IDEAS home Printed from https://ideas.repec.org/a/kap/jfamec/v34y2013i1p52-63.html
   My bibliography  Save this article

Disparities in Healthcare Utilization in China: Do Gender and Migration Status Matter?

Author

Listed:
  • Jessie Fan
  • Ming Wen
  • Lei Jin
  • Guixin Wang

Abstract

Using a multi-stage cluster sampling approach, we collected healthcare and demographic data from 531 migrants and 529 local urban residents aged 16–64 in Shanghai, China. Logistic regressions were used to analyze the relationship between gender-migration status and healthcare utilization while controlling for predisposing, enabling and needs factors. Other things equal, female migrants and male locals had significantly lower actual healthcare utilization rates, compared to female locals. Female migrants were more likely to report “no money” as a reason for not seeking care, while male locals were more likely to report “self-medication” as a reason. Considering established gender differences in healthcare utilization, we conclude that female migrants as a group face the most healthcare access barriers among all groups. Copyright Springer Science+Business Media, LLC 2013

Suggested Citation

  • Jessie Fan & Ming Wen & Lei Jin & Guixin Wang, 2013. "Disparities in Healthcare Utilization in China: Do Gender and Migration Status Matter?," Journal of Family and Economic Issues, Springer, vol. 34(1), pages 52-63, March.
    • Handle: RePEc:kap:jfamec:v:34:y:2013:i:1:p:52-63
    DOI: 10.1007/s10834-012-9296-1
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/s10834-012-9296-1
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/s10834-012-9296-1?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Liu, Yuanli & Hsiao, William C. & Eggleston, Karen, 1999. "Equity in health and health care: the Chinese experience," Social Science & Medicine, Elsevier, vol. 49(10), pages 1349-1356, November.
    2. C. Cindy Fan, 2003. "Rural‐urban migration and gender division of labor in transitional China," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 27(1), pages 24-47, March.
    3. Hibbard, Judith H. & Pope, Clyde R., 1983. "Gender roles, illness orientation and use of medical services," Social Science & Medicine, Elsevier, vol. 17(3), pages 129-137, January.
    4. Guillermina Jasso & Douglas S. Massey & Mark R. Rosenzweig & James P. Smith, 2004. "Immigrant Health--Selectivity and Acculturation," Labor and Demography 0412002, University Library of Munich, Germany.
    5. Lu, Zhigang & Song, Shunfeng, 2006. "Rural-urban migration and wage determination: The case of Tianjin, China," China Economic Review, Elsevier, vol. 17(3), pages 337-345.
    6. Li Swain & Steven Garasky, 2007. "Migration Decisions of Dual-earner Families: An Application of Multilevel Modeling," Journal of Family and Economic Issues, Springer, vol. 28(1), pages 151-170, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ming Guan & Hongyi Guan, 2024. "Sense of community and residential well-being among rural-urban migrants in China," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-15, December.
    2. Hai Fang & Yinzi Jin & Miaomiao Zhao & Huyang Zhang & John A. Rizzo & Donglan Zhang & Zhiyuan Hou, 2017. "Does Migration Limit the Effect of Health Insurance on Hypertension Management in China?," IJERPH, MDPI, vol. 14(10), pages 1-12, October.
    3. Zewei Liu & Ji-Kang Chen, 2024. "Financial Resilience in China: Conceptual Framework, Risk and Protective Factors, and Empirical Evidence," Journal of Family and Economic Issues, Springer, vol. 45(4), pages 852-875, December.
    4. Wang, Mingyue & Sun, Tianshi, 2023. "Leave for where? The impact of air quality on migration: Evidence at the city-pair level in China," Economics & Human Biology, Elsevier, vol. 51(C).
    5. Anoshua Chaudhuri, 2021. "Health Research in JFEI Over a Decade: 2009–2019," Journal of Family and Economic Issues, Springer, vol. 42(1), pages 142-153, July.

    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. Xubei Luo & Nong Zhu, 2022. "Migration, Agglomeration and Attractiveness of Cities in China," Working Papers hal-03606056, HAL.
    2. Zhen Li & Zai Liang, 2016. "Gender and job mobility among rural to urban temporary migrants in the Pearl River Delta in China," Urban Studies, Urban Studies Journal Limited, vol. 53(16), pages 3455-3471, December.
    3. Ruth Hancock & Marcello Morciano & Stephen Pudney & Francesca Zantomio, 2015. "Do household surveys give a coherent view of disability benefit targeting?: a multisurvey latent variable analysis for the older population in Great Britain," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 178(4), pages 815-836, October.
    4. Sun, Nan & Yang, Fan, 2021. "Impacts of internal migration experience on health among middle-aged and older adults—Evidence from China," Social Science & Medicine, Elsevier, vol. 284(C).
    5. Wongsa-art, Pipat & Kim, Namhyun & Xia, Yingcun & Moscone, Francesco, 2024. "Varying coefficient panel data models and methods under correlated error components: Application to disparities in mental health services in England," Regional Science and Urban Economics, Elsevier, vol. 106(C).
    6. Tse-Chuan Yang & Stephen A Matthews, 2015. "Death by Segregation: Does the Dimension of Racial Segregation Matter?," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-26, September.
    7. Chen, Xuan & Vuong, Nguyen, 2018. "Climate and Off-farm Labor Supply of Agricultural Households: Evidence from Rural Vietnam," 2018 Annual Meeting, August 5-7, Washington, D.C. 274187, Agricultural and Applied Economics Association.
    8. Mullan, Katrina & Grosjean, Pauline & Kontoleon, Andreas, 2011. "Land Tenure Arrangements and Rural-Urban Migration in China," World Development, Elsevier, vol. 39(1), pages 123-133, January.
    9. Evelyn Forget & Raisa Deber & Leslie Roos & Randy Walld, 2005. "Canadian Health Reform: A Gender Analysis," Feminist Economics, Taylor & Francis Journals, vol. 11(1), pages 123-141.
    10. García-Muñoz, Teresa & Neuman, Shoshana & Neuman, Tzahi, 2019. "A Fresh Look at the Health-Wealth Correlation: A Case Study of European Countries," IZA Discussion Papers 12673, Institute of Labor Economics (IZA).
    11. Barbieri, Paolo Nicola & Nguyen, Hieu M., 2021. "When in America, do as the Americans? The evolution of health behaviors and outcomes across immigrant cohorts," Economics & Human Biology, Elsevier, vol. 43(C).
    12. Touma, Fatima & Hummer, Robert A., 2022. "Race/ethnicity, immigrant generation, and physiological dysregulation among U.S. adults entering midlife," Social Science & Medicine, Elsevier, vol. 314(C).
    13. Amelie F. Constant, 2017. "The Healthy Immigrant Paradox and Health Convergence," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 15(03), pages 20-25, October.
    14. Karen Eggleston & Winnie Yip, 2004. "Hospital Competition under Regulated Prices: Application to Urban Health Sector Reforms in China," International Journal of Health Economics and Management, Springer, vol. 4(4), pages 343-368, December.
    15. Santosh Jatrana & Ken Richardson & Samba Siva Rao Pasupuleti, 2018. "Investigating the Dynamics of Migration and Health in Australia: A Longitudinal Study," European Journal of Population, Springer;European Association for Population Studies, vol. 34(4), pages 519-565, October.
    16. Vendryes, Thomas, 2011. "Migration constraints and development: Hukou and capital accumulation in China," China Economic Review, Elsevier, vol. 22(4), pages 669-692.
    17. Liu, Hong & Fang, Hai & Zhao, Zhong, 2013. "Urban–rural disparities of child health and nutritional status in China from 1989 to 2006," Economics & Human Biology, Elsevier, vol. 11(3), pages 294-309.
    18. Bettin, Giulia & Sacchi, Agnese, 2020. "Health spending in Italy: The impact of immigrants," European Journal of Political Economy, Elsevier, vol. 65(C).
    19. Zhongwei Zhao & Hongbo Jia & Mengxue Chen, 2020. "Major Socioeconomic Driving Forces of Improving Population Health in China: 1978–2018," Population and Development Review, The Population Council, Inc., vol. 46(4), pages 643-676, December.
    20. Daniel Powers, 2013. "Paradox Revisited: A Further Investigation of Racial/Ethnic Differences in Infant Mortality by Maternal Age," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 495-520, April.

    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:kap:jfamec:v:34:y:2013:i:1:p:52-63. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.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.