Social Indicators Research
Volume 120, Issue 1, 2015, Pages 277-295

Utilization of Health Services and Health-Related Quality of Life Research of Rural-to-Urban Migrants in China: A Cross-Sectional Analysis (Article)

Liang Y. , Guo M.*
  • a Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Nanjing, 210013, China
  • b Institute for Studies in Humanities and Social Sciences, Wuhan University, Wuhan, 430072, China

Abstract

The number of China’s rural-to-urban migrants is increasing rapidly. Numerous rural-to-urban migrants have poor working and living conditions and lack local social security and support, so they are often faced with high public health risk, which is closely related to their health problems. In this study, we use the SF-36 scale to explore the rural-to-urban migrant health of Wuhan City. Gender, marital status, age, and residence register are the control variables. The different ways in dealing with their sickness, medical health service from companies for injuries, and selective tendency to medical institutions are three independent variables. We use descriptive statistical and regression analysis methods (ordinal logistics and stereotype ordinal) to explore the utilization of health services of rural-to-urban migrants and its effect on health-related quality of life (HRQOL). The score of the SF-36 Table shows that whether or not the companies provide medical care for injuries on the job has a very significant effect on the quality of life in the eight dimensions. The rural-to-urban migrants who see a doctor when they are sick have higher quality of life than those who do not; those who select city or county hospitals have higher quality of life than those who select primary hospitals. The costs and time consumed by medical treatment mainly affect their choice on whether or not they will seek medical attention and/or hospitals when they are sick. To a considerable extent, the utilization of health services remarkably affects HRQOL of rural-to-urban migrants. The quality of life on the SF-36 scale does not reflect the particularity of rural-to-urban migrants on health status and needs. However, based on further analysis of the data, improving the utilization and accessibility of health services for rural-to-urban migrants can guarantee their healthy life. © 2014, Springer Science+Business Media Dordrecht.

Author Keywords

SF-36 scale Health-related quality of life Rural-to-urban migrants Health service utilization

Index Keywords

China health status health geography socioeconomic status accessibility methodology health services service provision quality of life rural-urban migration

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84913616102&doi=10.1007%2fs11205-014-0585-y&partnerID=40&md5=1a6ed6fa3e80638b1980a559b4f7876c

DOI: 10.1007/s11205-014-0585-y
ISSN: 03038300
Cited by: 57
Original Language: English