广州市流动儿童卫生服务需求与利用状况及其相关因素的调查研究

目的 描述广州市流动儿童的卫生服务需求与利用状况及其相关因素。方法 对广州市4所民办小学585名五、六年级学生的卫生服务需求与利用状况进行问卷调查。结果 1)流动儿童两周就诊率为54.8%,影响流动儿童两周就诊的因素是流动儿童的性别、父母的宗教信仰情况。2)流动儿童过去1年内住院率为4.8%,住院原因主要为创伤和感冒。3)流动儿童定期体检率为75.4%,建档率仅为17.3%,影响流动儿童建档的因素是父母在广州的情况。4)过去一年内有10.5%的流动儿童返乡就医。返乡就医的原因,主要是“父母探亲时顺便带孩子看病”(41.2%)和 “城市医疗费用太高”(23.5%)。结论 流动儿童两周就诊率较低、住院率低,预防保健利用不足。

Survey on demand and utilization of health services and its influencing factors among migrant children in Guangzhou

Objectives To describe demand and utilization of health services,and to analyze its influencing factors among migrant children in Guangzhou. Methods A total of 585 schoolchildren of grade five and six from four private schools were investigated by screening questionnaire. Results 1)Two-week attendance rate of migrant children was only 54.8%.The influencing factors were gender and parents' religious belief.2)In the past year,hospitalization rate of migrant children was 4.8% mainly because of wound and cold.3)Migrant children's regular physical examination rate was 75.4%.Migrant children's health record establishment rate was only 17.3%.The influencing factor was the status of parents being in Guangzhou.4)In the past year,10.5% of migrant children have returned home for medical treatment.The reason for returning home for medical treatment were that parents dropped in on their relatives (41.2%)and medical costs in living cities were too high (23.5%). Conclusions Migrant children have a lower two-week attendance rate,hospitalization rate and preventive health service utilization.