ObjectiveTo examine the status and influencing factors of medication seeking behaviors among migrant population with chronic diseases for promoting reasonable medication seeking in the population.MethodsThe data on 5 657 migrant people with chronic diseases (aged 18 – 96 years, averagely 51.25 ± 12.02) were extracted from Dynamic Monitoring Survey among Migrant Population conducted in 2017 across China and that on population were from China Health Statistics Yearbook – 2019. Based on Anderson behavioral model for health services utilization, hierarchical model was used to analyze influencing factors of medication seeking behaviors among migrant people with chronic diseases.ResultsOf the patients surveyed, 88.51% reported seeking medication when being ill during previous one year and only 21.12% reported ever seeking medical services in primary medical institutions. The results of multi-level logistic regression analysis revealed following promoting factors for seeking medication during previous one year: ever receiving health education (odds ratio [OR] = 1.396), with their health records being established (OR = 1.273), with medical insurance (OR = 1.447), with a residence no more than 15 minutes away from a nearest medical institution (OR = 1.329), having poor self-rated health (OR = 1.611), and higher proportion of government health expenditure in total health expenditure (OR = 1.048); the results also indicated that ever receiving health education (OR = 1.407), with their health records being established (OR = 1.487), and with a residence no more than 15 minutes away from a nearest medical institution (OR = 1.273) were promoting factors for seeking medical service in primary medical institutions.ConclusionAmong adult migrant people with chronic diseases, both personal factors and the proportion of government health expenditure in total health expenditure are associated with medication seeking behaviors.

目的 了解中低收入国家青少年遭受校园欺凌的发生率及其与青少年学生心理健康的关系,为青少年校园欺凌防控与心理健康干预提供参考.方法 数据来源于19个中低收入国家2009-2015年全球校园健康调查,共22963名13～ 17岁中学生.采用二元Logistic回归分析遭受校园欺凌的影响因素,多元线性回归分析遭受校园欺凌与心理健康的关系.结果 学生心理健康平均得分为(5.75±2.09)分,有35.1％的学生报告曾遭受校园欺凌,低收入和中等收入国家学生遭受过校园欺凌的比例分别为39.4％,34.3％.低年级、超重、家庭经济状况差、家庭学习和心理支持低、感知家庭关系较差、逃学多、同学关系差的学生更容易遭受校园欺凌(P值均＜0.05),遭受校园欺凌与女生的不利心理健康状态呈正相关(B=1.27,P＜0.01).结论 遭受校园欺凌在低收入国家更为普遍,且对女性心理健康的负面影响更大.需要对低收入国家和女性青少年学生群体中的校园欺凌问题给予更多地关注,采取具有成本效益的干预措施,以减少或减轻欺凌的后果.

目的 探讨社会融合在流动人口教育与基本公共卫生服务利用之间的中介效应,为推进流动人口基本公共卫生服务均等化提供依据.方法 采取分层、多阶段、与规模成比例的PPS抽样方法对湖北省十堰市6个县(区、市)的流动人口进行问卷调查,采用三步回归法对流动人口教育、社会融合、基本公共卫生服务利用三者之间的关系进行分析,并利用KHB效应分解法对社会融合的中介作用进行检验.结果 社会融合在教育与健康档案之间起中介作用,教育对健康档案的直接效应为0.024(95％ CI:-0.019～0.066),通过社会融合对其的中介效应为0.057(95％ CI:0.040～0.073),中介效应占总效应的70.37％;社会融合在教育与健康教育之间起中介作用,教育对健康教育的直接效应为0.046(95％CI:0.006 ～0.086),通过社会融合对其的中介效应为0.082(95％CI:0.062～0.102),中介效应占总效应的64.06％.结论 流动人口的受教育水平能直接促进基本公共卫生服务的利用,又可以通过社会融合间接促进其基本公共卫生服务利用.因此,社区工作者应提高对流动人口社会融合的重视,尤其关注低教育程度的流动人口,以提高其基本公共卫生服务利用率,促进流动人口健康水平.

目的 了解我国七省流动人口的健康素养情况及其影响因素,为开展有针对性的健康素养干预措施提供科学依据.方法 采用2016年全国流动人口卫生计生动态监测调查问卷数据,共纳入2 335名流动人口进行分析.t检验和x2检验用于组间比较.二元logistic回归模型用于分析流动人口健康素养的影响因素.结果 2016年七省流动人口总体健康素养水平为36.7％,其中健康生活方式与行为素养水平较低(36.5％),传染病防治(33.0％)、基本医疗(27.8％)、慢性病防治素养(22.8％)水平较低.受教育程度更高(初中OR=1.625,P=0.001,高中OR=1.621,P=0.004,大专及以上OR=2.066,P＜0.001)、流动次数较少(OR=0.919,P=0.049)、城市地区(OR=1.677,P＜0.001)的流动人口健康素养水平更高.结论 流动人口健康素养水平有待提升.应针对受教育程度低、流动次数多的重点人群以及农村重点地区开展干预措施,加强传染病、慢性病防治等健康知识的宣传力度.

Objective To evaluate the reliability and validity of the pregnancy intention scale which can be used in different pregnancy status in the context of contemporary China.Methods On the basis of the conceptual model of pregnancy intention developed by qualitative research,the measurement of unplanned intention was preliminary established.A total of 438 samples including pregnant (continuing pregnancy and seeking for abortion) and postnatal women recruited from two maternal and child health hospitals in Hubei Province from August 20 to November 25,2016 were surveyed.Internal consistency was assessed using the Cronbach's α Statistic and item-total correlation coefficient,and construct validity was assessed using exploratory factor analysis and hypothesis testing.Results A twelve item measure of pregnancy intention was produced,women's pregnancy intention/planning was represented by the range of scores (0-24).The Cronbaeh'α coefficient of the scale was 0.777,and all item-total correlations were ＞0.2.Three factors were extracted through exploratory factor analysis,the cumulative variance contribution rate was 51.86％,and all items' factor loadings were ＞0.4.All hypotheses to test construct validity were met.Conclusion The pregnancy intention scale was reliable,valid,and acceptable for Chinese women.The scale can be used as an effective tool for improving our understanding,quantitative measurement and evaluation of women's pregnancy intention,thus providing better contraception,family planning,and reproductive health service to women.

Objective To explore the influential factors of female pregnancy intention in Wuhan and Huangshi City. Methods Adopting a method of prevalence study, self-administrated questionnaire survey was conducted among women who went to both of city-level maternal and child healthcare hospital in Hubei Province for antenatal care, induced abortion or childbirth from August to November in 2016. We established an ecological theoretical framework to describe the influential factors of the pregnancy intention in terms of individual, interpersonal, institutional, community and policy. Results Results of the univariate analysis showed that age (P=0.027), marital status (P 0.05). Conclusion Female pregnancy intention has association with factors of individual, interpersonal and policy, and the association can be explained preferably with ecological theoretical framework. It is helpful to recognize women with pregnancy intention of different levels and the women can enjoy specific service from obstetrical and health department. Key words: Pregnancy intention; Influential factors; Multifactor analysis

Objective The aim of this study was to investigate women's pregnancy circumstances,to explore the frame of reference and the language used by them in discussing this topic,and to develop an indigenous conceptual model of pregnancy intention scale in China.Methods This qualitative study was carried out in two maternal and child health hospital in Hubei province.In order to investigate women＇s circumstances before pregnancy,brief surveys and semi-structured were conducted with 40 consenting postpartum and currently pregnancy women.A thematic framework approach was used to analyze the data aud identify key themes about women＇s pregnancy intention.Results Among the 40 women,34 were in the pregnancy period,and 6 were currently hospital inpatients on the postpartum unit.Some areas related to their motivations towards pregnancy were found:intentions,feelings towards motherhood,number of children to intend,contraceptive use,pregnancy timing,partner's influences,parent's influences,gender preference,and pre-conceptual preparations,Those ten areas were clustered into three domains using the Theory of Planned Behavior:women＇s stance related to pregnancy,women＇s behavior,and the context of their lives.Conclusion The results suggested that,from a planned behavior perspective,the current conceptual framework that views pregnancy-related stances and behaviors in Chinese women may be appropriate.The findings could help development of pregnancy intention scale for next step in china.