长期患有慢性疾病的中国内部移民的社会融合和使用国家基本公共卫生服务:结构方程建模方法
Leixia Wang1, Jianqian Chao1, Yanqian Wu1
1Health Management Research Center, School of Public Health, Southeast University, Nanjing, Jiangsu, 210096, China.
患有慢性疾病的内部移民未充分利用公共卫生服务. 更大的社会融合与更多的服务使用有关,强调了有针对性的支持的需要,特别是在发达地区.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
背景情况:
- 患有慢性疾病的内部移民 (IMCDs) 是一个弱势群体,对其使用医疗服务的研究有限.
- 社会融合对移民福祉至关重要,但缺乏一致的衡量方法.
- 国家基本公共卫生服务 (NBPHS) 对于治疗慢性疾病至关重要.
研究的目的:
- 综合衡量中国IMCD的社会融合情况.
- 在IMCD中评估社会融合与NBPHS利用之间的关联.
- 为IMCDs提供健康促进战略的证据.
主要方法:
- 利用了2017年中国移民动态调查 (CMDS) 的数据.
- 包括9272名自我报告高血压和/或2型糖尿病的内部移民.
- 采用探索性因素分析来定义四个维度的社会融合:心理认同,社区参与,社会保障和社会文化适应.
主要成果:
- 很大一部分 (26.80%) 的IMCD报告没有使用任何NBPHS.
- 较高的社会融合水平与NBPHS利用率的增加有积极联系.
- 与发展中国家相比,发达地区的社会融合程度较差,与NBPHS使用率较低相关.
结论:
- IMCDs面临的障碍是获得基本的公共卫生服务.
- 加强社会融合是改善IMCD中NBPHS利用率的一个关键策略.
- 需要有针对性的政策和干预措施,特别是在发达地区,以促进社会参与和NBPHS对IMCD的参与.
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