中国流动人口重复参加基本医疗保险现状及影响因素

  目的  深入分析流动人口健康档案建立现状及影响因素，促进流动人口健康意识和健康水平。  方法  基于2015年全国流动人口动态监测调查数据，利用SPSS 20.0软件进行统计分析。  结果  2015年流动人口健康档案建立比例为29.1 %（59 934/205 990），未建立健康档案及不清楚的比例分别为54.5 %（112 228/205 990）和16.4 %（33 828/205 990）。同时发现，健康档案建设在人群间、区域间差异显著，未婚、低学历、跨省流动、流动时间短的青年男性是健康档案建立的薄弱人群；东部地区（41.6%）流入人口的健康档案建立比例仅为中部地区（20.5%）的一半；未接受过健康教育人群的健康档案建立比例最低，仅为8.3 %（1 380/16 645），健康教育对健康档案建设具有明显的正向作用。  结论  流动人口健康档案建设工作亟待加强，各级政府、相关部门和社会各界均需主动发挥积极作用。

Establishment of health records and its influencing factors among migrant populations

  Objective  To explore current situation and influencing factors of the establishment of health records among migrants for promoting health literacy and condition of the population.  Methods  We collected relevant data on a nationally representative sample of migrants aged ≥ 15 years from the dataset of National Migrant Population Dynamic Survey conducted in China in 2015 and analyzed the data using SPSS 20.0.  Results  Of the 205 990 migrants with valid information, only 29.1% (59 934) reported the establishment of their health records; 54.5% (112 228) had no health records and 16.4% (33 828) were not sure whether having their health records being established. There were significant regional and between-subgroup differences in health record establishment among the migrants. The ratio of health record establishment was relatively low among the migrants being unmarried, with lower education, having inter-province migration, and with a short period of migration and among male migrants. The ratio of with the established health record for the immigrants in the eastern part of China was only a half of that for the immigrants in the central part of China and the ratio was the lowest (8.3%, 1 380/16 645) for the migrants without health education experience. Health education played a positive role on health record establishment for the migrants.  Conclusion  The establishment of health record should be promoted urgently among migrant population and governmental agencies and social organizations should play an active role in the process.