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COMPARING KNOWLEDGE AND USE OF HEALTH SERVICES OF MIGRANTS FROM RURAL AND URBAN AREAS IN KUNMING CITY, CHINA

Published online by Cambridge University Press:  28 June 2010

XIAOLIN WEI ,
STEPHEN PEARSON ,
ZHANXIN ZHANG ,
JIANGMEI QIN ,
NANCY GEREIN  and
JOHN WALLEY
XIAOLIN WEI
Affiliation:
Nuffield Centre for International Health & Development, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK School of Public Health and Primary Care, The Chinese University of Hong Kong, China
STEPHEN PEARSON
Affiliation:
Nuffield Centre for International Health & Development, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
ZHANXIN ZHANG
Affiliation:
Institute of Population and Labor Economics, Chinese Academy of Social Sciences, Beijing, China
JIANGMEI QIN
Affiliation:
Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi, China
NANCY GEREIN
Affiliation:
Nuffield Centre for International Health & Development, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
JOHN WALLEY
Affiliation:
Nuffield Centre for International Health & Development, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
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Summary

This paper compares the knowledge and utilization of health services among rural residents, urban residents, rural migrants and urban migrants in a large Chinese city. Data were obtained from a questionnaire survey of 2765 individuals (1951 heads of households and 814 spouses) in Guandu district, Kunming, in 2005. The determinants of their knowledge and utilization of health services were analysed using multivariate logistic regression. First, the migrant population was less likely to know of, or utilize, high-level hospitals and township hospitals than residents. Migrants were more likely to utilize private rather than public services for general health care and delivery care. Second, there was a difference between rural migrants and urban migrants in terms of knowledge and utilization of health services. Rural migrants utilized more low-cost private clinics, but had less knowledge about sources of condoms than urban migrants. Finally, rural residents had more knowledge and utilization of township hospitals than urban residents. This latter group were more likely to utilize high-level hospitals. Migrants' access to health care in urban China is understood better using a dual rural–urban and migrant–resident analytical framework. Rural migrants are the most disadvantaged in their access to urban health care. Further reform of the registered residence system and urban public financing system is recommended. Better information on services and their utilization should be provided to migrants and residents.

Type
Research Article
Information
Journal of Biosocial Science , Volume 42 , Issue 6 , November 2010 , pp. 743 - 756
Copyright
Copyright © Cambridge University Press 2010

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