[基于地理信息系统分析的中国流动人口健康状况的相关因素与公平性]。

Q3 Medicine 北京大学学报(医学版) Pub Date : 2024-04-18
Xiaohan Liu, Fan Yang, Xindi Wang, Ning Huang, Taozhu Cheng, Jing Guo
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引用次数: 0

摘要

目的:了解中国流动人口的健康状况、影响因素和空间分布,评估流动人口的健康公平性:了解中国流动人口的健康状况、影响因素和空间分布,评价流动人口的健康公平性:所有数据均来自2017年中国流动人口动态监测调查,采用二元Logistic回归分析可能影响流动人口健康的因素,采用集聚指数法评价流动人口健康公平性。空间自相关分析了健康状况和健康公平的空间聚集性:结果:中国流动人口的不健康率为 2.71%。年龄和性别对自评为健康状况的影响具有显著的统计学意义,即随着年龄的增长,流动人口的自评为健康状况逐渐恶化,女性更容易认为自己不健康。公平性分析表明,流动人口集聚指数为 0.021 7,城镇户籍流动人口集聚指数为 0.021 6,农村户籍流动人口集聚指数为 0.021 9。结果表明,流动人口健康状况的公平性偏向于高收入阶层,农村户籍流动人口的健康不公平程度大于城市户籍流动人口。此外,自评健康的 Moran's i=0.211 和不健康率的 Moran's i=0.291 表明自评健康具有空间聚集趋势。Moran's i=0.136 显示出空间聚集的特征,流动人口两周患病率公允值主要分布在北部和东南部沿海地区:总的来说,中国流动人口的健康状况相对较好。结论:总体而言,中国流动人口健康状况较好,健康的主要影响因素包括性别和年龄。健康不公平的中心趋势体现在以贫困为特征的东南沿海和北方地区。关注空间聚集不仅有助于分析流动人口产生的原因,也有助于研究不同地区之间的健康差异和健康相关因素,提高全民整体健康水平。
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[Related factors and equity of health status among floating population in China based on geographic information system analysis].

Objective: To understand the health status, influencing factors and spatial distribution of the Chinese floating population and to evaluate the health equity of the floating population.

Methods: All the data were collected from the 2017 Migrant Population Dynamic Monitoring Survey in China, binary Logistic regression was used to analyze the factors that might affect the health of the floating population, and the concentration index method was used to evaluate the health equity of the floating population. Spatial autocorrelation analyses the spatial aggregation of health status and health equity.

Results: The unhealthy rate of the floating population in China was 2.71%. Age and gender show a statistically significant impact on self-rated health; that is, as age increases, the self-rated health of the migrant population gradually deteriorates, and women are more likely to think that they are unhealthy. Fairness analysis shows that the concentration index of the floating population is 0.021 7, the urban household registration floating population is 0.021 6, and the rural household registration floating population is 0.021 9. It is shown that the fairness of the health status of the floating population is biased towards the high-income class, and the rural household registration floating population' s health unfairness is greater than that of the urban household registration migration population. Moreover, Moran' s i=0.211 for self-rated health and Moran' s i=0.291 for the unhealthy rate indicate that self-rated health has a spatial aggregation trend. Moran' s i=0.136 showed the characteristics of spatial clustering, and the two-week prevalence fairness of the floating population was mainly in the northern and southeastern coastal areas.

Conclusion: In general, the health status of the floating population in China is relatively good. The main influencing factors of health included gender and age. The central tendency of health inequity is reflected in the southeast coastal and northern regions, which are characterized by poverty. Attention to spatial aggregation is not only helpful to analyze the reasons of floating population, but also to study the health differences between different regions and health-related factors, to improve the overall health level of the whole population.

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北京大学学报(医学版)
北京大学学报(医学版) Medicine-Medicine (all)
CiteScore
0.80
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0.00%
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9815
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