IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i2p628-d718815.html
   My bibliography  Save this article

Health Service Needs from a Household Perspective: An Empirical Study in Rural Empty Nest Families in Sinan and Dangyang, China

Author

Listed:
  • Xueyan Cheng

    (Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai 200032, China
    School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

  • Liang Zhang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
    School of Political Science and Public Administration, Wuhan University, Wuhan 430030, China)

Abstract

This study aimed to explore the health service needs of empty nest families from a household perspective. A multistage random sampling strategy was conducted to select 1606 individuals in 803 empty nest households in this study. A questionnaire was used to ask each individual about their health service needs in each household. The consistency rate was calculated based on their consistent answers to the questionnaire. We used a collective household model to analyze individuals’ public health service needs on the family level. According to the results, individuals’ consistency rates of health service needs in empty nest households, such as diagnosis and treatment service (H1), chronic disease management service (H2), telemedicine care (H3), physical examination service (H4), health education service (H5), mental healthcare (H6), and traditional Chinese medicine service (H7) were 40.30%, 89.13%, 98.85%, 58.93%, 57.95%, 72.84%, and 63.40%, respectively. Therefore, family-level health service needs could be studied from a family level. Health service needs of H1, H3, H4, H5, and H7 for individuals in empty nest households have significant correlations with each other ( r = 0.404, 0.177, 0.286, 0.265, 0.220, p < 0.001). This will be helpful for health management in primary care in rural China; the concordance will alleviate the pressure of primary care and increase the effectiveness of doctor–patient communication. Health service needs in empty nest households who took individuals’ public needs as household needs ( n = 746) included the H4 (43.3%) and H5 (24.9%) and were always with a male householder (94.0%) or at least one had chronic diseases (82.4%). Health service needs in empty nest households that considered one member’s needs as household needs ( n = 46) included the H1 (56.5%), H4 (65.2%), H5 (63.0%), and H7 (45.7%), and the member would be the householder of the family (90.5%) or had a disease within two weeks (100.0%). In conclusion, family members’ roles and health status play an important role in health service needs in empty nest households. Additionally, physical examination and health education services are the two health services that are most needed by empty nest households, and are suitable for delivering within a household unit.

Suggested Citation

  • Xueyan Cheng & Liang Zhang, 2022. "Health Service Needs from a Household Perspective: An Empirical Study in Rural Empty Nest Families in Sinan and Dangyang, China," IJERPH, MDPI, vol. 19(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:628-:d:718815
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/2/628/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/2/628/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Li, Lydia W. & Zhang, Jiaan & Liang, Jersey, 2009. "Health among the oldest-old in China: Which living arrangements make a difference?," Social Science & Medicine, Elsevier, vol. 68(2), pages 220-227, January.
    2. Ye Chang & Xiaofan Guo & Liang Guo & Zhao Li & Hongmei Yang & Shasha Yu & Guozhe Sun & Yingxian Sun, 2016. "Comprehensive Comparison between Empty Nest and Non-Empty Nest Elderly: A Cross-Sectional Study among Rural Populations in Northeast China," IJERPH, MDPI, vol. 13(9), pages 1-14, August.
    3. Laurens Cherchye & Bram De Rock & Arthur Lewbel & Frederic Vermeulen, 2015. "Sharing Rule Identification for General Collective Consumption Models," Econometrica, Econometric Society, vol. 83(5), pages 2001-2041, September.
    4. repec:bla:econom:v:48:y:1981:i:189:p:1-15 is not listed on IDEAS
    5. Xiaopeng Shang & Yangmei Huang & Bi’e Li & Qing Yang & Yanrong Zhao & Wei Wang & Yang Liu & Junfen Lin & Chonggao Hu & Yinwei Qiu, 2019. "Residents’ Awareness of Family Doctor Contract Services, Status of Contract with a Family Doctor, and Contract Service Needs in Zhejiang Province, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(18), pages 1-14, September.
    6. Min Gao & Yanyu Li & Shengfa Zhang & Linni Gu & Jinsui Zhang & Zhuojun Li & Weijun Zhang & Donghua Tian, 2017. "Does an Empty Nest Affect Elders’ Health? Empirical Evidence from China," IJERPH, MDPI, vol. 14(5), pages 1-20, April.
    7. Chaoqun Hu & Wenya Yu & Yipeng Lv & Haiping Chen & Qiangyu Deng & Lulu Zhang, 2017. "Study on the Health Status and Health Service Utilization of the Elderly of a Remote and Poor Village in a Mountainous Area in Jinzhai, Anhui," IJERPH, MDPI, vol. 14(4), pages 1-9, April.
    8. Janet Yuen Ha Wong & Abraham Ka Chung Wai & Shengzhi Zhao & Faustina Yip & Jung Jae Lee & Carlos King Ho Wong & Man Ping Wang & Tai Hing Lam, 2020. "Association of Individual Health Literacy with Preventive Behaviours and Family Well-Being during COVID-19 Pandemic: Mediating Role of Family Information Sharing," IJERPH, MDPI, vol. 17(23), pages 1-10, November.
    9. Linni Gu & Rui Zhu & Zhen Li & Shengfa Zhang & Jing Li & Donghua Tian & Zhijun Sun, 2020. "Factors Associated with Rural Residents’ Contract Behavior with Village Doctors in Three Counties: A Cross-Sectional Study from China," IJERPH, MDPI, vol. 17(23), pages 1-13, December.
    Full references (including those not matched with items on IDEAS)

    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. Marcia G. Ory & Matthew Lee Smith, 2017. "What If Healthy Aging Is the ‘New Normal’?," IJERPH, MDPI, vol. 14(11), pages 1-5, November.
    2. Cherchye, Laurens & Demuynck, Thomas & De Rock, Bram, 2018. "Transitivity of preferences: when does it matter?," Theoretical Economics, Econometric Society, vol. 13(3), September.
    3. Xiangdan Piao, 2021. "Marriage Stability and Private Versus Shared Expenditures Within Families: Evidence from Japanese Families," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 153(2), pages 533-559, January.
    4. Pierre-Andre Chiappori & Costas Meghir, 2014. "Intra-household Welfare," Cowles Foundation Discussion Papers 1949, Cowles Foundation for Research in Economics, Yale University.
    5. De Rock, Bram & Cherchye, Laurens & Chiappori, Pierre-André & Ringdal, Charlotte & Vermeulen, Frederic, 2021. "Feed the children," CEPR Discussion Papers 16482, C.E.P.R. Discussion Papers.
    6. Wilman J. Iglesias & Alexandre B. Coelho, 2020. "Poverty and inequality within Brazilian households: an application of a collective consumption model," Empirical Economics, Springer, vol. 58(4), pages 1923-1952, April.
    7. Zheng Xie & Adrienne N Poon & Zhijun Wu & Weiyan Jian & Kit Yee Chan, 2015. "Is Occupation a Good Predictor of Self-Rated Health in China?," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-18, May.
    8. Laurens Cherchye & Sam Cosaert & Thomas Demuynck & Bram De Rock, 2020. "Group Consumption with Caring Individuals," The Economic Journal, Royal Economic Society, vol. 130(627), pages 587-622.
    9. Xiangdan Piao & Xinxin Ma & Chi Zhang & Shunsuke Managi, 2020. "Impact of Gaps in the Educational Levels between Married Partners on Health and a Sustainable Lifestyle: Evidence from 32 Countries," Sustainability, MDPI, vol. 12(11), pages 1-20, June.
    10. Laurens CHERCHYE & Thomas DEMUYNCK & Bram DE ROCK, 2010. "Noncooperative household consumption with caring," Working Papers of Department of Economics, Leuven ces10.34, KU Leuven, Faculty of Economics and Business (FEB), Department of Economics, Leuven.
    11. Irene Botosaru & Chris Muris & Krishna Pendakur, 2020. "Intertemporal Collective Household Models: Identification in Short Panels with Unobserved Heterogeneity in Resource Shares," Department of Economics Working Papers 2020-09, McMaster University.
    12. DECANCQ, Koen & FLEURBAEY, Marc & SCHOKKAERT, Erik, 2014. "Inequality, income, and well-being," LIDAM Discussion Papers CORE 2014018, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    13. Denni Tommasi & Alexander Wolf, 2016. "Overcoming Weak Identification in the Estimation of Household Resource Shares," Working Papers ECARES ECARES 2016-12, ULB -- Universite Libre de Bruxelles.
    14. Laurens Cherchye & Thomas Demuynck & Bram De Rock & Frederic Vermeulen, 2017. "Household Consumption When the Marriage Is Stable," American Economic Review, American Economic Association, vol. 107(6), pages 1507-1534, June.
    15. Xianfei Chen & Hong Zhu & Duo Yin, 2020. "Everyday Life Construction, Outdoor Activity and Health Practice among Urban Empty Nesters and Their Companion Dogs in Guangzhou, China," IJERPH, MDPI, vol. 17(11), pages 1-17, June.
    16. Brown, Caitlin & Calvi, Rossella & Penglase, Jacob, 2021. "Sharing the pie: An analysis of undernutrition and individual consumption in Bangladesh," Journal of Public Economics, Elsevier, vol. 200(C).
    17. Anne-Cathérine Guio & Karel Van den Bosch, 2020. "Deprivation of Women and Men Living in a Couple: Sharing or Unequal Division?," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 66(4), pages 958-984, December.
    18. Turner, Alex J. & Nikolova, Silviya & Sutton, Matt, 2016. "The effect of living alone on the costs and benefits of surgery amongst older people," Social Science & Medicine, Elsevier, vol. 150(C), pages 95-103.
    19. Xiangdan Piao & Xinxin Ma & Shunsuke Managi, 2021. "Impact of the Intra-household Education Gap on Wives’ and Husbands’ Well-Being: Evidence from Cross-Country Microdata," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 156(1), pages 111-136, July.
    20. Mariusz Duplaga, 2022. "The Roles of Health and e-Health Literacy, Conspiracy Beliefs and Political Sympathy in the Adherence to Preventive Measures Recommended during the Pandemic," IJERPH, MDPI, vol. 19(14), pages 1-13, July.

    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:19:y:2022:i:2:p:628-:d:718815. 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.