Health service utilisation of rural‐to‐urban migrants in Guangzhou, China: does employment status matter?

Song, Xiaolei; Zou, Guanyang; Chen, Wen; Han, Siqi; Zou, Xia; Li, Ling

doi:10.1111/tmi.12801

Cited by 53 publications

(69 citation statements)

References 29 publications

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“…The reform did not change the fact that the migrants have limited access to these social entitlements, such as health care, employment, insurance, pension, and social support. Especially for the old-aged migrants, with the parallel of lacking of service delivering information and the proactive behavior in seeking health care, it also incurred the limited access to preventive and medical resources [17]. Generally, the cancellation of the agricultural account opened the prelude to the "era of Equal Rights", but there is still a long way to achieve "equal rights" for the migrating population.…”

Section: Discussionmentioning

confidence: 99%

“…The government should pay more attention to establish a connecting mechanism between the household registration system and social security system for the migrants. It also needs to improve the social welfare system for migrants and promote the adaptable local social and economic environment and public policies for oldaged migrants, clarify the responsibilities of various stakeholders [17].…”

Section: Insufficient Utilization Of Essential Public Health Servicesmentioning

confidence: 99%

“…This study found that the chronic conditions and longer excise were associated with the improvement of old aged migrants' activeness in seeking EPHS. It could be explained by those who took regular exercise habits were generally concerned about their health [17], and they collect health information actively. Finally, it is easily satisfied with the expectation of the service in need.…”

Section: Heath Status Friends Associated With the Utilizationmentioning

confidence: 99%

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Improving the utilization of essential public health services by Chinese elderly migrants: strategies and policy implication

Tang

Long

Wang

et al. 2020

Journal of Global Health

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Improving the utilization of essential public health services by Chinese elderly migrants: strategies and policy implication Background The concept of healthy aging has become a global health strategy in response to the population aging. In China, old-aged migrants are facing serious health care challenges due to the obstacles in the utilization of health services, social integration and ignored public policies. We aimed to examine the old-aged migrants' utilization of the essential public health services and its underlying factors on account of change of residence, and social support. Methods Data came from the senior sample (aged over 65 years, n = 11 161) of the 2015 National Migrant Dynamic Monitoring Survey in China that employed Probability Proportionate to Size method as a sampling strategy. χ 2 tests and binary multilevel model were conducted to analyze the difference and the underlying factors of the utilization of essential health services among old-aged migrants. Results Approximately 66.2% of old-aged migrants did not receive free physician examination services from health institutions in the past year, and 34.6% of old-aged migrants with chronic disease have been followed up by doctors. There were significant differences in the utilization of essential public health services among old-aged migrants across different individuals and families. It showed that exercise time, migrating range, migrating reason, physical health condition, chronic disease, local friends, health insurance, household expenditure, and income were significantly associated with the elderly migrants' utilization of essential public health services. Conclusions The utilization of essential public health services among old-aged migrants was insufficient in comparison with the general population. The government should launch targeted policies such as production and work-related injuries for the floating population. The supply side should promote the equalization of essential public health services for migrants. Social organizations and community should undertake the responsibility in social support for old-aged migrants.

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Section: Discussionmentioning

confidence: 99%

Section: Insufficient Utilization Of Essential Public Health Servicesmentioning

confidence: 99%

Section: Heath Status Friends Associated With the Utilizationmentioning

confidence: 99%

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Improving the utilization of essential public health services by Chinese elderly migrants: strategies and policy implication

Tang

Long

Wang

et al. 2020

Journal of Global Health

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“…The rst is about the difference and comparison of the utilization of health services between the migrants and the local registered population [6,13,14]. The second is on the in uencing factors of the utilization of health services of the migrants, but few explored from the perspective of health needs [15][16][17]. Third, most studies on the internal migrants are based on regional data [12,16,[18][19][20], and there were few studies using a nation-wide data about the migrants.…”

Section: Introductionmentioning

confidence: 99%

How internal migrants’ socioeconomic status affect their unmet inpatient service need? Evidence from a national study in China

Wang¹,

Jing²,

Ding³

et al. 2020

Preprint

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Background: China has experienced the largest migration during the past three decades. Compared with the permanent residents, migrants faced more obstacles in accessing essential health care services. This study aimed to explore the association between socioeconomic status and unmet inpatient service need among internal migrants in China. Methods: The data used in this study were from the 2014 nationally representative cross-sectional sample of internal migrants in China. All respondents were aged 15-59 years who had been living in local residence without the ‘Hukou’ for more than one month, and a total of 7592 migrants with inpatient service need were included in this analysis. Results: The migrants with unmet inpatient service need were 1667(21.96%). We found that internal migrants with higher socioeconomic defined by economic status(OR=1.74, 95 CI% 1.55-1.96) and educational attainment (OR=1.77, 95% CI 1.56-2.00) were more inclined to use inpatient services when needed, while the unemployed internal migrants (OR=0.36, 95% CI 0.32-0.41) were more likely to use inpatient service than the employed migrants. After adjustment for other demographic variables such as gender, age, marital status etc., these figures did not substantially change in model 2, the OR were 1.28(95% CI 1.12-1.46), 1.31(95% CI 1.13-1.52), and 0.59(95% CI 0.51-0.68), respectively. Conclusion: Internal migrants with higher socioeconomic defined by economic status and education attainment were more inclined to use inpatient services when needed, while the unemployed internal migrants were more likely to use inpatient service than the employed. This suggests that future policies should make the reimbursement more pro-poor among migrants and more effective policies targeting the migrants with low educational attainment and employed.

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“…Although migrants are needed for socioeconomic development and urban construction in major cities, they often encounter several obstacles to accessing public services because of their distinguishing characteristics irregular status (e.g. low paid wages, low education level, poor living condition, and insufficiently protected working environment) and economic and social marginalization (many public policies and social welfare programs were implemented based on a rigid "Hukou" system, serving as a domestic passport) [2,3]. They suffer certain unnoticed health risks that can wear off their health awareness and make them vulnerable to health problems, such as communicable disease (CD), chronic non-communicable disease (NCD) and occupational disease, and also relatively easy to ignore their own health status [4,5].…”

Section: Introductionmentioning

confidence: 99%

Analysis of health education utilization of migrants in Beijing using Anderson health service utilization model

Shao

Zhang

Xuxiao

et al. 2019

Preprint

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Background: Domestic migration is considered as a challenge for China. Migrants are vulnerable to certain risks and diseases due to encounter several obstacles to accessing preventive care services. This research sought to unveil and explore the determinant factors associated with health education utilization as one important aspect of basic public health services for migrants in Beijing of China. Methods: A sample of 863 inter-provincial migrants who were 18 years old and above was chosen by three-stage stratified cluster sampling method in 2016 urban-rural connection districts of Beijing. A structured questionnaire survey was conducted via face-to-face interviews. Anderson health service utilization model was used to demonstrate the effects of the explanatory variables on health education seeking behavior from predisposing, enabling, health behavior and need variables. Results: The study revealed that 60.4% migrants desired to receive health education, while only 34.5% of them received in the past year. Many migrants desired to access various types of health education information from the internet. Chi-square independence test shows that age, "Hukou" registration system, marital status, education level, plan to reside for a long time in Beijing, have at least one child in Beijing, employment status, housing source, average working time daily, do exercises, acquire health knowledge, smoking, self-evaluation general health status are the major determinants affecting migrants to receive whole health education. The binary logistic regression indicates that the migrants with younger, high education level, have at least one child in Beijing, do exercises and self-evaluated good health status were more likely to receive whole health education. The results also show that average working time daily of enabling variables and do exercise of health behavior variables were the strong and consistent determinants of three types of health education utilization, including communicable, non-communicable and occupational diseases. Conclusion: There were certain gaps between the needs and utilization in health education. More attention should be given to the migrants with heavy workload and low education level. Relevant policies and feasible measures, including health providing health information by multiple channels, should be vigorously implemented to ensure easy and equitable access to health education for migrants.

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Health service utilisation of rural‐to‐urban migrants in Guangzhou, China: does employment status matter?

Cited by 53 publications

References 29 publications

Improving the utilization of essential public health services by Chinese elderly migrants: strategies and policy implication

Improving the utilization of essential public health services by Chinese elderly migrants: strategies and policy implication

How internal migrants’ socioeconomic status affect their unmet inpatient service need? Evidence from a national study in China

Analysis of health education utilization of migrants in Beijing using Anderson health service utilization model

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