Research Center for Social Governance Innovation, Henan Agricultural University, Zhengzhou, 450006, Henan, China.
Elder Service Research Center, School of Sociology, Huazhong University of Science and Technology, Luoyu Road #1037, Hubei, 430074, Wuhan, China.
BMC Health Serv Res. 2021 Jun 28;21(1):606. doi: 10.1186/s12913-021-06638-3.
The association between different types of cities and the use of health services by aged migrant workers in China has not been widely reported in previous studies. This article aims to focus on rural-to-urban migrant workers in China aged 50 years and older to examine the relationship between the region of these migrant workers' destination city (eastern, central or western) and migration city type (first-tier, second-tier, third-tier and smaller cities) and their use of health services (e.g., establishing health records, participating in health education, and seeking medical treatment when ill).
This study's data were obtained from China Migrants Dynamic Survey in 2017. A total of 14,732 rural-to-urban migrant workers aged 50 years and older were included in the analysis; 6,938 of the migrant workers were either ill or had recently experienced physical discomfort. A chi-square test and binary logistic regression were performed to explore the associations between these rural-urban migrants' destination cities and their use of health services.
This study found that aged rural migrant workers who moved to the east or to first- or second-tier cities were less likely to establish health records, participate in health education programme, and seek medical care.
Migrant destination cities are linked to the use of local health services by migrant workers aged 50 years and older in China. We found that aged migrant workers who migrated to relatively developed regions and cities accessed fewer health services. Such results signify that more attention should be paid to aged migrant workers' use of health services in economically developed regions and cities, to eliminate regional differences in healthcare inequality.
不同类型的城市与中国老年农民工使用卫生服务之间的关系在以往的研究中并未得到广泛报道。本文旨在关注中国 50 岁及以上的农村到城市的流动人口，以检验这些流动人口的目的地城市（东部、中部或西部）和迁移城市类型（一线城市、二线城市、三线城市和较小城市）与他们使用卫生服务（例如建立健康记录、参加健康教育、患病时就医）之间的关系。
本研究的数据来自 2017 年的中国流动人口动态监测调查。共纳入 14732 名 50 岁及以上的农村到城市流动人口；其中 6938 名流动人口患有疾病或最近有身体不适。采用卡方检验和二项逻辑回归分析来探讨这些农村到城市流动人口的目的地城市与他们使用卫生服务之间的关系。
本研究发现，流向东部或流向一线城市或二线城市的老年农民工建立健康记录、参加健康教育项目和就医的可能性较低。
移民目的地城市与中国 50 岁及以上移民工人使用当地卫生服务有关。我们发现，流向相对发达地区和城市的老年移民工人获得的卫生服务较少。这些结果表明，应更加关注经济发达地区和城市中老年移民工人的卫生服务利用情况，消除医疗保健不平等方面的地区差异。
