Abstract
Background: Rural–urban migrants frequently suffer from overrepresented health risks but have poor access to public health services. In China, homeownership status may play a vital role in obtaining local welfare. However, the relationship between homeownership and utilization of public health services has remained largely unexplored. This study aims to address the direct linkage between homeownership and utilization of local public health services among rural migrants in China.Methods: We applied the dataset from the 2017 National Migrants Population Dynamic Monitoring Survey (NMPDMS-2017) to explore the direct relationship between homeownership and the utilization of local public health services. Logit regression was conducted to discuss the associations and to explore the interaction effect.Results: The logit estimations reveal that homeownership is positively related to the establishment of a health record and participation in health education. The interaction term of homeownership and household location and the interaction between homeownership and healthcare center location are related to the increased establishment of a health record. However, the interaction of homeownership and household location merely reveals significant correlations with the health education model.Conclusion: Homeownership is positively associated with the utilization of local public health services among rural migrants in China. Furthermore, homeowners living in urban residential communities and within the vicinity of the healthcare center are more likely to access public health services than those living in other locations.
Highlights
Rural–urban migrants frequently suffer from overrepresented health risks but have poor access to public health services
5.09% of rural migrants report that they suffered from chronic disease in the previous year, and 81.38% of them intend to settle permanently
With respect to household and healthcare center locations, a mere 29.88% of rural migrants live in the village, and 83.42% spend
Summary
Rural–urban migrants frequently suffer from overrepresented health risks but have poor access to public health services. The migrants with agricultural Hukou can apply for urban Hukou when they meet certain criteria, including educational achievement, social insurance, vocational qualification certificate, etc These criteria are so strict that few can obtain the access. The Hukou system still acts as a main constraint preventing rural migrants from migrating to urban cities for employment and reducing their access to local public services and permanent settlement [2, 3]. Their temporary status categorizes them as marginalized in destination cities [4, 5]. Rural migrants are still regarded as outsiders in terms of access to the local welfare system [7], and urban public health care to them is limited [8, 9]
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