北京大学学报（医学版）2024，Vol.56Issue(2)：223-229,7.DOI:10.19723/j.issn.1671-167X.2024.02.004
中国流动人口自评健康状况影响因素及公平性
Related factors and equity of health status among floating population in China based on geographic information system analysis
刘笑晗 1杨帆 1王昕迪 2黄宁 1程陶朱 1郭静1
作者信息
- 1. 北京大学公共卫生学院卫生政策与管理学系,北京 100191
- 2. 华中科技大学社会学院社会学系,武汉 430074
- 折叠
摘要
Abstract
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.Spa-tial autocorrelation analyses the spatial aggregation of health status and health equity.Results:The un-healthy rate of the floating population in China was 2.71％.Age and gender show a statistically signifi-cant 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 south-east 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.关键词
流动人口/健康公平/影响因素/空间差异Key words
Floating population/Health equity/Influencing factors/Spatial differences分类
医药卫生引用本文复制引用
刘笑晗,杨帆,王昕迪,黄宁,程陶朱,郭静..中国流动人口自评健康状况影响因素及公平性[J].北京大学学报（医学版）,2024,56(2):223-229,7.
