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Basic Public Health Service Utilization by Internal Older Adult Migrants in China

Author

Listed:
  • Dan Tang

    (Center for Population and Development Studies, Renmin University of China, Beijing 100872, China
    Institute of Gerontology, Renmin University of China, Beijing 100872, China)

  • Jiwen Wang

    (Center for Population and Development Studies, Renmin University of China, Beijing 100872, China
    Population Studies and Training Center, Brown University, Providence, RI 02912, USA)

Abstract

Since 2009, the Chinese government has launched a basic public health services (BPHS) equalization program to provide the same BPHS to all the citizens. However, utilization of BPHS among older migrants is still low. The purpose of this paper was to explore the determinant individual and contextual factors of older migrants’ utilization of BPHS, and to provide suggestion for the government to improve BPHS utilization. Based on Andersen’s model of health services use, data from the China’s Regional Economic Statistics Yearbook 2014 and National Health and Family Planning Dynamic Monitoring Survey on Migrant Population 2015 were analyzed using a hierarchical random intercept model for binary outcomes. Results showed that the percentage of migrant older adults receiving free physical examinations, which is an important item of BPHS, was 36.2%. Predisposing (education, hukou, living duration in the host city, and scope of migration), enabling (health insurance and social networks), and need (self-rated health and chronic conditions) factors of individuals’ characteristics had significant impact on the use of BPHS. The proportions of both migrant children enrolled in public schools and people with established health records had a positive impact on an individual’s chance of receiving free physical examinations. These findings suggest that economic development and improvement at the level of the city’s health resources cannot effectively improve access to BPHS by older adult migrants. Instead, the driving force appears to be supportive policies for the migrant population.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:1:p:270-:d:473473
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    References listed on IDEAS

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    5. 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.
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    Cited by:

    1. Hexian Li & Mingli Pang & Jieru Wang & Jing Xu & Fanlei Kong, 2022. "Effects of Health Service Utilization and Informal Social Support on Depression, Anxiety, and Stress among the Internal Migrant Elderly following Children in Weifang, China," IJERPH, MDPI, vol. 19(22), pages 1-18, November.
    2. Chen, Yu & Huang, Feng & Zhou, Qin, 2023. "Equality of public health service and family doctor contract service utilisation among migrants in China," Social Science & Medicine, Elsevier, vol. 333(C).
    3. Yi Hua & Zhi Qiu & Wenjing Luo & Yue Wang & Zhu Wang, 2021. "Correlation between Elderly Migrants’ Needs and Environmental Adaptability: A Discussion Based on Human Urbanization Features," IJERPH, MDPI, vol. 18(10), pages 1-16, May.
    4. 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.
    5. Hexian Li & Fanlei Kong, 2022. "Effect of Morbidities, Depression, Anxiety, and Stress on Oral Health-Related Quality of Life among Migrant Elderly Following Children in Weifang, China," IJERPH, MDPI, vol. 19(8), pages 1-11, April.

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