Factors influencing health service utilization among 19,869 China’s migrant population: an empirical study based on the Andersen behavioral model
BackgroundWith the surge in population migration across China, particularly from rural to urban regions, the migrant population encounters unique challenges in accessing healthcare services. This study addresses the gap in health service utilization among migrants, specifically examining their engag...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1456839/full |
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| author | Yalin Song Jingru Liu Shuming Yan Mingze Ma Clifford Silver Tarimo Clifford Silver Tarimo Yiyang Chen Yanhong Lai Xinghong Guo Jian Wu Beizhu Ye |
| author_facet | Yalin Song Jingru Liu Shuming Yan Mingze Ma Clifford Silver Tarimo Clifford Silver Tarimo Yiyang Chen Yanhong Lai Xinghong Guo Jian Wu Beizhu Ye |
| author_sort | Yalin Song |
| collection | DOAJ |
| description | BackgroundWith the surge in population migration across China, particularly from rural to urban regions, the migrant population encounters unique challenges in accessing healthcare services. This study addresses the gap in health service utilization among migrants, specifically examining their engagement with basic public health services and the factors that impact these interactions.MethodsIn the year 2023, a cross-sectional survey was carried out among 19,869 migrants in China, employing a multi-stage stratified sampling technique for participant recruitment. The analysis was guided by the Andersen Health Service Utilization Model, examining predisposing, enabling, and needing factors related to health service utilization. Chi-square test and multivariate logistic regression were used to explore the group difference and the associations between demographic characteristics and utilization of health service.ResultsThe study revealed significant underutilization of health services among the migrant communities, with only a minority having established health records or engaged with family doctors. Additionally, there existed a notable disparity in health education and the proactive pursuit of health knowledge. Age, gender, educational level, socioeconomic status, employment status, and proximity to healthcare facilities significantly influenced health service utilization. Notably, healthier lifestyle choices correlated with the increased involvement in health services.ConclusionThe findings highlight a substantial need for targeted health policy interventions and healthcare system reforms to enhance the accessibility and utilization of health services among the migrant population in China. Promoting education on health services, improving healthcare infrastructure, and addressing the unique needs and barriers encountered by migrants are crucial measures for achieving equitable health outcomes. |
| format | Article |
| id | doaj-art-98004aaa6d5249679d76aca2e3303a71 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-98004aaa6d5249679d76aca2e3303a712025-01-23T06:56:17ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.14568391456839Factors influencing health service utilization among 19,869 China’s migrant population: an empirical study based on the Andersen behavioral modelYalin Song0Jingru Liu1Shuming Yan2Mingze Ma3Clifford Silver Tarimo4Clifford Silver Tarimo5Yiyang Chen6Yanhong Lai7Xinghong Guo8Jian Wu9Beizhu Ye10College of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Science and Laboratory Technology, Dar es Salaam Institute of Technology, Dar es Salaam, TanzaniaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaBackgroundWith the surge in population migration across China, particularly from rural to urban regions, the migrant population encounters unique challenges in accessing healthcare services. This study addresses the gap in health service utilization among migrants, specifically examining their engagement with basic public health services and the factors that impact these interactions.MethodsIn the year 2023, a cross-sectional survey was carried out among 19,869 migrants in China, employing a multi-stage stratified sampling technique for participant recruitment. The analysis was guided by the Andersen Health Service Utilization Model, examining predisposing, enabling, and needing factors related to health service utilization. Chi-square test and multivariate logistic regression were used to explore the group difference and the associations between demographic characteristics and utilization of health service.ResultsThe study revealed significant underutilization of health services among the migrant communities, with only a minority having established health records or engaged with family doctors. Additionally, there existed a notable disparity in health education and the proactive pursuit of health knowledge. Age, gender, educational level, socioeconomic status, employment status, and proximity to healthcare facilities significantly influenced health service utilization. Notably, healthier lifestyle choices correlated with the increased involvement in health services.ConclusionThe findings highlight a substantial need for targeted health policy interventions and healthcare system reforms to enhance the accessibility and utilization of health services among the migrant population in China. Promoting education on health services, improving healthcare infrastructure, and addressing the unique needs and barriers encountered by migrants are crucial measures for achieving equitable health outcomes.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1456839/fullmigrant populationhealth service utilizationAnderson modellifestylepublic health |
| spellingShingle | Yalin Song Jingru Liu Shuming Yan Mingze Ma Clifford Silver Tarimo Clifford Silver Tarimo Yiyang Chen Yanhong Lai Xinghong Guo Jian Wu Beizhu Ye Factors influencing health service utilization among 19,869 China’s migrant population: an empirical study based on the Andersen behavioral model Frontiers in Public Health migrant population health service utilization Anderson model lifestyle public health |
| title | Factors influencing health service utilization among 19,869 China’s migrant population: an empirical study based on the Andersen behavioral model |
| title_full | Factors influencing health service utilization among 19,869 China’s migrant population: an empirical study based on the Andersen behavioral model |
| title_fullStr | Factors influencing health service utilization among 19,869 China’s migrant population: an empirical study based on the Andersen behavioral model |
| title_full_unstemmed | Factors influencing health service utilization among 19,869 China’s migrant population: an empirical study based on the Andersen behavioral model |
| title_short | Factors influencing health service utilization among 19,869 China’s migrant population: an empirical study based on the Andersen behavioral model |
| title_sort | factors influencing health service utilization among 19 869 china s migrant population an empirical study based on the andersen behavioral model |
| topic | migrant population health service utilization Anderson model lifestyle public health |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1456839/full |
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