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Disparities in Healthcare Utilization in China: Do Gender and Migration Status Matter?

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  • Jessie Fan
  • Ming Wen
  • Lei Jin
  • Guixin Wang

Abstract

Using a multi-stage cluster sampling approach, we collected healthcare and demographic data from 531 migrants and 529 local urban residents aged 16–64 in Shanghai, China. Logistic regressions were used to analyze the relationship between gender-migration status and healthcare utilization while controlling for predisposing, enabling and needs factors. Other things equal, female migrants and male locals had significantly lower actual healthcare utilization rates, compared to female locals. Female migrants were more likely to report “no money” as a reason for not seeking care, while male locals were more likely to report “self-medication” as a reason. Considering established gender differences in healthcare utilization, we conclude that female migrants as a group face the most healthcare access barriers among all groups. Copyright Springer Science+Business Media, LLC 2013

Suggested Citation

  • Jessie Fan & Ming Wen & Lei Jin & Guixin Wang, 2013. "Disparities in Healthcare Utilization in China: Do Gender and Migration Status Matter?," Journal of Family and Economic Issues, Springer, vol. 34(1), pages 52-63, March.
    • Handle: RePEc:kap:jfamec:v:34:y:2013:i:1:p:52-63
    DOI: 10.1007/s10834-012-9296-1
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    References listed on IDEAS

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    1. Liu, Yuanli & Hsiao, William C. & Eggleston, Karen, 1999. "Equity in health and health care: the Chinese experience," Social Science & Medicine, Elsevier, vol. 49(10), pages 1349-1356, November.
    2. C. Cindy Fan, 2003. "Rural‐urban migration and gender division of labor in transitional China," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 27(1), pages 24-47, March.
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    4. Guillermina Jasso & Douglas S. Massey & Mark R. Rosenzweig & James P. Smith, 2004. "Immigrant Health--Selectivity and Acculturation," Labor and Demography 0412002, University Library of Munich, Germany.
    5. Lu, Zhigang & Song, Shunfeng, 2006. "Rural-urban migration and wage determination: The case of Tianjin, China," China Economic Review, Elsevier, vol. 17(3), pages 337-345.
    6. Li Swain & Steven Garasky, 2007. "Migration Decisions of Dual-earner Families: An Application of Multilevel Modeling," Journal of Family and Economic Issues, Springer, vol. 28(1), pages 151-170, March.
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    Cited by:

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    2. Hai Fang & Yinzi Jin & Miaomiao Zhao & Huyang Zhang & John A. Rizzo & Donglan Zhang & Zhiyuan Hou, 2017. "Does Migration Limit the Effect of Health Insurance on Hypertension Management in China?," IJERPH, MDPI, vol. 14(10), pages 1-12, October.

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