IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i9p1002-d110602.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/9/1002/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/14/9/1002/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    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.
    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. 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.

    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. Nikos Nomikos & Panagiota Naoum & Vasiliki Naoum & Kostas Athanasakis & John Kyriopoulos & Elpida Pavi, 2022. "Individuals' personal characteristics associated with private health insurance policy possession in Greece," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(1), pages 361-371, January.
    2. Jiannan Li & Bocong Yuan, 2019. "Rural‐urban disparity in risk exposure to involuntary social health insurance transition in China: An investigation of chronic disease patients' mental health problems," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1760-1773, October.
    3. Maria Magdalena Bujnowska-Fedak & Łukasz Wysoczański, 2020. "Access to an Electronic Health Record: A Polish National Survey," IJERPH, MDPI, vol. 17(17), pages 1-17, August.
    4. Guangsheng Wan & Zixuan Peng & Yufeng Shi & Peter C. Coyte, 2020. "What Are the Determinants of the Decision to Purchase Private Health Insurance in China?," IJERPH, MDPI, vol. 17(15), pages 1-15, July.
    5. Lili Wu & Chunyin Wang & Jiayun Kou, 2021. "How Poverty, Residence Status and Health Insurance Predict Unmet Healthcare Needs among Chinese Elders?," Applied Economics and Finance, Redfame publishing, vol. 8(6), pages 10-20, November.
    6. Runguo Wu & Niying Li & Angelo Ercia, 2020. "The Effects of Private Health Insurance on Universal Health Coverage Objectives in China: A Systematic Literature Review," IJERPH, MDPI, vol. 17(6), pages 1-21, March.
    7. Eun-Mi Baek & Jae-Il Oh & Eun-Jung Kwon, 2021. "The Effect of Additional Private Health Insurance on Mortality in the Context of Universal Public Health Insurance," IJERPH, MDPI, vol. 18(16), pages 1-10, August.
    8. 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.
    9. Lin Pan & Cong Wang & Xiaolin Cao & Huanhuan Zhu & Li Luo, 2022. "Unmet Healthcare Needs and Their Determining Factors among Unwell Migrants: A Comparative Study in Shanghai," IJERPH, MDPI, vol. 19(9), pages 1-18, May.
    10. Milind Kumar Yadav & Pratap C. Mohanty, 2021. "Determinants of choice of health insurance: Empirical evidence from responses of Indian households," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(5), pages 1809-1829, September.
    11. Macinko, James & Seixas, Brayan V. & de Oliveira, Cesar & Lima-Costa, Maria Fernanda, 2022. "Private health insurance, healthcare spending and utilization among older adults: Results from the Brazilian Longitudinal Study of Aging," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    12. Si Shi & Yawen Jiang, 2022. "Does supplemental private health insurance incentivize household risky financial asset investment? Evidence from the China Household Financial Survey," International Journal of Health Economics and Management, Springer, vol. 22(4), pages 369-421, December.
    13. Yongjian Xu & Anupam Garrib & Zhongliang Zhou & Duolao Wang & Jianmin Gao & Xiaowei Yang & Xiaojing Fan & Gang Chen, 2019. "New Health Care Reform and Impoverishment among Chronic Households in China: A Random-Intercept Approach," IJERPH, MDPI, vol. 16(6), pages 1-13, March.
    14. Tsvetkova, Liudmila & Okhrimenko, Igor & Belousova, Tamara & Khuzhamov, Leonid, 2022. "Relationship and mutual influence between poverty and insurance in a developing insurance market," Journal of Behavioral and Experimental Finance, Elsevier, vol. 36(C).

    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:14:y:2017:i:9:p:1002-:d:110602. 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.