Open AccessImproving the utilization of essential public health services by Chinese elderly migrants: strategies and policy implication
Author(s) -
Shangfeng Tang,
Chengxu Long,
Ruoxi Wang,
Qiaoyan Liu,
Da Feng,
Zhanchun Feng
Publication year - 2020
Publication title -
journal of global health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.581
H-Index - 34
eISSN - 2047-2986
pISSN - 2047-2978
DOI - 10.7189/jogh.10.010807
Subject(s) - public health , residence , government (linguistics) , health care , environmental health , health policy , population , china , medicine , business , social determinants of health , gerontology , economic growth , demographic economics , geography , nursing , economics , linguistics , philosophy , archaeology
Background The concept of healthy aging has become a global health strategy in response to the population aging. In China, old-aged migrants are facing serious health care challenges due to the obstacles in the utilization of health services, social integration and ignored public policies. We aimed to examine the old-aged migrants’ utilization of the essential public health services and its underlying factors on account of change of residence, and social support. Methods Data came from the senior sample (aged over 65 years, n = 11 161) of the 2015 National Migrant Dynamic Monitoring Survey in China that employed Probability Proportionate to Size method as a sampling strategy. χ 2 tests and binary multilevel model were conducted to analyze the difference and the underlying factors of the utilization of essential health services among old-aged migrants. Results Approximately 66.2% of old-aged migrants did not receive free physician examination services from health institutions in the past year, and 34.6% of old-aged migrants with chronic disease have been followed up by doctors. There were significant differences in the utilization of essential public health services among old-aged migrants across different individuals and families. It showed that exercise time, migrating range, migrating reason, physical health condition, chronic disease, local friends, health insurance, household expenditure, and income were significantly associated with the elderly migrants’ utilization of essential public health services. Conclusions The utilization of essential public health services among old-aged migrants was insufficient in comparison with the general population. The government should launch targeted policies such as production and work-related injuries for the floating population. The supply side should promote the equalization of essential public health services for migrants. Social organizations and community should undertake the responsibility in social support for old-aged migrants.