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Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study

BACKGROUND: To identify social factors determining the frequency of community health service (CHS) utilization among CHS users in China. METHODS: Nationwide cross-sectional surveys were conducted in 2008, 2009, 2010, and 2011. A total of 86,116 CHS visitors selected from 35 cities were interviewed....

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Detalles Bibliográficos
Autores principales: Gong, Yanhong, Yin, Xiaoxv, Wang, Yunxia, Li, Yongbin, Qin, Geng, Liu, Liqun, Zhou, Wei, Song, Fujian, Dong, Xiaoxin, Cao, Shiyi, Yang, Chen, Yang, Huajie, Xie, Jun, Liu, Junan, Lu, Zuxun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031144/
https://www.ncbi.nlm.nih.gov/pubmed/24854502
http://dx.doi.org/10.1371/journal.pone.0098095
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author Gong, Yanhong
Yin, Xiaoxv
Wang, Yunxia
Li, Yongbin
Qin, Geng
Liu, Liqun
Zhou, Wei
Song, Fujian
Dong, Xiaoxin
Cao, Shiyi
Yang, Chen
Yang, Huajie
Xie, Jun
Liu, Junan
Lu, Zuxun
author_facet Gong, Yanhong
Yin, Xiaoxv
Wang, Yunxia
Li, Yongbin
Qin, Geng
Liu, Liqun
Zhou, Wei
Song, Fujian
Dong, Xiaoxin
Cao, Shiyi
Yang, Chen
Yang, Huajie
Xie, Jun
Liu, Junan
Lu, Zuxun
author_sort Gong, Yanhong
collection PubMed
description BACKGROUND: To identify social factors determining the frequency of community health service (CHS) utilization among CHS users in China. METHODS: Nationwide cross-sectional surveys were conducted in 2008, 2009, 2010, and 2011. A total of 86,116 CHS visitors selected from 35 cities were interviewed. Descriptive analysis and multinomial logistic regression analysis were employed to analyze characteristics of CHS users, frequency of CHS utilization, and the socio-demographic and socio-economic factors influencing frequency of CHS utilization. RESULTS: Female and senior CHS clients were more likely to make 3–5 and ≥6 CHS visits (as opposed to 1–2 visits) than male and young clients, respectively. CHS clients with higher education were less frequent users than individuals with primary education or less in 2008 and 2009; in later surveys, CHS clients with higher education were the more frequent users. The association between frequent CHS visits and family income has changed significantly between 2008 and 2011. In 2011, income status did not have a discernible effect on the likelihood of making ≥6 CHS visits, and it only had a slight effect on making 3–5 CHS visits. CONCLUSION: CHS may play an important role in providing primary health care to meet the demands of vulnerable populations in China. Over time, individuals with higher education are increasingly likely to make frequent CHS visits than individuals with primary school education or below. The gap in frequency of CHS utilization among different economic income groups decreased from 2008 to 2011.
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spelling pubmed-40311442014-05-28 Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study Gong, Yanhong Yin, Xiaoxv Wang, Yunxia Li, Yongbin Qin, Geng Liu, Liqun Zhou, Wei Song, Fujian Dong, Xiaoxin Cao, Shiyi Yang, Chen Yang, Huajie Xie, Jun Liu, Junan Lu, Zuxun PLoS One Research Article BACKGROUND: To identify social factors determining the frequency of community health service (CHS) utilization among CHS users in China. METHODS: Nationwide cross-sectional surveys were conducted in 2008, 2009, 2010, and 2011. A total of 86,116 CHS visitors selected from 35 cities were interviewed. Descriptive analysis and multinomial logistic regression analysis were employed to analyze characteristics of CHS users, frequency of CHS utilization, and the socio-demographic and socio-economic factors influencing frequency of CHS utilization. RESULTS: Female and senior CHS clients were more likely to make 3–5 and ≥6 CHS visits (as opposed to 1–2 visits) than male and young clients, respectively. CHS clients with higher education were less frequent users than individuals with primary education or less in 2008 and 2009; in later surveys, CHS clients with higher education were the more frequent users. The association between frequent CHS visits and family income has changed significantly between 2008 and 2011. In 2011, income status did not have a discernible effect on the likelihood of making ≥6 CHS visits, and it only had a slight effect on making 3–5 CHS visits. CONCLUSION: CHS may play an important role in providing primary health care to meet the demands of vulnerable populations in China. Over time, individuals with higher education are increasingly likely to make frequent CHS visits than individuals with primary school education or below. The gap in frequency of CHS utilization among different economic income groups decreased from 2008 to 2011. Public Library of Science 2014-05-22 /pmc/articles/PMC4031144/ /pubmed/24854502 http://dx.doi.org/10.1371/journal.pone.0098095 Text en © 2014 Gong et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Gong, Yanhong
Yin, Xiaoxv
Wang, Yunxia
Li, Yongbin
Qin, Geng
Liu, Liqun
Zhou, Wei
Song, Fujian
Dong, Xiaoxin
Cao, Shiyi
Yang, Chen
Yang, Huajie
Xie, Jun
Liu, Junan
Lu, Zuxun
Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study
title Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study
title_full Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study
title_fullStr Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study
title_full_unstemmed Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study
title_short Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study
title_sort social determinants of community health services utilization among the users in china: a 4-year cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031144/
https://www.ncbi.nlm.nih.gov/pubmed/24854502
http://dx.doi.org/10.1371/journal.pone.0098095
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