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目的:了解流动儿童健康体检现状和影响因素,并提出干预措施。方法:选取东莞流动人口居住比例高的地区,对符合条件的5岁以下流动儿童看护人进行问卷调查,对流动儿童健康体检的影响因素进行单因素和多因素Logistic回归分析。结果:共收集到2800份5岁以下流动儿童看护人有效问卷,东莞5岁以下流动儿童过去1年内健康体检次数达标率分别为46.4%和27.2%。单因素和多因素分析结果显示看护人低教育程度、低家庭经济收入与流动儿童低水平的健康体检率和体检次数达标率相关,建立儿童健康档案的流动儿童健康体检和体检次数达标的可能性分别是没有建立健康档案流动儿童的13.0倍和4.3倍。结论:东莞流动儿童的健康体检率和体检次数达标率均较低。流动儿童看护人的低教育程度、低家庭经济收入以及没有建立儿童健康档案等均可能是影响流动儿童健康体检状况的重要因素。
Objective: To understand the current status and influencing factors of physical examination of migrant children and to propose intervention measures. Methods: A questionnaire survey was conducted among eligible migrant children under 5 years of age in Dongguan, a district with high proportion of floating population in Dongguan. Single factor and multivariate logistic regression analysis were conducted on the influencing factors of physical examination of migrant children. Results: A total of 2 800 valid questionnaires for migrant children under 5 years of age were collected. The compliance rate of migrant children under 5 years of age in Dongguan in the past year was 46.4% and 27.2%, respectively. Univariate and multivariate analysis showed that caregivers have low education level, low family income and the low level of migrant children, the rate of physical examination and the number of physical examination compliance, the establishment of children’s health records of migrant children physical examination and the possibility of meeting the number of physical examination Respectively, 13.0 times and 4.3 times that of children without health records. Conclusion: The rate of physical examination and the rate of physical examination in mobile children in Dongguan are both low. The low level of education of migrant children’s caregivers, the low income of the family and the lack of a children’s health file may all be important factors affecting the health examination of migrant children.