目的 描述广州市流动儿童的卫生服务需求与利用状况及其相关因素。方法 对广州市4所民办小学585名五、六年级学生的卫生服务需求与利用状况进行问卷调查。结果 1)流动儿童两周就诊率为54.8%,影响流动儿童两周就诊的因素是流动儿童的性别、父母的宗教信仰情况。2)流动儿童过去1年内住院率为4.8%,住院原因主要为创伤和感冒。3)流动儿童定期体检率为75.4%,建档率仅为17.3%,影响流动儿童建档的因素是父母在广州的情况。4)过去一年内有10.5%的流动儿童返乡就医。返乡就医的原因,主要是“父母探亲时顺便带孩子看病”(41.2%)和 “城市医疗费用太高”(23.5%)。结论 流动儿童两周就诊率较低、住院率低,预防保健利用不足。
Abstract
Objectives To describe demand and utilization of health services,and to analyze its influencing factors among migrant children in Guangzhou. Methods A total of 585 schoolchildren of grade five and six from four private schools were investigated by screening questionnaire. Results 1)Two-week attendance rate of migrant children was only 54.8%.The influencing factors were gender and parents' religious belief.2)In the past year,hospitalization rate of migrant children was 4.8% mainly because of wound and cold.3)Migrant children's regular physical examination rate was 75.4%.Migrant children's health record establishment rate was only 17.3%.The influencing factor was the status of parents being in Guangzhou.4)In the past year,10.5% of migrant children have returned home for medical treatment.The reason for returning home for medical treatment were that parents dropped in on their relatives (41.2%)and medical costs in living cities were too high (23.5%). Conclusions Migrant children have a lower two-week attendance rate,hospitalization rate and preventive health service utilization.
关键词
流动儿童 /
卫生服务 /
需求 /
利用
Key words
migrant children /
health service /
demand /
utilization
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参考文献
[1] 周皓,荣珊.我国流动儿童研究综述[J].人口与经济,2011,32(3):94-103.
[2] 高鹏龙,秦桂秀,郭玉丽,等.南宁流动儿童卫生保健服务利用影响因素分析[J].中国妇幼卫生杂志,2015,6(5):6-8.
[3] 吴爱芳.流动儿童保健现状调查分析[J].中国卫生产业,2015,(9):172-173.
[4] Krupic F,Krupic R,Jasarevic M,et al.Being immigrant in their own country:Experiences of bosnians immigrants in contact with health care system in bosnia and herzegovina[J].Mater Sociomed,2015,27(1):4-9.
[5] 广州市妇女儿童工作委员会.广州市儿童发展规划(2011-2020年)[EB/OL].http://www.gzwoman.org.cn/gzwoman/s17234/201401/2603186.shtml,2014/01/23.
[6] 广州市教育局.广州市教育局政务信息公开目录[EB/OL].http://www.gzedu.gov.cn/gov/index2.htm classInfoId=822,2013/6/14.
[7] 中华人民共和国国家卫生和计划生育委员会.第五次国家卫生服务调查家庭健康调查表[EB/OL].http://www.doc88.com/p-6641977433432.html,2013/11/26.
[8] 广州市社会救助处.广州拟提高城乡最低生活保障标准 提高至每人每月650[EB/OL].http://news.sina.com.cn/o/2015-07-02/180732061697.shtml,2015/07/02.
[9] 蔡敏,徐玲,张耀光,等.5岁以下流动儿童的健康和卫生服务利用状况[J].中国医院统计,2016,23(4):241-244.
[10] 丁伟洁,宋慧,卓朗,等.东西部两城市居民卫生服务利用及影响因素对比研究[J].现代预防医学,2014,41(10):1778-1782.
[11] 凌莉,刘军,韩璐,等.广州市农村流动人口卫生服务需求与利用分析[J].华南预防医学,2006,32(2):1-4.
[12] 高晓坚,董训兰,王平,等.广州市流动人口妇女儿童患病就医现状分析[J].中国妇幼保健,2005,20(15):1847-1848.
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