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

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  • Jingya Zhang

    (Department of Social Medicine, School of Public Health, National Key Laboratory of Health Technology Assessment (National Health and Family Planning Commission), Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, 138 Yi Xue Yuan Road, Shanghai 200032, China)

  • Senlin Lin

    (Department of Social Medicine, School of Public Health, National Key Laboratory of Health Technology Assessment (National Health and Family Planning Commission), Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, 138 Yi Xue Yuan Road, Shanghai 200032, China)

  • Di Liang

    (Department of Health Policy and Management, University of California, Los Angeles, CA 90095, USA)

  • Yi Qian

    (Department of Social Medicine, School of Public Health, National Key Laboratory of Health Technology Assessment (National Health and Family Planning Commission), Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, 138 Yi Xue Yuan Road, Shanghai 200032, China)

  • Donglan Zhang

    (Department of Health Policy and Management, College of Public Health, University of Georgia, 100 Foster Road, Wright Hall, Athens, GA 30602, USA)

  • Zhiyuan Hou

    (Department of Social Medicine, School of Public Health, National Key Laboratory of Health Technology Assessment (National Health and Family Planning Commission), Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, 138 Yi Xue Yuan Road, Shanghai 200032, China)

Abstract

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.

Suggested Citation

  • Jingya Zhang & Senlin Lin & Di Liang & Yi Qian & Donglan Zhang & Zhiyuan Hou, 2017. "Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey," IJERPH, MDPI, vol. 14(9), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:9:p:1002-:d:110602
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    References listed on IDEAS

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    1. Xiaogang Wu & Donald Treiman, 2004. "The household registration system and social stratification in China: 1955–1996," Demography, Springer;Population Association of America (PAA), vol. 41(2), pages 363-384, May.
    2. Yinzi Jin & Zhiyuan Hou & Donglan Zhang, 2016. "Determinants of Health Insurance Coverage among People Aged 45 and over in China: Who Buys Public, Private and Multiple Insurance," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-15, August.
    3. Chu-Hong Lu & Zhong-Cheng Luo & Jia-Ji Wang & Jian-Hu Zhong & Pei-Xi Wang, 2015. "Health-Related Quality of Life and Health Service Utilization in Chinese Rural-to-Urban Migrant Workers," IJERPH, MDPI, vol. 12(2), pages 1-10, February.
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    Cited by:

    1. 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.
    2. Xuefeng Li & Han Yang & Hui Wang & Xujun Liu, 2020. "Effect of Health Education on Healthcare-Seeking Behavior of Migrant Workers in China," IJERPH, MDPI, vol. 17(7), pages 1-12, March.
    3. Dan Tang & Jiwen Wang, 2021. "Basic Public Health Service Utilization by Internal Older Adult Migrants in China," IJERPH, MDPI, vol. 18(1), pages 1-14, January.
    4. Qingjun Zhao & Meijing Song & Hanrui Wang, 2022. "Voting with Your Feet: The Impact of Urban Public Health Service Accessibility on the Permanent Migration Intentions of Rural Migrants in China," IJERPH, MDPI, vol. 19(22), pages 1-20, November.
    5. 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.
    6. Boyuan Chen & Sohee Shin & Ming Wu & Zhihui Liu, 2022. "Visualizing the Knowledge Domain in Health Education: A Scientometric Analysis Based on CiteSpace," IJERPH, MDPI, vol. 19(11), pages 1-23, May.

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