title: [Investigation of health literacy and enterprise provided health service utilization among migrants in construction site].
abstract: OBJECTIVE
  To investigate health literacy and enterprise provided health service utilization among migrants in construction sites and explore the influencing factors of enterprise provided health service utilization.
  
  
  METHODS
  All 652 migrants in 10 construction sites in Xi'an and Tongchuan were selected using stratified cluster sampling method, and health literacy level, occupational health awareness and enterprise provided health service utilization of migrants were investigated in 2013 April to June.Score and pass rate was used to describe status of health literacy and occupational health awareness of migrants. Chi-square was used to analyze the difference of occupational health awareness and enterprise provided health service utilization between migrants of different levels of health literacy. And logistic regression was used to analyze the influencing factors of enterprise provided health service utilization.
  
  
  RESULTS
  Average score of health literacy among migrants in construction site was (3.75 ± 2.17) (9 score totally). Migrants who knew enterprise should provide health training, physical examination, safety training, occupational protection and pay health insurance for workers accounted for 28.2% (174/616), 43.5% (268/616), 52.8% (325/616), 54.9% (338/616) and 37.7% (230/616) respectively, and the percentage of migrants who thought there were noise and dust in their working environment were 46.4% (201/627) and 44.8% (281/627) respectively.61.1% (373/610) received none of health training, occupational training, physical examination and first-aid kit, and only 0.8% (5/610) had utilized all of the above health service in workplace. And logistic regression showed that migrants whose health literacy score was higher than 5 had 1.819 times probability to utilize enterprise provided health service (OR = 1.82, 95%CI:1.13-2.92) , and migrants who were educated for more than 13 years had 3.812 times probability to utilize enterprise provided health service than those who were educated for less than 6 years (OR = 3.81, 95%CI:1.75-8.31) .However, occupational health awareness had no significant influence to the utility of enterprise provided health service utilization in logistic regression (χ(2) = 3.50, P = 0.061).
  
  
  CONCLUSIONS
  Occupational health awareness and enterprise provided health service utilization were both low among migrants in construction site, level of health literacy and school years were the main factors that influence enterprise provided health service utilization.
authors: Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
authors: Ying
authors: Y
authors: Jiang
authors: Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
authors: Qingqi
authors: Q
authors: Zeng
authors: Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
authors: Ying
authors: Y
authors: Ji
authors: Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
authors: Yanling
authors: Y
authors: Wang
authors: Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.
authors: Yunting
authors: Y
authors: Zheng
authors: Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China. Email: changchun@bjmu.edu.cn.
authors: Chun
authors: C
authors: Chang
mesh_terms: D057220:Health Literacy; D006801:Humans; D016015:Logistic Models; D016272:Occupational Health; D009786:Occupational Health Services; D011795:Surveys and Questionnaires; D014171:Transients and Migrants; D017132:Workplace