Background:The household registration system in China places migrants in a vulnerable status regarding access to local public services,including limited access to health services.Most studies on migrants’health servi...Background:The household registration system in China places migrants in a vulnerable status regarding access to local public services,including limited access to health services.Most studies on migrants’health services utilization targeted on working-age migrants,and there has been a paucity of studies conducted among elderly migrants.This study aims to investigate the status of health services utilization and its influential factors among elderly migrants.Methods:Data(13,043 participants,52.4%male,mean age 66.22±6.20)were derived from the 2015 Migrant Dynamics Monitoring Survey.The outcome variable in the study was health services utilization,consisting of doctor visits,hospitalization and local inpatient care.The Behavioral Model of Health Service Use was applied to categorize the influential factors into three components,including predisposing,enabling and need factors.Multivariate logistic regression analysis was used to investigate the influential factors of the three components of health services utilization.Results:Of the total sample,45.5%would visit a doctor when they were ill,81.8%would prefer to be hospitalized when recommended by doctors,and 71.6%(those who were hospitalized)would choose to receive local inpatient care rather than going back to their hometown.Age,marital status,household income,years of residence,migration range,reasons for migration,size of friend network,health insurance type,local health insurance status and chronic disease status were significantly associated with health services utilization.Conclusion:A low level of local health services utilization was observed among elderly migrants.Enabling factors played important roles in promoting health services utilization among elderly migrants.Policy and decision makers may consider improving the capability for elderly migrants to access health services,such as increasing income and providing local health insurance.展开更多
通过Web of Science数据库和CNKI数据库进行数据搜集,梳理2006—2016年流动老人社会融合研究领域的相关文献,利用Cite SpacesⅢ软件对引文数据、关键词数据等进行处理与分析,对比国内外流动老人社会融合研究的内容、热点、前沿趋势。研...通过Web of Science数据库和CNKI数据库进行数据搜集,梳理2006—2016年流动老人社会融合研究领域的相关文献,利用Cite SpacesⅢ软件对引文数据、关键词数据等进行处理与分析,对比国内外流动老人社会融合研究的内容、热点、前沿趋势。研究发现,相较于国外研究,目前我国流动老人社会融合研究多集中于对流动原因、社会适应性的表象描述,缺乏对社会融合背后的养老供给模式探索及深层次理论挖掘,研究方法较为单一,后期需要从成熟理论移植、多视角切入等方面推进。展开更多
基金Wuhan University Population and Health Young Academic Team(Whu2016026).
文摘Background:The household registration system in China places migrants in a vulnerable status regarding access to local public services,including limited access to health services.Most studies on migrants’health services utilization targeted on working-age migrants,and there has been a paucity of studies conducted among elderly migrants.This study aims to investigate the status of health services utilization and its influential factors among elderly migrants.Methods:Data(13,043 participants,52.4%male,mean age 66.22±6.20)were derived from the 2015 Migrant Dynamics Monitoring Survey.The outcome variable in the study was health services utilization,consisting of doctor visits,hospitalization and local inpatient care.The Behavioral Model of Health Service Use was applied to categorize the influential factors into three components,including predisposing,enabling and need factors.Multivariate logistic regression analysis was used to investigate the influential factors of the three components of health services utilization.Results:Of the total sample,45.5%would visit a doctor when they were ill,81.8%would prefer to be hospitalized when recommended by doctors,and 71.6%(those who were hospitalized)would choose to receive local inpatient care rather than going back to their hometown.Age,marital status,household income,years of residence,migration range,reasons for migration,size of friend network,health insurance type,local health insurance status and chronic disease status were significantly associated with health services utilization.Conclusion:A low level of local health services utilization was observed among elderly migrants.Enabling factors played important roles in promoting health services utilization among elderly migrants.Policy and decision makers may consider improving the capability for elderly migrants to access health services,such as increasing income and providing local health insurance.
文摘通过Web of Science数据库和CNKI数据库进行数据搜集,梳理2006—2016年流动老人社会融合研究领域的相关文献,利用Cite SpacesⅢ软件对引文数据、关键词数据等进行处理与分析,对比国内外流动老人社会融合研究的内容、热点、前沿趋势。研究发现,相较于国外研究,目前我国流动老人社会融合研究多集中于对流动原因、社会适应性的表象描述,缺乏对社会融合背后的养老供给模式探索及深层次理论挖掘,研究方法较为单一,后期需要从成熟理论移植、多视角切入等方面推进。
