Analysis Of Influencing Factors Of Basic Public Health Service Utilization Of Floating Population In Jilin Province Based On SEM

Objective:Using the dynamic monitoring data of the floating population in Jilin Province in 2014,the structural equation model(SEM)is used to analyze the influencing factors,to explore the factors affecting the utilization of basic public health services of the floating population and their relationship,and to provide targeted health service strategies for the basic public health services of the floating population.The research provides the basis and reference.Methods:The stratified,multi-stage,scale-proportioned PPS sampling method was used to extract the floating population in Jilin Province in 2014.The survey targets migrants aged 15-59 who live in local for a month or more and are not a resident of this district(county,city).The research content is the basic situation of the floating population,resident health records,health education,mobile care for children aged 0-6,and maternal health.The Excel2016 and SPSS24.0 software were used to organize and analyze the data,and the SEM was fitted by Amos24.0 software.Results:1.This study investigated 4,000 floating population in Jilin Province,including 2,058 males and 1,942 females.The age is mainly distributed between 25 and 44 years old.The hukou is mainly agricultural,and about 80% of the floating population is family-based.2.1126 people(28.1%)set up resident health records among the floating population;2874(71.9%)were not established.The results of SEM analysis showed that the differences in the scope of flow,long-term residence,work place,social insurance participation,ethnic and housing status were significantly different(P<0.05),and long-term residence will have the greatest impact.The effect value is 0.654,followed by the flow range(0.447),the duty station(-0.323),the nationality(-0.288),the social insurance participation(0.273),and the housing property(0.254).3.2,235 people in the floating population have received health education services;1,765 have not received health education services.The main types of acceptance were ?4,of which the highest proportion of health education services were received,accounting for 21.8%.The proportion of migrants receiving mental disorders is low,at 8.9%,followed by occupational disease prevention,with a ratio of 15.9%.The results of SEM analysis found that personal characteristics,working and living conditions and mobility have a direct effect on residents' health education services.Personal characteristics(effect value is 0.180)have the greatest impact on the health education services of floating population residents,followed by working and living conditions(0.098)and Flow factor(-0.048).4.The proportion of children aged 0-6 years old who established the “Health Care Handbook for Children aged 0-6” was 82.2%,the proportion of possession of vaccination certificates was 98.8%,and the proportion of all vaccines prescribed by the vaccination country was 96.4%.Free medical examination was accepted within 1 year.The service is not ideal,the ratio is 49.5%.There were significant differences in the impact of different ethnic groups,mobility,mobility,social insurance participation,mother's place of pregnancy and maternal health card on migrant children's health services(P<0.05).5.Married migrant women of childbearing age are 18-41 years old and have an average childbirth age of 26.9 ± 5.1 years.Prenatal examinations <5 times accounted for 22.5%,and 5 times and above accounted for 77.5%.In the 12 weeks of pregnancy,the maternal health manual was established 95 times,accounting for 82.6%;13 people were not established,accounting for 11.6%;7 people were unclear,accounting for 5.8%.6.The basic public health services of the floating population use SEM influencing factors to find out that personal characteristics directly or indirectly affect the utilization of basic public health services.The total standardization effect is 0.092.Working and living conditions have a direct effect on the utilization of basic public health services,with an impact factor of 0.122.The flow factor indirectly affects the utilization of basic public health services through working and living conditions,with an impact coefficient of 0.020.Conclusion:1.The age of the floating population in Jilin Province is mainly distributed between 25 and 44 years old.The sex ratio is close to balance.The education level is mainly junior high school education,and more than 80% of the floating population is family flow.2.The resident health record of the floating population in Jilin Province has a low filing rate,and the residence intention has the highest impact value.The long-term residence will promote the use of health archives services.3.The utilization of health education services for migrant population in Jilin Province depends largely on personal factors,and the mobility of mobile populations is reduced due to mobility.4.The utilization level of mobile health services for children aged 0-6 is low.The main influencing factors are ethnicity,mobility range,mobility time,social insurance participation,mother's place of pregnancy and maternal health card establishment.5.Personal characteristics directly or indirectly affect the utilization of basic public health services of the floating population.The factors of working and living conditions have the greatest impact,and the flow factors have no direct impact on the utilization of basic public health services.