Objectives: The Fourth Plenary Session of the 19th Central Committee of the Communist Party of China put forward the idea of "promoting the equalization of basic public services". The utilization of basic public health services by the floating population is an important indicator to measure the equalization of basic public health services. This study aims to understand the intergenerational differences in the utilization of basic public health services between the older generation and the new generation of floating population, and to analyze the influential factors.
Methods: We employed the personal questionnaire (A) of the national health and family planning dynamic monitoring survey on floating population in 2017. Pearson Chi-square test, bi-grouping logistic regression, and Poisson regression were applied to analyze the basic situation of the floating population and the intergenerational differences in the use of basic public health services between the new and old generations.
Results: The proportions of the new generation and the old generation who had established the residents' health records in the inflow area were 36.42% and 34.96%, respectively, with the significant difference (P<0.01). In the new generation, 74.07% of the floating population received at least one health education, 5.33 percentage higher than that in the old generation. The proportion of the old generation in the health education of chronic disease prevention and control was significantly higher than that of the new generation (P<0.01). The proportions of the other eight kinds of health education were significantly lower than those of the new generation (all P<0.05).
Conclusions: Although the coverage of basic public health services for the two generations of floating population is obviously different, the utilization of basic public health services of the floating population is still at a low level both in the new generation and in the old generation. There is an urgent need to improve the utilization of public health services for the whole floating population according to the characteristics of generations.
目的: 党的十九届四中全会提出“推进基本公共服务均等化”，流动人口基本公共卫生计生服务利用状况是衡量基本公共服务均等化的重要指标。本研究旨在了解老一代和新生代流动人口在基本公共卫生计生服务利用方面的代际差异，并对其影响因素进行分析。方法: 采用2017年全国流动人口卫生计生动态监测调查的个人问卷(A)，采用Pearson χ2检验、二分类logistic回归与Poisson回归对流动人口基本情况、新生代和老一代流动人口的基本公共卫生计生服务利用的代际差异进行分析。结果: 新生代和老一代流动人口在流入地已经建立居民健康档案的比例分别是36.42%和34.96%，差异具有统计学意义(P<0.01)。74.07%的新生代流动人口至少接受过1项健康教育，比老一代高5.33个百分点。其中，老一代仅在慢性疾病防治健康教育方面的接受比例明显高于新生代(P<0.01)，其他8项健康教育的接受比例，新生代均明显高于老一代(均P<0.05)。结论: 虽然基本公共卫生计生服务在两代流动人口中的覆盖情况差异明显，但不论是新生代还是老一代，流动人口基本公共卫生计生服务利用仍处于较低水平，亟需结合代际特征有针对性地促进流动人口对公共卫生计生服务的利用。.
Keywords: basic public health service; floating population; influential factors; intergenerational differences.