁市流动人口比较集中的地区按照整群随机抽样原则随机抽取5个社区为调查现场,通过自制的问卷调查表对284名5岁以下流动儿童看护人进行问卷调查,利用SPSS17.0对影响因素进行单因素和多因素logistic回归分析。结果在儿童系统保健建卡率方面,初高中以上文化程度母亲高于文盲及小学文化程度母亲,其系统保健建卡率间差别有统计学意义(P<0.01);母亲文化程度不同、家庭收入水平不同的流动儿童,其预防接种建卡率存在明显不同,差别有统计学意义(P<0.01);“五苗”接种合格率方面,母亲初中以上文化程度及有职业其儿童高于低文化程度和无职业者,差异具有统计学意义(P<0.05)。结论目前南宁市5岁以下流动儿童“五苗”合格接种率、预防接种建卡率、系统保健建卡率较低,卫生部门应加强流动人口家庭儿童保健与计划免疫意识,加大对流动儿童卫生保健服务利用管理工作的投入,进一步完善流动儿童纳入流入地儿童健康管理等政策。
Objective To explore the factors influencing the utilization of health care services for migrant children. Methods A total of 5 communities were selected randomly from random sampling in cluster areas in Nanning as a random sample to survey 284 migrant children under 5 years of age through questionnaire and SPSS 17.0 The influencing factors were analyzed by single factor and multivariate logistic regression. Results There was a significant difference in the rates of system health-care building (P <0.01) between mothers with first-year high school education and mothers with primary school education or above in primary school education. There was a significant difference in the rate of vaccination carding among migrant children with different levels (P <0.01). In terms of the “five-seedling” vaccination pass rate, the mothers ’junior high school education and their children whose mothers’ The difference was statistically significant (P <0.05). Conclusions Currently, the eligible vaccination rate, vaccination rate and vaccination card rate of migrant children under 5 years old in Nanning are relatively low. The health department should strengthen the awareness of child health and immunization of the floating population family, The use of management of migrant children’s health care services to further improve the flow of children into the influx of children’s health management and other policies.