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引用本文:杜本峰, 周祺寒, 谭雁潇, 尚雪芬, 黄焰.流动人口:健康生存质量、影响因素与路径[J].中国卫生政策研究,2019,12(9):47-53
流动人口:健康生存质量、影响因素与路径
投稿时间:2019-03-14  修订日期:2019-08-23  PDF全文浏览  HTML全文浏览
杜本峰1, 周祺寒2, 谭雁潇2, 尚雪芬2, 黄焰3
1. 中国人民大学人口与发展研究中心 健康科学研究所 北京 100872;
2. 中国人民大学社会与人口学院 北京 100872;
3. 中国人民大学统计学院 北京 100872
摘要:本文依据“2015年流动人口健康及卫生服务利用调查”数据,采用世界卫生组织健康生存质量量表(简表),对流动人口健康生存状况进行测量,并从内在主观因素和外在客观因素进一步探究对流动人口生存质量的影响及路径。研究发现:流动人口的生存质量与世界和全国平均水平相比存在较大差距,尤其生存环境和心理领域两维度较差;公共卫生服务、社会保障参与程度、受教育程度、婚姻状况、住房情况等对流动人口的生存质量存在显著影响;流动人口自尊感在居住条件影响生存质量的过程中起不完全中介作用,占其总效应的41%;自尊的调节作用不显著。在健康及生活方式影响流动人口生存质量的过程中,公共卫生服务的中介效应占总效应的10.28%。建议通过改善流动人口居住条件或生存环境以及流动人口心理状态提升其主观生存质量;同时,应在社会公共卫生服务的提供和宣传方面加大力度。
关键词:流动人口  健康生存质量  影响因素  路径
基金项目:中国人民大学2018年度“中央高校建设世界一流大学(学科)和特色发展引导专项资金”项目
Floating population: Healthy quality of life, influencing factors and paths
DU Ben-feng1, ZHONG Qi-han2, TAN Yan-xiao2, SHANG Xue-feng2, HUANG Yan3
1. Institute of health sciences, Population and Development Research Center, Renmin University of China, Beijing 100872, China;
2. The School of Sociology and Population Studies, Renmin University of China, Beijing 100872, China;
3. The School of Statistics, Renmin University of China, Beijing 100872, China
Abstract:Using the "2015 floating population health and health services utilization survey" data, this paper used the health quality of life scale of WHO to measure the health status of the floating population, and explore the concrete factors influencing the quality of life of the floating population, from internal subjective and external objective factors to enhance the paths. It is found that the quality of life of floating population is far from the world and national average, especially in the field of environment and psychology. Public health services, social security participation, education degree, marital status, housing conditions and other factors showed a significant impact on the quality of life of the floating population. However, in the process of living conditions, the self-esteem of floating population plays an incomplete mediating role for the quality of life. The total effect accounted for 41%, of which the moderating effect of self-esteem was not significant. In the process of health and lifestyle as part of key factors influencing the quality of life of floating population, the mediating effect of public health service accounted for 10.28% of the total effect. It is suggested that the subjective quality of life of floating population should be improved through improving their living conditions or living environment, and their psychological state. Meanwhile, this consideration should be made in the provision and publicity of social public health services.
Key words:Floating population  Healthy quality of life  Influencing factors  Path
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