Analysis of the current situation and influencing factors of health management of chronic disease patients among ethnic minority migrant population

Abstract Objectives: To understand the current situation and influencing factors of health management of chronic disease patients (hypertension and type II diabetes) in ethnic minority mobile populations and improve the utilization rate of public health services for ethnic minority migrant populations. Methods: Data related to 820 cases of hypertension and type II diabetes mellitus patients from the national migrant population health and family planning dynamic monitoring survey data from May to August 2017 were collected, and SPSS25.0 statistical software was applied to analyze the current situation and influencing factors of health service utilization among patients with chronic diseases in the ethnic minority migrant population. Results：4.1% of the ethnic minority migrant population had hypertension, 0.8% had diabetes, and 0.5% had both hypertension and diabetes. 42.2% of the 820 patients with chronic diseases had received free follow-up assessments or health checkups of chronic illnesses from the community health service center (station)/township health center in the inflow area in the past year. The results of multifactorial unconditional logistic regression analysis showed that the acceptance rate of health management was higher among patients with chronic diseases who were over 65 years old, of Uyghur ethnicity, considered themselves as local people, interacting with local people, heard of the“National Basic Public Health Service” program, had established health records, and received health education. The acceptance rate of chronic disease management was lower among those aged 24-35, with inflow from the eastern and central regions and little interaction with others. Conclusions: Currently, the prevalence of chronic diseases among ethnic minority migrant populations is low, but the potential risk of illness should be taken seriously; the level of acceptance of health management for patients with chronic diseases among ethnic minority migrant populations is low. Age, ethnicity, region of inflow, local identity, local interaction, knowledge of “national basic public health service program” the establishment of local health records, and acceptance of health education are the main factors influencing the acceptance of chronic disease health management among the ethnic minority migrant population.