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Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis

Author

Listed:
  • Xiaotong Wen

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, China
    These authors contributed equally to this study.)

  • Huilie Zheng

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, China
    These authors contributed equally to this study.)

  • Zhenyi Feng

    (Office of Public Health Studies, University of Hawaii at Mānoa, Honolulu, HI 96822, USA)

  • Winter Tucker

    (School of Community Science, University of Nevada, Reno, NV 89557, USA)

  • Yuanan Lu

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, China
    Office of Public Health Studies, University of Hawaii at Mānoa, Honolulu, HI 96822, USA)

  • Zhaokang Yuan

    (Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, China)

Abstract

The proportion of migrating females has increased, and more often, old females are left in rural regions. Resources are needed to provide suitable hospitalization service to females in underdeveloped rural regions. Using multi-stage hierarchical cluster random sampling method, nine towns from three counties were enrolled in five-time points between 2006 and 2014 in this study. The research subjects of this study were females age 15 and up. Data regarding the utilization of inpatient services were collected and analyzed. Complex sampling logistic regression was conducted to analyze influencing factors. This study reveals that for both permanent females and migrant females, the older their age, the higher their hospitalization rate. The utilization of hospitalization service for permanent females was associated with the occurrence of chronic diseases (adjusted Odds Ratio (aOR) = 5.402). In addition, permanent females suffering from chronic diseases were more likely to avoid hospitalization despite their doctor’s advice (aOR = 34.657) or leave the hospital early against medical advice (AMA) (aOR = 10.009). Interventions to combat chronic diseases and adjust compensation schemes for permanent females need to be provided.

Suggested Citation

  • Xiaotong Wen & Huilie Zheng & Zhenyi Feng & Winter Tucker & Yuanan Lu & Zhaokang Yuan, 2019. "Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3419-:d:267214
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    References listed on IDEAS

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    1. Chaofan Li & Lei Dou & Haipeng Wang & Shanshan Jing & Aitian Yin, 2017. "Horizontal Inequity in Health Care Utilization among the Middle-Aged and Elderly in China," IJERPH, MDPI, vol. 14(8), pages 1-13, July.
    2. Jorge Rodríguez-Vignoli & Francisco Rowe, 2018. "How is internal migration reshaping metropolitan populations in Latin America? A new method and new evidence," Population Studies, Taylor & Francis Journals, vol. 72(2), pages 253-273, May.
    3. Liming Lu & Guanyang Zou & Zhi Zeng & Lu Han & Yan Guo & Li Ling, 2014. "Health-Related Quality of Life and Its Correlates among Chinese Migrants in Small- and Medium-Sized Enterprises in Two Cities of Guangdong," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-10, January.
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    Cited by:

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    2. Bei Liu & Hong Chen & Xin Gan, 2019. "How Much Is Too Much? The Influence of Work Hours on Social Development: An Empirical Analysis for OECD Countries," IJERPH, MDPI, vol. 16(24), pages 1-15, December.

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