Social capital, neighbourhood characteristics and utilisation of local public health services among domestic migrants in China: a cross-sectional study.
Social capital, neighbourhood characteristics and utilisation of local public health services among domestic migrants in China: a cross-sectional study.
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中国流动人口的社会资本、邻里特征及当地公共卫生服务利用：一项横断面研究
DOI：
10.1136/bmjopen-2016-014224
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发表时间：
2017-08-18
期刊：
影响因子：
2.9
通讯作者：
Zhang D
中科院分区：
文献类型：
--
作者：
Hou Z;Lin S;Zhang D
我们研究了结构性社会资本与公共卫生服务使用之间的关联，并探讨了中国国内流动人口中社区因素对这种关联的可调节作用。
数据来自2014年中国具有全国代表性的15 - 59岁国内流动人口横断面样本。应用调查加权逻辑回归模型来评估以参与社会组织和社会活动衡量的结构性社会资本与公共卫生服务使用之间的关联。模型中进一步评估了社区城市地位、社区构成和社会资本之间的交互项。
参与社会组织的流动人口比未参与者更有可能建立健康档案（比值比为1.467，95%置信区间为1.201 - 1.793）以及接收健康教育信息（比值比为1.729，95%置信区间为1.484 - 2.016）。参与社会活动仅在城市社区中与建立健康档案呈正相关（比值比为1.853，95%置信区间为1.060 - 3.239），并且在当地邻居比例较高的人群中与接收健康教育信息呈正相关（比值比为1.451，95%置信区间为1.044 - 2.017）。
结构性社会资本与流动人口对当地公共卫生服务利用率的提高有关。本研究结果为中国社会资本受社区特征的不同影响提供了新的证据，这表明在农村/郊区社区以及大多数居民为流动人口的社区中增强社会资本的重要性。
We examined the association between structural social capital and public health services use, and explored the modifiable effect of neighbourhood factors on this association among domestic migrants in China. Data were from a 2014 nationally representative cross-sectional sample of domestic migrants aged 15–59 years in China. Survey-weighted logistic regression models were applied to assess the association between structural social capital, measured by participation in social organisations and social activities, and use of public health services. Interaction terms between neighbourhood urban status, neighbourhood composition and social capital were further assessed in the models. Migrants who participated in social organisations were more likely to establish health records (OR 1.467, 95% CI 1.201 to 1.793) and receive health education information (OR 1.729, 95% CI 1.484 to 2.016) than those who did not. Participation in social activities was positively associated with establishing health records only in urban communities (OR 1.853, 95% CI 1.060 to 3.239), and it was positively linked to receiving health education information among those living with a higher percentage of local neighbours (OR 1.451, 95% CI 1.044 to 2.017). Structural social capital was related to an increased utilisation of local public health services among migrants. The findings of this study provided new evidence for the differential influences of social capital by neighbourhood characteristics in China, which suggested the importance to enhance social capital in rural/suburban communities and communities where the majority of the residents were migrants.
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影响因子：
4.7
作者：
Murayama H;Fujiwara Y;Kawachi I
通讯作者：
Kawachi I
影响因子：
12.7
作者：
Oksanen T;Kivimäki M;Kawachi I;Subramanian SV;Takao S;Suzuki E;Kouvonen A;Pentti J;Salo P;Virtanen M;Vahtera J
通讯作者：
Vahtera J
DOI：
10.1186/1472-6874-8-4
发表时间：
2008-02-06
期刊：
BMC women's health
影响因子：
--
作者：
Klassen AC;Washington C
通讯作者：
Washington C
影响因子：
5.4
作者：
Prentice, JC
通讯作者：
Prentice, JC
影响因子：
5.4
作者：
Landstedt, Evelina;Almquist, Ylva B.;Hammarstrom, Anne
通讯作者：
Hammarstrom, Anne