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Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey

There have been obstacles for internal migrants in China in accessing local public health services for some time. This study aimed to estimate the utilization of local public health services and its determinants among internal migrants. Data were from the 2014 and 2015 nationally representative cros...

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Autores principales: Zhang, Jingya, Lin, Senlin, Liang, Di, Qian, Yi, Zhang, Donglan, Hou, Zhiyuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615539/
https://www.ncbi.nlm.nih.gov/pubmed/28862682
http://dx.doi.org/10.3390/ijerph14091002
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author Zhang, Jingya
Lin, Senlin
Liang, Di
Qian, Yi
Zhang, Donglan
Hou, Zhiyuan
author_facet Zhang, Jingya
Lin, Senlin
Liang, Di
Qian, Yi
Zhang, Donglan
Hou, Zhiyuan
author_sort Zhang, Jingya
collection PubMed
description There have been obstacles for internal migrants in China in accessing local public health services for some time. This study aimed to estimate the utilization of local public health services and its determinants among internal migrants. Data were from the 2014 and 2015 nationally representative cross-sectional survey of internal migrants in China. Multivariate logistic regressions were used to estimate the relationship between socioeconomic, migration, and demographic characteristics and public health services utilization. Our results showed that internal migrants in more developed eastern regions used less public health services. Those with higher socioeconomic status were more likely to use public health services. The years of living in the city of residence were positively associated with the utilization of public health services. Compared to migration within the city, migration across provinces significantly reduced the probability of using health records (OR = 0.88, 95% CI: 0.86–0.90), health education (OR = 0.97, 95% CI: 0.94–1.00), and health education on non–communicable diseases (OR = 0.92, 95% CI: 0.89–0.95) or through the Internet (OR = 0.96, 95% CI: 0.94–0.99). This study concludes that public health services coverage for internal migrants has seen great improvement due to government subsidies. Internal migrants with lower socioeconomic status and across provinces need to be targeted. More attention should be given to the local government in the developed eastern regions in order to narrow the regional gaps.
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spelling pubmed-56155392017-09-30 Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey Zhang, Jingya Lin, Senlin Liang, Di Qian, Yi Zhang, Donglan Hou, Zhiyuan Int J Environ Res Public Health Article There have been obstacles for internal migrants in China in accessing local public health services for some time. This study aimed to estimate the utilization of local public health services and its determinants among internal migrants. Data were from the 2014 and 2015 nationally representative cross-sectional survey of internal migrants in China. Multivariate logistic regressions were used to estimate the relationship between socioeconomic, migration, and demographic characteristics and public health services utilization. Our results showed that internal migrants in more developed eastern regions used less public health services. Those with higher socioeconomic status were more likely to use public health services. The years of living in the city of residence were positively associated with the utilization of public health services. Compared to migration within the city, migration across provinces significantly reduced the probability of using health records (OR = 0.88, 95% CI: 0.86–0.90), health education (OR = 0.97, 95% CI: 0.94–1.00), and health education on non–communicable diseases (OR = 0.92, 95% CI: 0.89–0.95) or through the Internet (OR = 0.96, 95% CI: 0.94–0.99). This study concludes that public health services coverage for internal migrants has seen great improvement due to government subsidies. Internal migrants with lower socioeconomic status and across provinces need to be targeted. More attention should be given to the local government in the developed eastern regions in order to narrow the regional gaps. MDPI 2017-09-01 2017-09 /pmc/articles/PMC5615539/ /pubmed/28862682 http://dx.doi.org/10.3390/ijerph14091002 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhang, Jingya
Lin, Senlin
Liang, Di
Qian, Yi
Zhang, Donglan
Hou, Zhiyuan
Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey
title Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey
title_full Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey
title_fullStr Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey
title_full_unstemmed Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey
title_short Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey
title_sort public health services utilization and its determinants among internal migrants in china: evidence from a nationally representative survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615539/
https://www.ncbi.nlm.nih.gov/pubmed/28862682
http://dx.doi.org/10.3390/ijerph14091002
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