Health-related quality of life and health service utilization in Chinese rural-to-urban migrant workers.

Health-related quality of life and health service utilization in Chinese rural-to-urban migrant workers.
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DOI:
10.3390/ijerph120202205
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发表时间:
2015-02-16
影响因子:
--
通讯作者:
Wang PX
Wang PX
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Lu CH;Luo ZC;Wang JJ;Zhong JH;Wang PX

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目的:近几十年来,中国农民工的数量迅速增加,但与当地城市居民相比,中国农民工健康相关生活质量(HRQOL)和卫生服务利用的数据缺乏。我们的目标是解决这个问题。研究方法:这是2013年对深圳-东莞经济区(中国)的2315名农民工和2347名当地城市居民进行的横断面研究。结果包括HRQOL(健康调查简表36)和卫生服务利用(自我报告)。结果如下:与当地城市居民相比,农民工的HRQOL各维度得分均较低,慢性病患病率(9.2%vs.6.0%,95%CI 1.28-2.04)和近两周患病率(21.3%vs.5.0%,95%CI 4.26-6.88)均高于当地城市居民。在最近两周内报告患病的个体中,农民工看医生的可能性要低得多(32.7%对66.7%,调整后OR = 0.21,95%CI 0.13-0.36)。结论:与当地城市居民相比,中国农民工的HRQOL较低,发病率更高,但在患病时也更不可能去看医生,这表明该人群存在显著未满足的医疗保健需求。
Objectives: The number of rural-to-urban migrant workers has been increasing rapidly in China over recent decades, but there is a scarcity of data on health-related quality of life (HRQOL) and health service utilization among Chinese rural-to-urban migrant workers in comparison to local urban residents. We aimed to address this question. Methods: This was a cross-sectional study of 2315 rural-to-urban migrant workers and 2347 local urban residents in the Shenzhen-Dongguan economic zone (China) in 2013. Outcomes included HRQOL (measured by Health Survey Short Form 36) and health service utilization (self-reported). Results: Compared to local urban residents, rural-to-urban migrant workers had lower scores in all domains of HRQOL, and were more likely to report chronic illnesses (9.2% vs. 6.0%, adjusted OR = 1.62, 95% CI 1.28–2.04) and recent two-week morbidity (21.3% vs. 5.0%, adjusted OR = 5.41, 95% CI 4.26–6.88). Among individuals who reported sickness in the recent two weeks, migrant workers were much less likely to see a doctor (32.7% vs. 66.7%, adjusted OR = 0.21, 95% CI 0.13–0.36). Conclusions: Chinese rural-to-urban migrant workers have lower HRQOL, much more frequent morbidity, but are also much less likely to see a doctor in times of sickness as compared to local urban residents, indicating the existence of significant unmet medical care needs in this population.
DOI: 10.1017/s0033291798006667
发表时间: 1998-05-01
影响因子: 6.9
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