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首页> 外文期刊>International Journal of Environmental Research and Public Health >Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey
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Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey

机译：中国内部移民的公共卫生服务利用及其决定因素：来自全国代表性调查的证据

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There have been obstacles for internal migrants in China in accessing local public health services for some time. This study aimed to estimate the utilization of local public health services and its determinants among internal migrants. Data were from the 2014 and 2015 nationally representative cross-sectional survey of internal migrants in China. Multivariate logistic regressions were used to estimate the relationship between socioeconomic, migration, and demographic characteristics and public health services utilization. Our results showed that internal migrants in more developed eastern regions used less public health services. Those with higher socioeconomic status were more likely to use public health services. The years of living in the city of residence were positively associated with the utilization of public health services. Compared to migration within the city, migration across provinces significantly reduced the probability of using health records (OR = 0.88, 95% CI: 0.86–0.90), health education (OR = 0.97, 95% CI: 0.94–1.00), and health education on non–communicable diseases (OR = 0.92, 95% CI: 0.89–0.95) or through the Internet (OR = 0.96, 95% CI: 0.94–0.99). This study concludes that public health services coverage for internal migrants has seen great improvement due to government subsidies. Internal migrants with lower socioeconomic status and across provinces need to be targeted. More attention should be given to the local government in the developed eastern regions in order to narrow the regional gaps.
机译：在一段时间内，中国的内部移民在获得当地公共卫生服务方面存在障碍。这项研究旨在估计内部移民中当地公共卫生服务的利用及其决定因素。数据来自2014年和2015年中国国内移民的全国代表性横断面调查。多元logistic回归用于估计社会经济，移民，人口特征与公共卫生服务利用之间的关系。我们的结果表明，东部较发达地区的内部移民使用的公共卫生服务较少。具有较高社会经济地位的人更有可能使用公共卫生服务。在居住城市的居住年限与公共卫生服务的使用呈正相关。与城市内的迁移相比，跨省迁移显着降低了使用健康记录的可能性（OR = 0.88，95％CI：0.86-0.90），健康教育（OR = 0.97，95％CI：0.94-1.00）和健康关于非传染性疾病的教育（OR = 0.92，95％CI：0.89–0.95）或通过互联网（OR = 0.96，95％CI：0.94-0.99）。这项研究的结论是，由于政府的补贴，国内移民的公共卫生服务覆盖率有了很大的提高。社会经济地位较低且跨省的内部移民需要成为目标。为了缩小区域差距，应更加重视东部发达地区的地方政府。

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