企业与职工因素对工人参加工伤保险的影响研究.pdf

企业和职工因素对工人参加工伤保险的影响研究 段胜楠，吴媛，叶驰宇，刘小方，尤华，董恒进（通讯作者） 浙江大学医学部卫生政策学研究中心，浙江省杭州余杭塘路 866 号，邮编 310058 通讯作者：董恒进，电话：0571E-mail:donghj@. 作者简介：段胜楠 （1987-），女，在读硕士；主要研究方向：卫生政策学；电话 E-mail. Abstract In China, the coverage of industrial injury insurance in 2009 was 19.1 percent, which was lower than other systems. However, the factors influencing the insurance’s enrollment has been less well explored. This paper concentrated on this less-studied direction using the data of 1418 workers collected from three factories in Zhejiang province with the method of face-to-face questionnaire survey. The result shown that the industrial injury insurance coverage of these 1418 workers was 32.4%, and the proportion of the floating workers was worse(14.0%); Workers knew little about industrial injury insurance. Besides, the result of logistic regression showed that the better education and the more work years workers had, the more possibility they joined in industrial injury insurance. To the contrary, the more knowledge of diagnosis institution workers had, the less possibility they joined in that. Therefor, improve the education and knowledge to occupational health of workers, enhance the awareness of right protecting, reinforce the supervision to industries about industrial insurance, emphasize occupational protection to floating population and add a third-party organization to share risk with industries would be effective to increase the coverage of industrial insurance. Keywords: Industrial injury insurance; Coverage; Proportion 摘要 2009 年中国工伤保险参保率仅为 19.1%，远低于其他类型的社会保障体系。然而，影 响工伤保险参保率因素的研究却无人问津。本文即针对这个领域，以面对面问卷调查的方法 从浙江省甲乙两市 3 企业内收集 1418 名工人《职业卫生与工伤（职业病）保险可行性调查 表》以及 3 个企业的《企业职业卫生调查表》。结果显示，所调查企业职工工伤保险的参保 率为 32.4%，不同工厂参保率差异显著，流动人口工伤保险参保率极低（14.0%）；工人对工 伤保险的内容模凌两可，对是否参加工伤保险知之甚少；Logistic 回归分析的结果显示，文 化程度越高，工龄越长参加工伤保险的可能性越大，工伤保险知晓情况越好，职业病诊断机 构知晓情况越好，参加工伤保险的可能性越低；管理岗位参加工伤保险的可能性较低。因此， 为提高工伤保险参保率应增进职工自身职