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Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis

The proportion of migrating females has increased, and more often, old females are left in rural regions. Resources are needed to provide suitable hospitalization service to females in underdeveloped rural regions. Using multi-stage hierarchical cluster random sampling method, nine towns from three...

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Detalles Bibliográficos
Autores principales: Wen, Xiaotong, Zheng, Huilie, Feng, Zhenyi, Tucker, Winter, Lu, Yuanan, Yuan, Zhaokang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765839/
https://www.ncbi.nlm.nih.gov/pubmed/31540046
http://dx.doi.org/10.3390/ijerph16183419
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author Wen, Xiaotong
Zheng, Huilie
Feng, Zhenyi
Tucker, Winter
Lu, Yuanan
Yuan, Zhaokang
author_facet Wen, Xiaotong
Zheng, Huilie
Feng, Zhenyi
Tucker, Winter
Lu, Yuanan
Yuan, Zhaokang
author_sort Wen, Xiaotong
collection PubMed
description The proportion of migrating females has increased, and more often, old females are left in rural regions. Resources are needed to provide suitable hospitalization service to females in underdeveloped rural regions. Using multi-stage hierarchical cluster random sampling method, nine towns from three counties were enrolled in five-time points between 2006 and 2014 in this study. The research subjects of this study were females age 15 and up. Data regarding the utilization of inpatient services were collected and analyzed. Complex sampling logistic regression was conducted to analyze influencing factors. This study reveals that for both permanent females and migrant females, the older their age, the higher their hospitalization rate. The utilization of hospitalization service for permanent females was associated with the occurrence of chronic diseases (adjusted Odds Ratio (aOR) = 5.402). In addition, permanent females suffering from chronic diseases were more likely to avoid hospitalization despite their doctor’s advice (aOR = 34.657) or leave the hospital early against medical advice (AMA) (aOR = 10.009). Interventions to combat chronic diseases and adjust compensation schemes for permanent females need to be provided.
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spelling pubmed-67658392019-09-30 Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis Wen, Xiaotong Zheng, Huilie Feng, Zhenyi Tucker, Winter Lu, Yuanan Yuan, Zhaokang Int J Environ Res Public Health Article The proportion of migrating females has increased, and more often, old females are left in rural regions. Resources are needed to provide suitable hospitalization service to females in underdeveloped rural regions. Using multi-stage hierarchical cluster random sampling method, nine towns from three counties were enrolled in five-time points between 2006 and 2014 in this study. The research subjects of this study were females age 15 and up. Data regarding the utilization of inpatient services were collected and analyzed. Complex sampling logistic regression was conducted to analyze influencing factors. This study reveals that for both permanent females and migrant females, the older their age, the higher their hospitalization rate. The utilization of hospitalization service for permanent females was associated with the occurrence of chronic diseases (adjusted Odds Ratio (aOR) = 5.402). In addition, permanent females suffering from chronic diseases were more likely to avoid hospitalization despite their doctor’s advice (aOR = 34.657) or leave the hospital early against medical advice (AMA) (aOR = 10.009). Interventions to combat chronic diseases and adjust compensation schemes for permanent females need to be provided. MDPI 2019-09-14 2019-09 /pmc/articles/PMC6765839/ /pubmed/31540046 http://dx.doi.org/10.3390/ijerph16183419 Text en © 2019 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
Wen, Xiaotong
Zheng, Huilie
Feng, Zhenyi
Tucker, Winter
Lu, Yuanan
Yuan, Zhaokang
Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis
title Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis
title_full Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis
title_fullStr Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis
title_full_unstemmed Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis
title_short Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis
title_sort hospitalization services utilization between permanent and migrant females in underdeveloped rural regions and contributing factors—a five-time data collection and analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765839/
https://www.ncbi.nlm.nih.gov/pubmed/31540046
http://dx.doi.org/10.3390/ijerph16183419
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