蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
4期
500-502,506
,共4页
赵一奇%陈利%谢梦迪%卢国庆%邹兵
趙一奇%陳利%謝夢迪%盧國慶%鄒兵
조일기%진리%사몽적%로국경%추병
卫生服务%留守儿童%卫生服务利用
衛生服務%留守兒童%衛生服務利用
위생복무%류수인동%위생복무이용
health service%rural left-behind children%health service use
目的：了解皖北农村留守儿童卫生服务利用状况及影响因素，为促进留守儿童健康成长和卫生服务公平发展提供建议。方法：对皖北地区2所农村小学437名学生实施问卷调查，并对248名监护人和部分基层医护人员进行访谈。结果：留守儿童四周患病率60.6%稍高于非留守儿童的59.3%，但差异无统计学意义(P>0.05)；留守儿童患病后未采取任何措施占9.5%，高于非留守儿童的6.5%(P<0.05)。生病未就诊原因中：14.6%的单亲留守儿童选择经济原因，高于双亲和非留守儿童(P<0.01)；双亲和单亲留守儿童选择“无人陪同”比例高于非留守儿童(P<0.01)。 Logistic 回归分析：独生子女、父母外出务工时间、参加医保情况、父母文化程度、家庭人口数等因素对留守儿童的卫生利用情况产生影响。结论：农村留守儿童和非留守儿童卫生需求差别不大，他们的实际就医行为比例相对较低，故应加大农村留守儿童卫生服务保障力度。
目的：瞭解皖北農村留守兒童衛生服務利用狀況及影響因素，為促進留守兒童健康成長和衛生服務公平髮展提供建議。方法：對皖北地區2所農村小學437名學生實施問捲調查，併對248名鑑護人和部分基層醫護人員進行訪談。結果：留守兒童四週患病率60.6%稍高于非留守兒童的59.3%，但差異無統計學意義(P>0.05)；留守兒童患病後未採取任何措施佔9.5%，高于非留守兒童的6.5%(P<0.05)。生病未就診原因中：14.6%的單親留守兒童選擇經濟原因，高于雙親和非留守兒童(P<0.01)；雙親和單親留守兒童選擇“無人陪同”比例高于非留守兒童(P<0.01)。 Logistic 迴歸分析：獨生子女、父母外齣務工時間、參加醫保情況、父母文化程度、傢庭人口數等因素對留守兒童的衛生利用情況產生影響。結論：農村留守兒童和非留守兒童衛生需求差彆不大，他們的實際就醫行為比例相對較低，故應加大農村留守兒童衛生服務保障力度。
목적：료해환북농촌류수인동위생복무이용상황급영향인소，위촉진류수인동건강성장화위생복무공평발전제공건의。방법：대환북지구2소농촌소학437명학생실시문권조사，병대248명감호인화부분기층의호인원진행방담。결과：류수인동사주환병솔60.6%초고우비류수인동적59.3%，단차이무통계학의의(P>0.05)；류수인동환병후미채취임하조시점9.5%，고우비류수인동적6.5%(P<0.05)。생병미취진원인중：14.6%적단친류수인동선택경제원인，고우쌍친화비류수인동(P<0.01)；쌍친화단친류수인동선택“무인배동”비례고우비류수인동(P<0.01)。 Logistic 회귀분석：독생자녀、부모외출무공시간、삼가의보정황、부모문화정도、가정인구수등인소대류수인동적위생이용정황산생영향。결론：농촌류수인동화비류수인동위생수구차별불대，타문적실제취의행위비례상대교저，고응가대농촌류수인동위생복무보장력도。
Objective:To analyze the medical service for the rural left-behind children in the northern part of Anhui,and provide the countermeasures in the healthy growth and fair health service development of children. Methods:Four hundred and thirty-seven pupils of primary school from the northern part of Anhui province were investigated by questionnaire,248 guardian and part of the grassroots medical workers were interviewed. Results:The prevalence rates in 4 weeks old left-behind children and non-left-behind children were 60. 6% and 59. 3%,respectively,the difference of which was not statistically significant(P>0. 05). The untreatment rate in left-behind children after illness(9. 5%) was higher than that in non-left-behind children(6. 5%)(P<0. 05). Among the reasons of untreatment, the economy reason in single parent left-behind children(14. 6%) was higher than that in double parents non-left-behind children(P<0. 01). The selecting the "unaccompanied" proportion in single and double parents left-behind children was higher than that in non-left-behind children(P<0. 01). Logistic analysis showed that the only child,time of parents work outside,hospitalization insurance, education level of parents and family population affected the medical service use of the left-behind children. Conclusions:The difference of the medical service use between rural left-behind and non-left-behind children is little, the proportion of their medical behaviors after illness is relatively low,the health service for rural left-behind children should be strengthened.
