摘要
目的:了解我国边境地区流动人口结核病防治健康教育接受现况,探析相关影响因素,为开展边境地区流动人口结核病防治健康教育提供参考。方法:基于2017年全国流动人口动态监测调查A卷6687名边境地区流动人口监测数据,采用LASSO-Logistic回归模型分析相关影响因素,并与传统Logistic回归结果进行比较,结合AIC和BIC评价两种模型效果。结果:6687名边境地区流动人口中共计2824(42.23%)人接受过结核病防治健康教育,西北边境地区(54.29%)接受率高于东北(35.28%)和西南(40.93%)边境地区。LASSO-Logistic回归显示,愿意居留(OR=1.153,95%CI:1.015~1.311)、知晓国家基本公共卫生服务项目(OR=3.279,95%CI:2.926~3.674)、与同乡交往(OR=1.267,95%CI:1.092~1.471)、参与组织(OR=1.436,95%CI:1.286~1.602)和社会活动(OR=1.290,95%CI:1.156~1.438)的边境流动人口接受结核病防治健康教育可能性较高。LASSO-Logistic回归模型的AIC和BIC均小于传统Logistics回归模型。结论:2017年边境地区流动人口结核病防治健康教育接受率较低且地区间差异较大。愿意居留、知晓国家基本公共卫生服务项目、与同乡交往、参与组织和社会活动对边境地区流动人口接受结核病防治健康教育具有显著正向影响。边境地区政府应制定针对流动人口的个性化福利与融合政策,扩大对结核病防治健康教育服务项目的政策宣传,提升流动人口的社会融入感与社会参与体验感,促进边境地区流动人口结核病防治健康教育利用。
Objective To explore the status of the acceptance of tuberculosis health education among migrants in Chinese border areas and the relevant influencing factors,and provide a reference for carrying out tuberculosis health education among migrants in Chinese border areas.Methods Data of 6687 migrants in Chinese border areas from Volume A of the 2017 National Floating Population Dynamic Monitoring Survey were used to analyze the relevant influencing factors by using LASSO-logistic regression model,which were compared with those of the classical logistic regression model.The AIC and BIC were used to evaluate the performance of these two models.Results A total of 2824(42.23%)of 6687 migrants in Chinese border areas received tuberculosis health education.The acceptance rate of tuberculosis health education in the northwest border areas was higher than those in the northeast and southwest border areas.The results of LASSO-logistic regression showed that the migrants in Chinese border areas who were willing to reside(OR=1.153,95%CI:1.015~1.311),knowing the national basic public health services(OR=3.279,95%Cl:2.926~3.674),contacting with the fellow townsman(OR=1.267,95%CI:1.092~1.471),participating in organizational(OR=1.436,95%CI:1.286~1.602)and social activities(OR=1.290,95%CI:1.156~1.438)were more likely to receive tuberculosis health education.The AIC and BIC of the LASSO-logistic regression model were lower than those of the classical logistic regression model.Conclusion The acceptance rate of tuberculosis health education among migrants in Chinese border areas was low in 2017,which varied in different border areas.Willingness to residence,awareness of national basic public health service projects,contact between the fellow townsman,participation of the organizational and social activities would have a significantly positive effect on the acceptance of tuberculosis health education among migrants in Chinese border areas.Personalized welfare and integration policies for the migrants should be formulated by the government in Chinese border areas,and the policy promotion of tuberculosis health education should be expanded to improve the sense of social integration and social participation experience of migrants and promote the use of tuberculosis health education among migrants in Chinese border areas.
出处
《中国卫生事业管理》
北大核心
2024年第9期1043-1047,1080,共6页
Chinese Health Service Management
基金
国家自然科学基金项目“结核病防控资源多元剥夺对防控效果的跨层次影响机制及应对策略:公共卫生安全事件冲击视角的研究”(72274047)
黑龙江省高校智库开放课题重点项目“高校结核病防控现状、问题及提升策略研究”(ZKKF2022087)。
