International Journal of Environmental Research and Public Health
Volume 16, Issue 18, 2019

Hospitalization services utilization between permanent and migrant females in underdeveloped rural regions and contributing factors— A five-time data collection and analysis (Article) (Open Access)

Wen X. , Zheng H. , Feng Z. , Tucker W. , Lu Y.* , Yuan Z.
  • a Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang, 330006, China
  • b Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang, 330006, China
  • c Office of Public Health Studies, University of Hawaii at Mānoa, Honolulu, HI 96822, United States
  • d School of Community Science, University of Nevada, Reno, NV 89557, United States
  • e Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang, 330006, China, Office of Public Health Studies, University of Hawaii at Mānoa, Honolulu, HI 96822, United States
  • f Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang, 330006, China

Abstract

The proportion of migrating females has increased, and more often, old females are left in rural regions. Resources are needed to provide suitable hospitalization service to females in underdeveloped rural regions. Using multi-stage hierarchical cluster random sampling method, nine towns from three counties were enrolled in five-time points between 2006 and 2014 in this study. The research subjects of this study were females age 15 and up. Data regarding the utilization of inpatient services were collected and analyzed. Complex sampling logistic regression was conducted to analyze influencing factors. This study reveals that for both permanent females and migrant females, the older their age, the higher their hospitalization rate. The utilization of hospitalization service for permanent females was associated with the occurrence of chronic diseases (adjusted Odds Ratio (aOR) = 5.402). In addition, permanent females suffering from chronic diseases were more likely to avoid hospitalization despite their doctor’s advice (aOR = 34.657) or leave the hospital early against medical advice (AMA) (aOR = 10.009). Interventions to combat chronic diseases and adjust compensation schemes for permanent females need to be provided. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Hospitalization services utilization Migrant females Permanent females Underdeveloped rural regions

Index Keywords

rural area immigrant hospital patient hospitalization regression analysis sampling hospital discharge human factor analysis middle aged economic aspect controlled study comparative study chronic disease hospital care Young Adult school child migrant Adolescent female hospital sector health services women's health Article health care utilization major clinical study data processing adult age data analysis medical care Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85072524052&doi=10.3390%2fijerph16183419&partnerID=40&md5=d67799d71eee2d8ad55d51b104521928
DOI: 10.3390/ijerph16183419
ISSN: 16617827
Original Language: English