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Health-Related Quality of Life and Health Service Utilization in Chinese Rural-to-Urban Migrant Workers

Author

Listed:
  • Chu-Hong Lu

    (Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou 510182, China
    Institute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China)

  • Zhong-Cheng Luo

    (Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xin Hua Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai 200092, China)

  • Jia-Ji Wang

    (Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou 510182, China)

  • Jian-Hu Zhong

    (Community Health Services Center of Liaobu, Dongguan 523401, China)

  • Pei-Xi Wang

    (Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou 510182, China
    Institute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China)

Abstract

Objectives : The number of rural-to-urban migrant workers has been increasing rapidly in China over recent decades, but there is a scarcity of data on health-related quality of life (HRQOL) and health service utilization among Chinese rural-to-urban migrant workers in comparison to local urban residents. We aimed to address this question. Methods : This was a cross-sectional study of 2315 rural-to-urban migrant workers and 2347 local urban residents in the Shenzhen-Dongguan economic zone (China) in 2013. Outcomes included HRQOL (measured by Health Survey Short Form 36) and health service utilization (self-reported). Results : Compared to local urban residents, rural-to-urban migrant workers had lower scores in all domains of HRQOL, and were more likely to report chronic illnesses (9.2% vs. 6.0%, adjusted OR = 1.62, 95% CI 1.28–2.04) and recent two-week morbidity (21.3% vs. 5.0%, adjusted OR = 5.41, 95% CI 4.26–6.88). Among individuals who reported sickness in the recent two weeks, migrant workers were much less likely to see a doctor (32.7% vs. 66.7%, adjusted OR = 0.21, 95% CI 0.13–0.36). Conclusions : Chinese rural-to-urban migrant workers have lower HRQOL, much more frequent morbidity, but are also much less likely to see a doctor in times of sickness as compared to local urban residents, indicating the existence of significant unmet medical care needs in this population.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:2:p:2205-2214:d:45940
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    References listed on IDEAS

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    1. Su-Ying Tsai, 2012. "A Study of the Health-Related Quality of Life and Work-Related Stress of White-Collar Migrant Workers," IJERPH, MDPI, vol. 9(10), pages 1-15, October.
    2. Wang, Bo & Li, Xiaoming & Stanton, Bonita & Fang, Xiaoyi, 2010. "The influence of social stigma and discriminatory experience on psychological distress and quality of life among rural-to-urban migrants in China," Social Science & Medicine, Elsevier, vol. 71(1), pages 84-92, July.
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    Cited by:

    1. 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.
    2. Kiet Tuan Huy Pham & Long Hoang Nguyen & Quan-Hoang Vuong & Manh-Tung Ho & Thu-Trang Vuong & Hong-Kong T. Nguyen & Giang Thu Vu & Huong Lan Thi Nguyen & Bach Xuan Tran & Carl A. Latkin & Cyrus S. H. H, 2019. "Health Inequality between Migrant and Non-Migrant Workers in an Industrial Zone of Vietnam," IJERPH, MDPI, vol. 16(9), pages 1-11, April.

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