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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

  • 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。HTH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( P<0.008)。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 characteristics associated with health care seeking behaviors for children in floating populations. Methods A stratified multi-stage sampling strategy with PPS method was employed to select 1 943 children aging 0-7 yr. in the floating populations in Sichuan province, which included 605 flowing out, 468 left-at-home, 822 migrated inhabitants, and 48 returned. Latent class analysis (LCA) was performed to establish potential feature classifications for their use of child health care service (physical examination card, free medical examination, vaccination certificate and immunization). Results Overall, 84.30%, 68.90%, 97.70%, and 94.30% of the floating populations used physical examination card, free medical examination, vaccination certificate, and immunization services for their children, respectively. Differences in physical examination card and free medical examination services were found between those flowing out and those left-at-home and between those left-at-home and those migrated inhabitants ( P<0.008). Children left-at-home were shortage of use of free medical examinations (18.38%, 186 people). Children flowing out were lack of both medical examination and physical examination card services (12.73%, 77 people). There were 222 children (27.01%) from the migrated inhabitants who did not take medical examinations. Conclusion Efforts should be made to encourage medical examinations for children in the floating populations. Household registration may influence the potential feature classifications of child health care utilization.

     

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