The Effect of Parental Social Integration on the Physical Examination Utilization for Young Migrant Children: A National Cross-Sectional Study in China.
The Effect of Parental Social Integration on the Physical Examination Utilization for Young Migrant Children: A National Cross-Sectional Study in China.
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DOI：
10.3389/fpubh.2021.755726
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发表时间：
2021
影响因子：
5.2
通讯作者：
Zhou C
中科院分区：
文献类型：
--
作者：
Jing Z;Zhang S;Zhang N;Sun M;Zhou C
目的：体检是儿童健康管理的重要组成部分。流动儿童是医疗服务利用率较低的弱势群体，本研究旨在探讨父母社会融入对我国6岁以下流动儿童体检服务利用的影响。方法：本研究对2014年全国境内流动人口动态监测调查的二次数据进行分析。这项研究共有 2,620 名参与者。总共选择了22个指标来衡量社会融合。采用多因素Logistic回归分析父母社会融入度与流动儿童体检使用情况之间的关系。结果：超过一半（66.4%）的0~6岁流动儿童进行了免费体检。父母的社会整合，尤其是结构整合，与流动儿童的体检利用相关。具体来看，有医疗保险（P < 0.05；OR = 1.29）、参加过当地活动（P < 0.001；OR = 1.98）、与当地居民登记为邻居（P < 0.05；OR = 1.34）、自我认同感较深（P < 0.05；OR = 1.09）的流动儿童父母更有可能带孩子使用物理设施。考试。结论：本研究提供了证据表明，父母的社会融入与流动儿童的体检利用存在关联，而且这种关联是多方面的，存在于经济、结构和心理整合等维度。提高流动父母的社会融入度将有效提高流动儿童的医疗服务利用率。
Purpose: Physical examination is a key component of child health management. Migrant children are a vulnerable group with lower healthcare service utilization, and this study aims to explore the effect of parental social integration on the physical examination service utilization for young migrant children under 6 years old in China. Method: This study conducted a secondary data analysis of the 2014 National Internal Migrant Dynamic Monitoring Survey in China. A total of 2,620 participants were included in this study. A total of 22 indicators were selected to measure social integration. Multivariate logistic regression was used to explore the association between parental social integration and physical examination use of young migrant children. Results: More than half (66.4%) of the migrant children aged 0–6 years had used free physical examination. Parental social integration, especially structural integration, was associated with the physical examination utilization of migrant children. Specifically, those migrant children's parents who had medical insurance (P < 0.05; OR = 1.29), who had participated in local activities (P < 0.001; OR = 1.98), who had registered local residents as neighbors (P < 0.05; OR = 1.34), and who had a deep sense of self-identity (P < 0.05; OR = 1.09) were more likely to take children to use physical examination. Conclusions: This study provided evidence that parental social integration was associated with migrant children's physical examination utilization, and this association was multifaceted, lying in the dimensions of economic, structural, and psychological integration. Improving the social integration of migrant parents would be effective to enhance the migrant children's healthcare service utilization.
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DOI：
10.1111/j.1464-0597.2006.00256.x
发表时间：
2006-07-01
影响因子：
7.2
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