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目的了解沧州市流动人口卫生服务需求和利用现状。方法以问卷调查与访谈相结合方法 ,对沧州市389名流动人口进行了调查。结果流动人口健康相关知识知晓率为56.4%,1年内过生育健康服务获得率5.1%,1年内常规健康体检率27.8%,2周患病率为39.1%,1年内患病率88.7%,就诊率83.8%,住院率为1.5%,医疗保险的覆盖率为43.7%。沧州市流动人口卫生服务需求与利用的影响因素有年龄、婚姻状况、收入水平、文化程度、是否有医疗保险。结论应该开展多种形式的针对青年务工人员的健康知识宣传,提高健康知识知晓率,提高健康意识,改变不健康行为,并将流动人口作为社区卫生服务的重点服务对象,合理引导流动人口有效利用社区卫生服务,提高医疗保险覆盖率,建立适合流动人口需求的医疗保障体系[1]。
Objective To understand the demand and utilization of health services for floating population in Cangzhou. Methods A total of 389 floating population in Cangzhou City were surveyed by a combination of questionnaires and interviews. Results The awareness rate of health related knowledge among floating population was 56.4%. The rate of one-year birth reproductive health service was 5.1%. The rate of routine health check-up was 27.8% in one year, 39.1% in two weeks and 88.7% in one year. The rate was 83.8%, the hospitalization rate was 1.5% and the medical insurance coverage was 43.7%. The influencing factors of the demand and utilization of health services for floating population in Cangzhou City are age, marital status, income level, educational level, and medical insurance. Conclusions Various forms of publicity on health knowledge should be carried out for young workers to improve the awareness of health knowledge, improve health awareness and change unhealthy behavior, and to treat floating population as the key service target of community health service, to reasonably guide the floating population to make effective use of the community Health services, improve medical insurance coverage, and establish a medical insurance system suitable for the needs of floating population [1].