Associations Between Geodemographic Factors and Access to Public Health Services Among Chinese Floating Population

Abstract

Background: The floating population in urban China is facing multiple barriers to access to comprehensive, affordable, and culturally effective public health services. However, little is known about the role of geodemographic factors. This study aimed to assess the associations between geodemographic factors and access to public health services among the Chinese floating population.Methods: This study employed the data from the 2015 Migrant Dynamic Monitoring Survey data in China. Descriptive statistical analysis and principal component analysis were used to provide basic characteristics of the main variables. Multiple logistic models were used to analyze how province-level units, economic regions, and economic zones had significant associations with residential health records establishment, social medical insurance, and types and methods of health knowledge attainment in urban China. Using multiple indicator multiple cause models, the association between geodemographic factors and types and methods of health knowledge attainment was studied.Results: The results indicated that there was regional unbalance in the case of residential health records. Regional differences were significantly associated with social medical insurance. Provincial differences were significantly associated with health knowledge attainment. There were regional differences in the methods of health knowledge attainment. In the most provincial units, geodemographic factors had significant associations with types and methods of health knowledge attainment.Conclusions: This study confirmed empirical associations between geodemographic factors and access to public health services among Chinese floating population. The relevant suggestion was that provincial units with less-developed public health services should enhance their capabilities to equalize public health services.

Spatial distribution, regional differences, and dynamic evolution of the medical and health services supply in China

“…Referring to the relevant research of spatial analysis (50, 51), this paper shows that medical service supply has spatial spillover effect through spatial Markov chain analysis. Thus, the developed regions and backward regions should be guided by the "sharing" concept, fully using modern information technology to build an interaction platform, to realize the collaborative communication in medical equipment, technology, staff, and outcomes (52). In addition, it needs to be noted that there is a certain probability of negative shift.…”

The Age of Mobility: Can Equalization of Public Health Services Alleviate the Poverty of Migrant Workers?

“…In addition, control variables such as marriage, education, ethnicity, and occupational stability are all in line with expectations. It is worth noting that at the level of regional characteristics, the inflow of provincial capital cities will increase the possibility of migrant workers falling into multidimensional poverty [ 45 ]. This may be because although the nominal wages in large cities are higher, the impact of city size on the cost of living exceeds the benefits brought by nominal wages, especially the high costs of housing, medical care, and children’s education [ 46 ].…”

Prediction models and associated factors on the fertility behaviors of the floating population in China

“…It was a concept under the household registration system in China ( 1 ). According to a report on the development of the floating population in China, the total number reached 121 million in 2000, accounting for 10 percent of the whole country population at the time, and increased to 245 million in 2016 ( 2 ). Most new industry workers moved from rural areas to urban areas or from central and western regions to eastern coastal areas for better job opportunities and living conditions ( 3 ).…”