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Social Support and Health Services Use in People Aged over 65 Years Migrating within China: A Cross-Sectional Study

Author

Listed:
  • Chengxu Long

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Ruoxi Wang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Da Feng

    (School of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Lu Ji

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Zhanchun Feng

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

  • Shangfeng Tang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, Hubei, China)

Abstract

Background: Due to the household registration system, Chinese elderly migrants have insufficient access to health services and social support. Thus, this study examined the use of health services, the access to social support, and the interaction among the elderly migrating within China. Methods: Data were obtained from the China Migrant Dynamic Monitoring Survey in 2015, adopting probability proportionate to size as the sampling strategy. Structural equation modeling and mediating effect tests were employed to explore the associations. Results: Approximately 45.9% of elderly migrants did not seek health services when needed. The use of outpatient and inpatient services was more common than free essential public health services. The use of health services was negatively associated with migrating duration and migrating for offspring, while it was positively associated with outer social support. The mediating effects of outer social support were discovered on the relationships between the use of health services and independent variables such as migrating duration and migrating for offspring, respectively. Conclusion: Elderly migrants with a longer migrating duration or migrated for offspring seem to obtain less outer social support, resulting in a decreased use of health services. Outer social support was suggested as a key effort to improve the equalization of health services in Chinese elderly migrants.

Suggested Citation

  • Chengxu Long & Ruoxi Wang & Da Feng & Lu Ji & Zhanchun Feng & Shangfeng Tang, 2020. "Social Support and Health Services Use in People Aged over 65 Years Migrating within China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(13), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4651-:d:377442
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    References listed on IDEAS

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    Cited by:

    1. Ji Wen & Xiaolin Mai & Wei Li & Xin Liu, 2022. "The Influence of Message Framing on Elderly Tourists’ Purchase Intentions of Health Services: A Case Study of Guangxi Bama," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    2. 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.
    3. Wangnan Cao & Qingping Yun & Chun Chang & Ying Ji, 2022. "Family Support and Social Support Associated with National Essential Public Health Services Utilization among Older Migrants in China: A Gender Perspective," IJERPH, MDPI, vol. 19(3), pages 1-10, January.

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