Do Migration Characteristics Influence the Utilization of Basic Public Health Services in Internal Elderly Migrants in China?

Lin, Yanwei; Wang, Tingxian; Zhu, Tingting

doi:10.3389/fpubh.2021.514687

Cited by 11 publications

(9 citation statements)

References 32 publications

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“…It was also discovered that patients with chronic diseases had a poor level of utilization of NEPHS items such as follow-up evaluation, establishment of health records, physical examination, and health education ( 24 , 25 ). The elderly and young migrants also have a low degree of utilization of NEPHS ( 26 – 29 ).…”

Section: Introductionmentioning

confidence: 99%

Awareness, Utilization and Health Outcomes of National Essential Public Health Service Among Migrants in China

Zhang

You

et al. 2022

Front. Public Health

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BackgroundThe national essential public health service (NEPHS) has been in operation for more than a decade. Numerous studies examined the utilization of NEPHS by migrants and the factors that influence it, but few examined the effect of NEPHS awareness and utilization on the health of inhabitants, particularly migrants. The purpose of this study is to ascertain the level of awareness and utilization of NEPHS, as well as to examine their health-improving effects on migrants.MethodsBased on the data from the 2017 China Migrants Dynamic Survey, linear probability model, ordered logit model and the propensity score matching methods were employed to investigate impact of awareness and utilization of NEPHS on the health among Chinese migrants. Mediating effect model were used to identify the mechanism of the impact of NEPHS on health.ResultsThe findings indicated that migrants' awareness and utilization of NEPHS are still insufficient. After adjusting for other factors, the study discovered that increased awareness and use of NEPHS had a beneficial influence on migrants' self-rated health. Further heterogeneity analysis revealed significant disparities in the health consequences of NEPHS awareness and utilization across subgroups. The effect of increased awareness and usage of NEPHS on health is stronger for middle-aged and elderly people, women, and low-educated migrants with urban household registration. The estimated results of the mediating effect model supported the mechanism that increased NEPHS awareness among the floating population could encourage its utilization and further improve the floating population's health.ConclusionsGiven that migrants' NEPHS utilization is still low and that NEPHS utilization has a positive effect on health, some targeted strategies, such as a variety of new media communication methods, health education related to occupational disease and tuberculosis prevention, and targeted NEPHS projects for specific groups, such as men, young and middle-aged groups, those with a high level of education, and rural migrants, should be conducted to improve the health of migrants.

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Section: Introductionmentioning

confidence: 99%

Awareness, Utilization and Health Outcomes of National Essential Public Health Service Among Migrants in China

Zhang

You

et al. 2022

Front. Public Health

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“…However, economic development and improvement of health resources rarely improve access to primary services for Chinese older migrants (15). Migration has significantly reduced migrants' probabilities of hypertension awareness and receiving physician advice (45).…”

Section: Potential Reasons For the Association And Policy Implicationmentioning

confidence: 99%

“…By BPHS, every Chinese older adult should have had access to free health management services, and chronic disease health management for those who suffer from hypertension and diabetes mellitus. Nonetheless, older migrants' utilization of BPHS has been found insufficient (15)(16)(17). Considerable migrants receive deficient chronic disease management (18).…”

mentioning

confidence: 99%

The positive association between internal migration and hospitalization among the older adults in China: Regional heterogeneity and chronic disease management

Zhong

Yang

Zhao

et al. 2022

Front. Public Health

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BackgroundPost-retirement migrants are rapidly increasing in China, but the impact of internal migration on hospitalization among older adults remains under-researched. Understanding this impact is essential for health policies development and improvement. This study aims to identify the most vulnerable population, evaluate the association between migration and hospitalization, and discuss potential causes of the association.Methods14,478 older adults were extracted from the 2018 to 2019 Chinese Longitudinal Healthy Longevity Survey (CLHLS) database and divided into four groups according to migration experience and age at migration: non-migrants, pre-adulthood migrants, pre-retirement migrants, and post-retirement migrants. Post-retirement migrants were key research subjects. We employed Pearson's chi-square test to compare group differences in outcome and covariates, and multivariate logistic regression analysis to examine the association between migration and hospitalization by regions and chronic conditions.ResultsSignificant intergroup differences were observed in demographic characteristics, socioeconomic factors, health habits, and health-related factors. Post-retirement migrants displayed following characteristics: female predominance (61.6%; 1,472/2,391), tending toward urban areas (80.9%; 1,935/2,391), and the highest prevalence rate of chronic disease (46.7%; 1,116/2,391). Urban migrants in eastern China were more likely to be hospitalized (OR = 1.65; 95% CI: 1.27–2.15), especially those who were diagnosed with chronic disease (OR = 1.51; 95% CI: 1.04–2.19) or with unconfirmed chronic conditions (OR = 1.98; 95% CI: 1.36–2.89).ConclusionsInternal migration is associated with the hospitalization of post-retirement migrants moving to eastern China. Improved chronic disease management and early interventions might lower the hospitalization. Effective policies should be formulated to reduce the disparity in primary care services across China, thereby facilitating the access of migrants to these services.

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“…Several factors are associated with the underutilization of NBPHS by internal migrants. Existing research indicates that internal migrants who are female, more educated, married, and have longer stays in the destination city are more likely to utilize public health services [ 17 , 18 ]. Additionally, previous studies explored regional disparity in the inadequate use of NBPHS by migrants [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Social integration and utilization of national basic public health services among China's internal migrants with chronic diseases: A structural equation modelling approach

Wang,

Chao,

et al. 2024

Heliyon

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Do Migration Characteristics Influence the Utilization of Basic Public Health Services in Internal Elderly Migrants in China?

Cited by 11 publications

References 32 publications

Awareness, Utilization and Health Outcomes of National Essential Public Health Service Among Migrants in China

Awareness, Utilization and Health Outcomes of National Essential Public Health Service Among Migrants in China

The positive association between internal migration and hospitalization among the older adults in China: Regional heterogeneity and chronic disease management

Social integration and utilization of national basic public health services among China's internal migrants with chronic diseases: A structural equation modelling approach

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