TY - JOUR
T1 - Inequalities in the Access to Health Services Among Older Migrants: Evidence From the China Migrant Dynamic Monitoring Survey
AU - Long, Chengxu
AU - Chen, Fangfei
AU - Ye, Yisheng
AU - Ji, Lu
AU - Xu, Xinyin
AU - Tang, Shangfeng
N1 - Funding Information:
This study was supported by the National Key R&D Program of China from the Ministry of Science and Technology of China (grant number 2022YFE0133000), the National Science Foundation of China (grant number 72004073), and the Chinese Ministry of Education of Humanities and Social Science project (grant No. 20YJC630134). This study also is supported by King’s-China Scholarship Council Program.
Publisher Copyright:
Copyright © 2023 Long, Chen, Ye, Ji, Xu and Tang.
PY - 2023/4/7
Y1 - 2023/4/7
N2 - Objectives: To identify differences in healthcare use between older migrant workers (OMWs) and older migrants (OMs) and explore associated factors and paths of healthcare use. Methods: The data came from the 2015 China Migrant Dynamic Monitoring Survey (CMDMS). CMDMS used a multi-stage stratified probability proportionate to size method as the sampling technique and conducted a desk review. The samples include OMWs, OMs for caring offspring (N = 4,439), and OMs for receiving care from family (N = 4,184). We built logistic regression and path analysis models to analyze the data. Results: Social health insurance (SHI) in current place of residence is associated with less expenditure among all subgroups. OMWs and OMs for receiving care from family with SHI in current place of residence are more likely to use healthcare. Conclusion: OMWs are particularly vulnerable in healthcare use and socioeconomic status. Having SHI registered in current place of residence helps decrease expenditure among OMs. We urge policymakers to consider a united health financing scheme across OMWs and other urban employees and streamline policies for migrants to enroll in SHI in current place of residence.
AB - Objectives: To identify differences in healthcare use between older migrant workers (OMWs) and older migrants (OMs) and explore associated factors and paths of healthcare use. Methods: The data came from the 2015 China Migrant Dynamic Monitoring Survey (CMDMS). CMDMS used a multi-stage stratified probability proportionate to size method as the sampling technique and conducted a desk review. The samples include OMWs, OMs for caring offspring (N = 4,439), and OMs for receiving care from family (N = 4,184). We built logistic regression and path analysis models to analyze the data. Results: Social health insurance (SHI) in current place of residence is associated with less expenditure among all subgroups. OMWs and OMs for receiving care from family with SHI in current place of residence are more likely to use healthcare. Conclusion: OMWs are particularly vulnerable in healthcare use and socioeconomic status. Having SHI registered in current place of residence helps decrease expenditure among OMs. We urge policymakers to consider a united health financing scheme across OMWs and other urban employees and streamline policies for migrants to enroll in SHI in current place of residence.
UR - http://www.scopus.com/inward/record.url?scp=85153506358&partnerID=8YFLogxK
U2 - 10.3389/ijph.2023.1605325
DO - 10.3389/ijph.2023.1605325
M3 - Article
SN - 1661-8556
VL - 68
JO - International Journal of Public Health
JF - International Journal of Public Health
M1 - 1605325
ER -