IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i13p4651-d377442.html
   My bibliography  Save this article

Social Support and Health Services Use in People Aged over 65 Years Migrating within China: A Cross-Sectional Study

Author

Listed:
  • Chengxu Long

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Ruoxi Wang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Da Feng

    (School of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Lu Ji

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Zhanchun Feng

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Shangfeng Tang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

Abstract

Background: Due to the household registration system, Chinese elderly migrants have insufficient access to health services and social support. Thus, this study examined the use of health services, the access to social support, and the interaction among the elderly migrating within China. Methods: Data were obtained from the China Migrant Dynamic Monitoring Survey in 2015, adopting probability proportionate to size as the sampling strategy. Structural equation modeling and mediating effect tests were employed to explore the associations. Results: Approximately 45.9% of elderly migrants did not seek health services when needed. The use of outpatient and inpatient services was more common than free essential public health services. The use of health services was negatively associated with migrating duration and migrating for offspring, while it was positively associated with outer social support. The mediating effects of outer social support were discovered on the relationships between the use of health services and independent variables such as migrating duration and migrating for offspring, respectively. Conclusion: Elderly migrants with a longer migrating duration or migrated for offspring seem to obtain less outer social support, resulting in a decreased use of health services. Outer social support was suggested as a key effort to improve the equalization of health services in Chinese elderly migrants.

Suggested Citation

  • Chengxu Long & Ruoxi Wang & Da Feng & Lu Ji & Zhanchun Feng & Shangfeng Tang, 2020. "Social Support and Health Services Use in People Aged over 65 Years Migrating within China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(13), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4651-:d:377442
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/13/4651/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/13/4651/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Chun-Chih Chen & Yen-Ju Lin & Ying-Tzu Lin, 2013. "Awareness and utilization of preventive care services among the elderly under National Health Insurance," International Journal of Health Economics and Management, Springer, vol. 13(3), pages 247-260, December.
    2. Junfang Xu & Jian Wang & Madeleine King & Ruiyun Liu & Fenghua Yu & Jinshui Xing & Lei Su & Mingshan Lu, 2018. "Rural–urban disparities in the utilization of mental health inpatient services in China: the role of health insurance," International Journal of Health Economics and Management, Springer, vol. 18(4), pages 377-393, December.
    3. Zhongliang Zhou & Jianmin Gao & Qinxiang Xue & Xiaowei Yang & Ju'e Yan, 2009. "Effects of Rural Mutual Health Care on outpatient service utilization in Chinese village medical institutions: evidence from panel data," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 129-136, July.
    4. Glei, Dana A. & Goldman, Noreen & Rodríguez, Germán, 2003. "Utilization of care during pregnancy in rural Guatemala: does obstetrical need matter?," Social Science & Medicine, Elsevier, vol. 57(12), pages 2447-2463, December.
    5. Qing Wang, 2017. "Health of the Elderly Migration Population in China: Benefit from Individual and Local Socioeconomic Status?," IJERPH, MDPI, vol. 14(4), pages 1-12, April.
    6. Shangfeng Tang & Dong Dong & Lu Ji & Hang Fu & Zhanchun Feng & Ghose Bishwajit & Zhifei He & Hui Ming & Qian Fu & Yue Xian, 2015. "What Contributes to the Activeness of Ethnic Minority Patients with Chronic Illnesses Seeking Allied Health Services? A Cross-Sectional Study in Rural Western China," IJERPH, MDPI, vol. 12(9), pages 1-15, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jing Liang & Yujia Shi & Mohammedhamid Osman & Bhawana Shrestha & Peigang Wang, 2020. "The Association between Social Integration and Utilization of Essential Public Health Services among Internal Migrants in China: A Multilevel Logistic Analysis," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    2. Wangnan Cao & Qingping Yun & Chun Chang & Ying Ji, 2022. "Family Support and Social Support Associated with National Essential Public Health Services Utilization among Older Migrants in China: A Gender Perspective," IJERPH, MDPI, vol. 19(3), pages 1-10, January.
    3. Ji Wen & Xiaolin Mai & Wei Li & Xin Liu, 2022. "The Influence of Message Framing on Elderly Tourists’ Purchase Intentions of Health Services: A Case Study of Guangxi Bama," IJERPH, MDPI, vol. 19(21), pages 1-15, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lan Thi Thu Phan & Yusuke Jinnai, 2018. "Does health insurance matter in the hospital? New evidence from patient-level medical records in Vietnam," Working Papers EMS_2018_01, Research Institute, International University of Japan.
    2. Zhiyuan Hou & Ellen Van de Poel & Eddy Van Doorslaer & Baorong Yu & Qingyue Meng, 2014. "Effects Of Ncms On Access To Care And Financial Protection In China," Health Economics, John Wiley & Sons, Ltd., vol. 23(8), pages 917-934, August.
    3. Xiaoying Liu & Jere R Behrman & Aryeh D Stein & Linda S Adair & Santosh K Bhargava & Judith B Borja & Mariangela Freitas da Silveira & Bernardo L Horta & Reynaldo Martorell & Shane A Norris & Linda M , 2017. "Prenatal care and child growth and schooling in four low- and medium-income countries," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-21, February.
    4. Edmonds, Joyce K. & Hruschka, Daniel & Bernard, H. Russell & Sibley, Lynn, 2012. "Women’s social networks and birth attendant decisions: Application of the Network-Episode Model," Social Science & Medicine, Elsevier, vol. 74(3), pages 452-459.
    5. Hafiz Ghulam Mujaddad & Mumtaz Anwar, 2022. "Spatial Analysis of Socioeconomic Inequality of Opportunity in Access to Skilled Birth Attendant in Punjab, Pakistan," Journal of Economic Impact, Science Impact Publishers, vol. 4(1), pages 88-98.
    6. Gordon Abekah-Nkrumah & Patience Abor, 2015. "Socioeconomic determinants of use of reproductive health services in Ghana," Health Economics Review, Springer, vol. 6(1), pages 1-15, December.
    7. Sharmistha Self & Richard Grabowski, 2018. "Factors influencing maternal health care in Nepal: the role of socioeconomic interaction," Asia-Pacific Sustainable Development Journal, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), vol. 25(2), pages 53-75, December.
    8. Yinghao Lv & Qiang Fu & Xiao Shen & Erping Jia & Xianglin Li & Yingying Peng & Jinghong Yan & Mingzhu Jiang & Juyang Xiong, 2020. "Treatment Preferences of Residents Assumed to Have Severe Chronic Diseases in China: A Discrete Choice Experiment," IJERPH, MDPI, vol. 17(22), pages 1-10, November.
    9. Zhou, Zhongliang & Su, Yanfang & Gao, Jianmin & Xu, Ling & Zhang, Yaoguang, 2011. "New estimates of elasticity of demand for healthcare in rural China," Health Policy, Elsevier, vol. 103(2), pages 255-265.
    10. Qiang Yao & Chaojie Liu & Ju Sun, 2020. "Inequality in Health Services for Internal Migrants in China: A National Cross-Sectional Study on the Role of Fund Location of Social Health Insurance," IJERPH, MDPI, vol. 17(17), pages 1-22, August.
    11. Yuyan Qian & Jianmin Gao & Zhongliang Zhou & Ju’e Yan & Yongjian Xu & Xiaowei Yang & Yanli Li, 2017. "An equity analysis of health examination service utilization by women from underdeveloped areas in western China," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-14, October.
    12. Po Wong, 2011. "Mothers’ Marital Status and Type of Delivery Medical Care in Guatemala," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 30(1), pages 43-57, February.
    13. Trani, Jean-Francois & Browne, Joyce & Kett, Maria & Bah, Osman & Morlai, Teddy & Bailey, Nicki & Groce, Nora, 2011. "Access to health care, reproductive health and disability: A large scale survey in Sierra Leone," Social Science & Medicine, Elsevier, vol. 73(10), pages 1477-1489.
    14. Xinyi Huang & Xingtong Pei & Weiyan Jian & Mingming Xu, 2023. "Socioeconomic Disparities in Individual-Level Quality-Adjusted Life Years throughout Remaining Lifetimes: A National Representative Longitudinal Survey in China," IJERPH, MDPI, vol. 20(5), pages 1-13, March.
    15. Güneş, Pınar Mine, 2015. "The role of maternal education in child health: Evidence from a compulsory schooling law," Economics of Education Review, Elsevier, vol. 47(C), pages 1-16.
    16. Spangler, Sydney A. & Bloom, Shelah S., 2010. "Use of biomedical obstetric care in rural Tanzania: The role of social and material inequalities," Social Science & Medicine, Elsevier, vol. 71(4), pages 760-768, August.
    17. Lindstrom, David P & Muñoz-Franco, Elisa, 2006. "Migration and maternal health services utilization in rural Guatemala," Social Science & Medicine, Elsevier, vol. 63(3), pages 706-721, August.
    18. Becker, Stan & Fonseca-Becker, Fannie & Schenck-Yglesias, Catherine, 2006. "Husbands' and wives' reports of women's decision-making power in Western Guatemala and their effects on preventive health behaviors," Social Science & Medicine, Elsevier, vol. 62(9), pages 2313-2326, May.
    19. Smith, Kimberly V. & Sulzbach, Sara, 2008. "Community-based health insurance and access to maternal health services: Evidence from three West African countries," Social Science & Medicine, Elsevier, vol. 66(12), pages 2460-2473, June.
    20. Timothy Powell‐Jackson & Winnie Chi‐Man Yip & Wei Han, 2015. "Realigning Demand and Supply Side Incentives to Improve Primary Health Care Seeking in Rural China," Health Economics, John Wiley & Sons, Ltd., vol. 24(6), pages 755-772, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4651-:d:377442. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.