Utilization of public health services and its influencing factors among migrant people with hypertension or diabetes in China

Abstract

Objective To examine the status and influencing factors of basic public health services (BPHS) utilization among migrant people with hypertension or diabetes in China and to provide evidences for promoting the utilization of BPHS among migrant population with chronic diseases. Methods We extracted the data on 9 272 migrant people with hypertension or type 2 diabetic mellitus (T2DM) from the Dynamic Monitoring Survey on Migrant Population – 2017 sponsored by the National Health and Family Planning Committee. Probit regression model was adopted to analyze influencing factors of BPHS utilization among the migrant population. Results Among the 169 989 migrant people aged 15 years and above, the prevalence rate of the two chronic diseases was 5.34% (4.74% for hypertension and 1.23% for T2DM). The rate of BPHS utilization was only 36.4% among the migrant people with hypertension or T2TM. The results of Probit regression model analysis indicated that among the migrants suffering from both hypertension and T2DM, those being female and aged 55 years and above were more likely to utilize BPHS; while, those with non-agricultural household registration, residing in northeastern regions, without health records being established or not being sure about the establishment of their health records, receiving no health education on chronic disease, and living at a residence at least 15 minutes away from a nearest medical institutions were less likely to utilize BPHS. The results also revealed that for the migrant hypertension patients, 55 years and above, being minority ethnics, living in central or western regions were more likely to utilize BPHS; but those without health records being established or not being sure about the establishment of their health records and those not receiving or being not sure about having received health education on chronic disease were less likely to utilize BPHS; for the migrant T2DM patients, those living in central or western regions were more likely to utilize BPHS, while those without health records being established or not being sure about the establishment of their health records and those not receiving health education on chronic disease were less likely to utilize BPHS. Conclusion The utilization rate of basic public health services is low and mainly influenced by gender, age, ethnic, type of household registration, establishment of health record, health education on chronic disease, and the time required from residence to nearest medical institution among migrant people with hypertension or type 2 diabetic mellitus in China.