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      Health status and evaluations on health services in China among African migrants


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          Objective To examine health status of African migrants in Guangzhou city and the migrants′ evaluation on health services in China and influencing factors of the evaluations for providing evidences for the improvement of the medical service in the population.

          Methods We conducted a questionnaire survey among 330 African migrants visiting Guangzhou Exit-Entry Administration Office between January and February 2016. An electronic questionnaire in thirteen languages was completed by the migrants on a tablet. Chi-square test and multivariate logistic regression were used in data analyses.

          Results Of all the participants, 81.2% were male; 57.9% had spent no more than 6 cumulative months in China; 6.1% reported a self-evaluated unhealthy status; 10.6% experienced health problems while in China; 32.7% had medical insurance in China. Among the participants, 5.1%, 38.5% and 56.4% considered the overall health service in China being poor, fair, and good, respectively. The participants staying in China for a longer period were more likely to report a poor selfrated health status (odds ratio [ OR] = 3.37, P < 0.05) and those could not communicate in Chinese at all were less likely having a health problem in China ( OR = 0.24, P < 0.01); while, the participants with a cohabiting partner or a regular sex partners ( OR = 7.33, P < 0.01), having a visa type other than business or work or student ( OR = 5.19, P < 0.05), ever participating in a chamber of commerce or hometown association in Guangzhou city ( OR = 3.29, P < 0.05), and receiving education in China ( OR = 4.05, P < 0.05) were more likely to reported a poor evaluation on health service in China.

          Conclusion There will be more African migrants to China. Therefore, The health status and health needs of African migrants should not be ignored and more in-depth studies on the issues are needed for the promotion of 'South-South Collaboration' and 'Belt and Road' strategy.


          【摘 要】 目的 探讨居穗非洲人群的健康状况及对中国医疗服务的评价及其影响因素,为后续针对性医疗卫生服务的开展提供科学依据。 方法 2016 年 1 — 2 月在广州市公安局出入境办证大厅共收集非洲人调查问卷 330 份。问卷采用 13 种不同语言版本的电子问卷,由研究对象通过电脑平板自填完成。采用 χ* 检验和多因素 logistic 回归对影响因素进行分析。 结果 330 位调查对象中,男性占 81.2 %;57.9 %的人在华累计居留时间不超过 6 个月;认为身体健康差者占 6.1 %;在华期间有过健康问题者占 10.6 %;在华有医疗保险者占 32.7 %;5.1 %、38.5 % 和 56.4 %的调查对象对中国医疗服务的总体评价分别为差、一般和好。在华累计居留时间较长者认为自身健康差的可能性较大( OR = 3.37, P < 0.05);完全不懂中文的人在华期间有过健康问题的可能性较小( OR = 0.24, P < 0.01);婚姻状况( OR = 7.33, P < 0.01)、签证类型 ( OR = 5.19, P < 0.05)、参加过在广州的商会/同乡会( OR = 3.29, P < 0.05)、在华接受过教育( OR = 4.05, P < 0.05) 是居穗非洲人对中国医疗服务总体评价的影响因素。 结论 在“南南合作”和“一带一路”战略背景下,可以预期未来来华的非洲人数量有增长的趋势。因此,来华非洲人的在中国的健康状况和医疗卫生服务需求不容忽视,亟待进一步开展深入研究和服务模式的探讨。

          Author and article information

          Chinese Journal of Public Health
          Chinese Journal of Public Health (China )
          01 March 2019
          11 February 2019
          : 35
          : 3
          : 324-327
          [1] 1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong Province 510000, China
          Author notes
          *Corresponding author: Gu Jing, E-mail: gujing5@ 123456mail.sysu.edu.cn
          © 2019 China Public Health Editorial Department

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Journal Article

          Medicine,Nutrition & Dietetics,Occupational & Environmental medicine,Health & Social care,Infectious disease & Microbiology,Public health
          health service,Africans,evaluation,health status


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