Family Support and Social Support Associated with National Essential Public Health Services Utilization among Older Migrants in China: A Gender Perspective.
Family Support and Social Support Associated with National Essential Public Health Services Utilization among Older Migrants in China: A Gender Perspective.
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DOI：
10.3390/ijerph19031610
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发表时间：
2022-01-30
影响因子：
--
通讯作者：
Ji Y
中科院分区：
文献类型：
--
作者：
Cao W;Yun Q;Chang C;Ji Y
中国向所有公民免费提供国家基本公共卫生服务（NEPHS），以确保获得基本卫生服务。本研究旨在从性别角度探讨中国老年流动人口不同支持来源与 NEPHS 服务利用之间的关系。我们使用了来自 2015 年中国移民动态调查的全国横截面数据集。年龄≥60岁且居住地无户籍的参与者被纳入。 1989名参与者中，35.2%的人在过去一年参加过免费体检：男性为34.6%，女性为35.9%。在男性参与者中，在控制年龄、教育程度和自我报告的健康状况后，拥有更多当地朋友（OR = 1.47，95% CI：1.09，1.99）和在住所拥有保险（OR = 1.75，95% CI：1.03，2.96）与参加免费体检相关。研究发现，女性参与者的婚姻状况和家庭结构这两个额外因素与参加免费体检有关。中国老年流动人口的NEPHHS服务利用情况远不能令人满意，家庭支持和社会支持都发挥了作用。就性别而言，与 NEPHS 服务利用相关的共同因素和独特因素有关。
China provides National Essential Public Health Services (NEPHS) free of charge to all citizens to ensure access to essential health services. The present study aimed to explore the associations between different sources of support and NEPHS service utilization among older migrants in China with a gender perspective. We used a national cross-sectional dataset derived from the 2015 China Migrants Dynamic Survey. Participants were included if they were aged ≥60 years and without household registration at the residence. Among 1989 participants, 35.2% enrolled in a free physical examination in the past year: 34.6% for males and 35.9% for females. Among male participants, having more local friends (OR = 1.47, 95% CI: 1.09, 1.99) and having insurance at the residence (OR = 1.75, 95% CI: 1.03, 2.96) were associated with enrolment in a free physical examination after controlling for age, education, and self-reported health status. Two additional factors, marital status and family structure, were found for female participants to be associated with enrolment in a free physical examination. NEPHS service utilization was far from satisfactory among older migrants in China, and both family support and social support played a role in it. There are common and unique factors associated with NEPHS service utilization in terms of gender.
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中国境内 65 岁以上人口流动的社会支持和健康服务使用情况：一项横断面研究
DOI：
10.3390/ijerph17134651
发表时间：
2020-07-01
影响因子：
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期刊：
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影响因子：
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10.3390/ijerph17186524
发表时间：
2020-09-08
影响因子：
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