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Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China

Author

Listed:
  • Xiaotong Wen

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

  • Lanyue Cui

    (Queen Mary School, Nanchang University, Nanchang 330006, China
    These authors contributed equally to this study.)

  • Fang Yuan

    (Office of Public Health Studies, University of Hawaii at Mānoa, Honolulu, HI 96822, USA
    These authors contributed equally to this study.)

  • Xiaojun Liu

    (Global Health Institute, Wuhan University, Wuhan 430071, China)

  • Mufeng Ouyang

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

  • Yuxiao Sun

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

  • Yuchen Liu

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

  • Yong Liu

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

  • Huiqiang Yu

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

  • Huilie Zheng

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

  • Yuanan Lu

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

  • Zhaokang Yuan

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

Abstract

The aim of this study is to understand the utilization of inpatient services and its contributing factors among middle-aged and elderly females (MAEF) in less developed rural regions. Five surveys were conducted between 2006 and 2014 with rural residents of Jiangxi by stratified cluster random sampling. Participant females included only those who were aged 45 and above. Complex sampling logistics analysis was performed to analyze the effect of three factors on inpatient service. Complex sampling logistics regression analysis revealed that the probability of hospitalization for the divorced or widowed females was significantly lower than that of married ones (aOR = 0.177, p < 0.05). However, the probability of early discharge was significantly higher among divorced or widowed females than married ones (aOR = 3.237, p < 0.05). In addition, females with chronic diseases were more likely to be hospitalized (aOR = 3.682, p < 0.05). Also, early discharge (aOR = 7.689, p < 0.05) occurred among the participants who should be hospitalized but were not hospitalized occurred (aOR = 3.258, p < 0.05). The continuous improvement of the new rural cooperative medical policy has promoted the utilization of inpatient services for the MAEF. Findings from this study emphasize the need to strengthen the prevention and treatment of chronic diseases among middle-aged and elderly women.

Suggested Citation

  • Xiaotong Wen & Lanyue Cui & Fang Yuan & Xiaojun Liu & Mufeng Ouyang & Yuxiao Sun & Yuchen Liu & Yong Liu & Huiqiang Yu & Huilie Zheng & Yuanan Lu & Zhaokang Yuan, 2020. "Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China," IJERPH, MDPI, vol. 17(2), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:514-:d:308430
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    References listed on IDEAS

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    4. Yu Wang & Yan Jiang & Yang Li & Xiaojun Wang & Chi Ma & Shuangge Ma, 2013. "Health Insurance Utilization and Its Impact: Observations from the Middle-Aged and Elderly in China," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-9, December.
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