| Objectives This study aims to describe the state of health among then migrant people in chongqing ;to understand the characteristic and related factors on the need of health service , the demand and utilization of health service, the health insurance and the health cost among the migrant people; by comparing with the resident people in chongqing, and further exploring the design and specific measures of medical insurance system ,we can grope effective and feasible experiences and methods, provide the basis for the formulation of relevant policiesMethods: The Ministry Of Health organized the related expert to devise and demonstrate for the survey design. The study was imlemented by the debarment of public Health of Chongqing Medical University.Based on the samples'representation and could be implemented,use Non-probalility sample such as accidental sampling,convenience sampling to get the seed sample. using the respond-driven sampling to find the next level survey objects. do 6-8 levels.Then siphoning 2490 imgrant people aged 15-64 from the Yuzhong District ,Nanan Distric ,Jiulongpo Distric,Shapingba District of Chongqing . The investigators do the survey one by one to the survey objects. There should be a person who is specifically responsible for investigating the quality control. Seting up the quantitative database by Epi Data3.1 after checking and coding questionnaires. The database was analyzed by SAS9.1, logistic regression analysis were used for analysis in the study.Results : Most of the migrant people are young adults, the age of 25 to 54 are 77.8%.The cultural level of them are low,86.74% of them are junior middle ,primary and illiterate.9.23% of them are illiterate. So they only can engaged in the service ,construction industry, portor, simple manufacturing and so on. The average monthly income of them is 1034.66RMB, about 19.88% of theirs'income were spending on the housing. The Standard two-week prevalence rate of the migrant is low to the resident population. But there were many hazard factors in their working environment, such as damage,dust ,high temperature,serious noise,toxic and harmful gas. The common cold and anxious chronic were the common diseases of the migrant people. The hospitalization rate of the migrant was close to the resident people, but the migrant's disease composition of hospitalization was significantly unlikeliness to the resident. The rate of injuries and poisoning of hospitalization for the migrant was 19.19%. It was more higher than the resident people. This was proved that the working environment of the migrant people was effecting their health. The migrant people's visiting rate was 19.27%,it was higher than the resident people, but 37.32% of them gone to clinic. The average of ambulatory expenses for the migrant people was 149.63RMB, the average of hospitalization expenses was 5341.32RMB. these were lower than the resident people. Some of the migrant people and the resident people couldn't see doctor when they were ill .It was that they have no money . 64.41%of the migrant people have medical insurance, but most of theirs'medical insurance was the new rural cooperative medical system .If the migrant people saw doctors of their hometown ,they would pay more trail stake, if they saw doctors in the city ,they would be got little insurance money, and the process was complex. So the migrant people could not fully regale the medical insurance.The"age","marriage","householdincome and expenditure","education level"and"the training of occupational health"were the Influencing factors for the migrant's two weeks prevalence. The old age people was ill more easily than the young people. The age of 15-24,25-34,35-44,45-54 people compared with the 55-64,the OR were 0.229,0.555,0.692,0.580.The marriage people's risk of sickness was 0.484 times of the unmarried people ,the education level was the higher the risk of sickness was more lower, the risk of sickness for the primary and illiterate was 1.910 times of the senior, the junior was 1.493 times of the senior. If the someone's income was more than the expenditure ,his risk of sickness was lower than the else. If someone was trained of occupational health, his risk of sickness was more low then else,OR=0.664. The"gender","age","marriage"and"the length of residence in city"were the Influencing factors for the migrant's hospitalization. The woman was easily hospitalization, OR=1.373. The old ages'possibilty of hospitalization were more higher than the young ages. The age of 25-34,35-44,45-54compared with the 55-64,OR=0.229,0.555,0.692; The marriage people's possibility of hospitalization was 5.374 times of the unmarried. If someone live in the city was more longer his possibility of hospitalization was more lower, OR=0.833. If delete the delivery people ,the"gender","marriage"were not the influence factors of the migrant's possilibity of hospitalization.The aged 15-24 imgranted people's possibility of hospitalization were low to the aged 55-64 imgrant people,OR=0.262. No hospitalization was effected by"household income and expenditure"and"medical insurance". If the someone's income was more than the expenditure ,his no hospitalization was 0.540 times of else. If some have medical insurance, his no hospitalization was 0.482 times of else. Conclusions:There were much difference between the migrant people and resident people about age,education level employment situation,househloud income and expenditure,then expenditure of medicine .Their working environment was bad, they always have sickness, such as common cold acute gastroenteritis and injuries and poisoning. They always go to clinic to see doctor , the risk of hospitalize was high. The system of medical insurance was not perfect, the level of medical insurance is low. So the government should be aware and pay attention to the importance of integrating the inflow of rural migrants into society from the strategic level of economic development and social stability. The government should improve the living and working environment of rural migrants, enhance occupational health education and guide them to a reasonable medical treatment, improve medical care system and social support network, establish relief funds, and demonstrate social responsibility. |
PDF Full Text Request