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

2020 ◽  
Vol 8 ◽  
Author(s):  
Ming Guan
Keyword(s):  
Public Health ◽  
Health Services ◽  
Regional Differences ◽  
Health Knowledge ◽  
Medical Insurance ◽  
Urban China ◽  
Floating Population ◽  
Public Health Services ◽  
Health Records ◽  
Social Medical Insurance

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.

scholarly journals Does a Different Household Registration Affect Migrants’ Access to Basic Public Health Services in China?

2019 ◽  
Vol 16 (23) ◽  
pp. 4615 ◽  
Author(s):  
Meng
Keyword(s):  
Public Health ◽  
Health Services ◽  
Low Income ◽  
Health Knowledge ◽  
Medical Knowledge ◽  
Public Health Services ◽  
Household Registration ◽  
Career Training ◽  
Permanent Settlement ◽  
The Impact

On the basis of the China Migrants Dynamic Survey Data of 2015, the author provides an analysis of how a different household registration impacts migrants’ access to preventive care provided by public health services, such as health records and medical knowledge, in areas of immigration. This study shows that eliminating the distinction between agricultural and non-agricultural permanent residence registration could raise the rate of establishing health files, but it has no significant effect on migrants’ health knowledge. In fact, encouraging those with non-agricultural registration to move to different counties that belong to the same city or to different cities that belong to the same province can notably eliminate the impact of a different household registration status. Improving the income level of low-income migrants can have the same impact. Recommendations to enable migrants to obtain basic public health services include abolishing the separation of agricultural and non-agricultural household registration, increasing the permanent settlement rate of resident migrants, promoting basic medical security systems across the whole country, strengthening career training, and enhancing the education level of migrants.

scholarly journals The Association between Social Integration and Utilization of Essential Public Health Services among Internal Migrants in China: A Multilevel Logistic Analysis

2020 ◽  
Vol 17 (18) ◽  
pp. 6524 ◽  
Author(s):  
Jing Liang ◽  
Yujia Shi ◽  
Mohammedhamid Osman ◽  
Bhawana Shrestha ◽  
Peigang Wang
Keyword(s):  
Public Health ◽  
Health Education ◽  
Health Services ◽  
Social Integration ◽  
Sociocultural Adaptation ◽  
Public Health Services ◽  
Health Records ◽  
Structural Integration ◽  
Essential Public Health Services ◽  
Internal Migrants

This study investigated the association between social integration and utilization of essential public health services among internal migrants. Data were from the 2017 China Migrants Dynamic Survey. Social integration was measured through four dimensions: economic integration, structural integration, sociocultural adaptation, and self-identity. Multilevel logistic regressions were used taking into account heterogeneity in the level of regional development. The utilization of health records and health education was less than 40% and varied widely across regions. Social integration was related to a higher likelihood of utilization of health records and health education. Moreover, sociocultural adaptation had a stronger effect on the utilization of health records in developed regions than in developing regions, and structural integration was strongly and positively related to the utilization of health education in developed regions. Hence, it appears that the relationship of some dimensions of social integration and utilization of essential public health services is moderated by the level of economic development. Promoting structural integration and sociocultural adaptation could strongly improve utilization of essential public health services in developed regions.

scholarly journals Review on Public Health Services among School-Going Adolescents in Kerala

2020 ◽  
Vol 07 (02) ◽  
pp. 23-27
Author(s):  
Lucy George ◽  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Urban Areas ◽  
Health Knowledge ◽  
Public Health Services ◽  
Cross Sectional ◽  
The Public ◽  
Cooked Food ◽  
Mental Health Knowledge ◽  
Supplementary Nutrition

Background: Global investment in adolescent health is crucial. Adolescents aged 10-19 years constitute around one sixth of the world’s population, account for 6% of the global burden of disease and injury, and suffer over 1.2 million deaths each year. India is home to 253 million adolescents, accounting for 20.9% of the country’s population. Methods: The study was cross sectional and implemented in government and government aided schools in central Kerala, Pathanamthitta district. Study assessed the public health services availed in the type of schools. Total 869 schools going adolescent selected from class 5th to 12th standard and the age group between 10-18 years across the 20 schools among government and government aided school in rural, urban and semi-urban areas. Selected random sample of 50 respondents in each classes and self-administrated questionnaire were distributed. Result: Public health services provided by schools to the adolescents were studied and it was revealed that 86.8 % of adolescents were provided with iron tablets, 91.7% de-worming completed. School authorities were not engaging students in anaemia education and less than half 44.6%. 27.9% had their blood test done last five years. Two-third of the students 59.1% said that there were timely health visits by the health professionals. On account of supplementary nutrition 48.2% agreed on proper supply of cooked food within the school, Moreover 70% girls said anthropometric measurements were taken during health visits. Conclusion: The study found the need to improve adolescent public health services periodic health check-up, strengthening the school monitoring system to ensure the health, nutrition and wellbeing in largely to the aided and governments schools. Priority has to be given for improving mental health, knowledge about contraception and school retention.

scholarly journals Social capital, neighbourhood characteristics and utilisation of local public health services among domestic migrants in China: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e014224 ◽  
Author(s):  
Zhiyuan Hou ◽  
Senlin Lin ◽  
Donglan Zhang
Keyword(s):  
Public Health ◽  
Social Capital ◽  
Health Services ◽  
Public Health Services ◽  
Cross Sectional ◽  
Health Records ◽  
Local Public Health ◽  
Neighbourhood Characteristics ◽  
Structural Social Capital ◽  
Domestic Migrants

ObjectivesWe examined the association between structural social capital and public health services use, and explored the modifiable effect of neighbourhood factors on this association among domestic migrants in China.MethodsData were from a 2014 nationally representative cross-sectional sample of domestic migrants aged 15–59 years in China. Survey-weighted logistic regression models were applied to assess the association between structural social capital, measured by participation in social organisations and social activities, and use of public health services. Interaction terms between neighbourhood urban status, neighbourhood composition and social capital were further assessed in the models.ResultsMigrants who participated in social organisations were more likely to establish health records (OR 1.467, 95% CI 1.201 to 1.793) and receive health education information (OR 1.729, 95% CI 1.484 to 2.016) than those who did not. Participation in social activities was positively associated with establishing health records only in urban communities (OR 1.853, 95% CI 1.060 to 3.239), and it was positively linked to receiving health education information among those living with a higher percentage of local neighbours (OR 1.451, 95% CI 1.044 to 2.017).ConclusionsStructural social capital was related to an increased utilisation of local public health services among migrants. The findings of this study provided new evidence for the differential influences of social capital by neighbourhood characteristics in China, which suggested the importance to enhance social capital in rural/suburban communities and communities where the majority of the residents were migrants.

scholarly journals Establishment and associated factors of health records among young Chinese migrants

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Hong Shi ◽  
Xiumin Zhang ◽  
Xiangrong Li ◽  
Zheng Ren ◽  
Hanfang Zhao ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Associated Factors ◽  
Binary Logistic Regression ◽  
Public Affairs ◽  
Public Health Services ◽  
Chi Square ◽  
Health Records ◽  
Local Public Health ◽  
Chinese Migrants

Abstract Background Most Chinese migrants have been faced with obstacles to getting access to local public health services. Young migrants among internal migrants make a major contribution to the economy. However, the establishment of their health records has been ignored. This research was aimed at exploring the status and associated factors of the establishment of health records among young Chinese migrants. Methods Data were obtained from the 2017 China Migrants Dynamic Survey (CMDS). Chi-square test and binary logistic regression were performed to investigate the associated factors of the establishment of health records among young Chinese migrants. Results Approximately 30.2% of young migrants had their health records established in inflow communities. Urban residence, medical insurance (insured), and lower average monthly household income were attributed to the establishment of more health records. Young migrants who were in northeast China and across provinces and immigrated for working or engaging in trade were less likely to have health records established. Young migrants who participated in social activities and public affairs activities and took type of people in touch as natives in the inflow area showed a higher possibility of establishing health records. Meanwhile, receiving health education and hearing about national basic public health services (BPHSs) were beneficial for establishing the health records of more young migrants. Conclusion This study showed that the health records of young migrants had a relatively low establishment rate. Sociodemographic and migration characteristics, health status, public health services, and social integration factors were all related to the health record establishment of young Chinese migrants.

scholarly journals Sociodemographic Disparities in the Establishment of Health Records Among 0.5 Million Migrants From 2014 to 2017 in China: a Nationwide Cross-sectional Study

2021 ◽  
Author(s):  
Jun Wang ◽  
Jingmin Zhu ◽  
Xueyao Wang ◽  
Yue Che ◽  
Yang Bai ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Equity ◽  
Cross Sectional Study ◽  
Public Health Services ◽  
Cross Sectional ◽  
Health Records ◽  
Policy Domain ◽  
Sociodemographic Disparities ◽  
Establishment Rate

Abstract Background: Migrants account for a large part of China’s population. Many policies and inventions have been taken to improve access to public health services and the health of migrants. China’s Basic Public Health Services（BPHS) are a series of public health services in this policy domain, which aims at promoting the access of public health sevices and improve health equity of residents.The establishment of health records is the fundamental service of BPHS. However，there is little known about the establishment of health records among migrants in China, which hinders the more efficient provision of health services for migrants, and health equity is difficult to achieve. Based on the research gap, this study aims at showing the sociodemographic disparities in the establishment rate of health records, and identifying priorities and recommendations for promoting health equity of migrants in China.Methods: This study used national data from China Migrants Dynamic Survey(CMDS) from 2014 to 2017 to evaluate the sociodemographic disparities in the establishment rate of health records and utilization of relevant public health services.The study included 539926 respondents. Following the descriptive statistics of migrants, we showed the establishment rate of health records by sociodemographic characteristics and migrating related characteristics. Multivariate analysis was conducted to explore the associations between sociodemographic charicteristics, migrating related charicteristics and the establishment of health records.Results: The establishment rate of health records among migrants in the sampled years were 22.99%, 38.44%, 27.29% respectively, and 29.18% in general, and there existed heterogeneity in the establishment rate of health records by sociodemographic charicteristics and migrating related charicteristics. Female migrants who were older, from middle age, married or living with partner, with higher educational attainment, with urban household registration, migrated for longer time, migrated for the reason of studying or family issues, migrated in province were more likely to establish health records.Conclusion: There existed sociodemographic disparities in the establishment rate of health records and inequalities in the utilization of health records services among migrants in China. Migrating related characteristics also had impact on the establishment status. Policies should take both supply side and demand side of health services to improve the health equity of migrants, which means that relative departments should continue to invest in primary healthcare centers to improve their ability to provide services as well as migrants’ health literacy.

scholarly journals Sociodemographic disparities in the establishment of health records among 0.5 million migrants from 2014 to 2017 in China: a nationwide cross-sectional study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jun Wang ◽  
Jingmin Zhu ◽  
Xueyao Wang ◽  
Yue Che ◽  
Yang Bai ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Equity ◽  
Cross Sectional Study ◽  
Public Health Services ◽  
Cross Sectional ◽  
Health Records ◽  
Policy Domain ◽  
Sociodemographic Disparities ◽  
Establishment Rate

Abstract Background Migrants account for a large part of China’s population. Many policies and inventions have been taken to improve access to public health services and the health of migrants. China’s Basic Public Health Services(BPHS) are a series of public health services in this policy domain, which aims at promoting the access of public health sevices and improve health equity of residents. The establishment of health records is the fundamental service of BPHS. However, there is little known about the establishment of health records among migrants in China, which hinders the more efficient provision of health services for migrants, and health equity is difficult to achieve. Based on the research gap, this study aims at showing the sociodemographic disparities in the establishment rate of health records, and identifying priorities and recommendations for promoting health equity of migrants in China. Methods This study used national data from China Migrants Dynamic Survey (CMDS) from 2014 to 2017 to evaluate the sociodemographic disparities in the establishment rate of health records and utilization of relevant public health services. The study included 539,926 respondents. Following the descriptive statistics of migrants, we showed the establishment rate of health records by sociodemographic characteristics and migrating related characteristics. Multivariate analysis was conducted to explore the associations between sociodemographic charicteristics, migrating related charicteristics and the establishment of health records. Results The establishment rate of health records among migrants in the sampled years were 22.99, 38.44, 27.29% respectively, and 29.18% in general, and there existed heterogeneity in the establishment rate of health records by sociodemographic charicteristics and migrating related charicteristics. Female migrants who were older, from middle age, married or living with partner, with higher educational attainment, with urban household registration, migrated for longer time, migrated for the reason of studying or family issues, migrated in province were more likely to establish health records. Conclusion There existed sociodemographic disparities in the establishment rate of health records and inequalities in the utilization of health records services among migrants in China. Migrating related characteristics also had impact on the establishment status. Policies should take both supply side and demand side of health services to improve the health equity of migrants, which means that relative departments should continue to invest in primary healthcare centers to improve their ability to provide services as well as migrants’ health literacy.

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