Does Hukou origin affect establishment of health records in migrant inflow communities? A nation-wide empirical study in China.

Does Hukou origin affect establishment of health records in migrant inflow communities? A nation-wide empirical study in China.
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户口出身是否影响流动人口流入社区健康档案的建立?

DOI:
10.1186/s12913-018-3519-6
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发表时间:
2018-09-10
影响因子:
2.8
通讯作者:
Zhou C
Zhou C
中科院分区:
医学3区
文献类型:
--
作者:
Qian Y;Ge D;Zhang L;Sun L;Li J;Zhou C

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研究背景随着中国经济改革的实施和快速城市化的发展,围绕移民的政策和价值观发生了变化,并引发了前所未有的人口流动。本研究采用2015年全国流动人口动态监测调查数据,对全国112,782名流动人口进行了健康档案建立情况的调查,旨在探讨户口来源对流动人口健康档案建立的影响。对于连续变量,使用Student t检验计算p值;对于分类变量,使用卡方检验计算p值。二元Logistic回归与输入法评估关联的建立健康档案与originresidence.ResultsAbout 35.1%的流动人口建立了健康档案,在他们的流入社区,与37.4%之间的城市起源和34.8%之间的农村起源。城市流动人口建立健康档案的比例显著高于农村流动人口(OR = 1.057; 1.017-1.098)。我们的研究结果还表明,在人口的农村和城市的起源,省际移民,沿着与移民谁是雇主,没有计划长期居住,没有保险,并有更多的家庭收入不太可能建立healthrecords.ConclusionsThis研究表明,居住与建立健康档案的流动人口在中国。应制定有针对性的政策,改善农村和城市移民健康档案的建立。
BackgroundWith the implementation of Chinese economic reform and rapid urbanization, policies and values surrounding migration have changed and given rise to unprecedented population mobility. This study is designed to examine the effect of Hukou origin on establishment of health records among internal migrants in China.MethodsThe data used for this study are from the 2015 National Internal Migrant Population Dynamic Monitoring Survey, covering 112,782 migrants nationwide. For continuous variables, the p value is calculated using Student t test; for categorical variables, the p value is calculated using chi-square test. Binary logistic regression with an enter method is employed to assess the association of establishment of health records with origin residence.ResultsAbout 35.1% of the migrant population has established health records in their inflow communities, with 37.4% established among those of urban origin and 34.8% established among those of rural origin. The establishment of health records is significantly higher among migrants of urban origin than among migrants of rural origin (OR = 1.057; 1.017–1.098). Our results also show that among populations of both rural and urban origin, inter-province migrants, along with migrants who are employers, have no plans for long-term residence, have no insurance, and have more family income less likely to establish health records.ConclusionsThis study demonstrates that residence is associated with establishment of health records among the migrant population in China. Targeted policies should be made to improve the establishment of health records among migrants of both rural and urban origins.
DOI: 10.2196/jmir.2243
发表时间: 2013-02-26
影响因子: 7.4
作者:
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发表时间: 2010-10-01
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DOI: 10.1016/s1386-5056(98)00129-4
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