Abstract: Objectives To describe demand and utilization of health services,and to analyze its influencing factors among migrant children in Guangzhou. Methods A total of 585 schoolchildren of grade five and six from four private schools were investigated by screening questionnaire. Results 1)Two-week attendance rate of migrant children was only 54.8%.The influencing factors were gender and parents' religious belief.2)In the past year,hospitalization rate of migrant children was 4.8% mainly because of wound and cold.3)Migrant children's regular physical examination rate was 75.4%.Migrant children's health record establishment rate was only 17.3%.The influencing factor was the status of parents being in Guangzhou.4)In the past year,10.5% of migrant children have returned home for medical treatment.The reason for returning home for medical treatment were that parents dropped in on their relatives (41.2%)and medical costs in living cities were too high (23.5%). Conclusions Migrant children have a lower two-week attendance rate,hospitalization rate and preventive health service utilization.

Key words: migrant children, health service, demand, utilization

摘要： 目的 描述广州市流动儿童的卫生服务需求与利用状况及其相关因素。方法 对广州市4所民办小学585名五、六年级学生的卫生服务需求与利用状况进行问卷调查。结果 1)流动儿童两周就诊率为54.8%,影响流动儿童两周就诊的因素是流动儿童的性别、父母的宗教信仰情况。2)流动儿童过去1年内住院率为4.8%,住院原因主要为创伤和感冒。3)流动儿童定期体检率为75.4%,建档率仅为17.3%,影响流动儿童建档的因素是父母在广州的情况。4)过去一年内有10.5%的流动儿童返乡就医。返乡就医的原因,主要是“父母探亲时顺便带孩子看病”(41.2%)和 “城市医疗费用太高”(23.5%)。结论 流动儿童两周就诊率较低、住院率低,预防保健利用不足。

关键词: 流动儿童, 卫生服务, 需求, 利用