The Association of Residence Permits on Utilization of Health Care Services by Migrant Workers in China
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Source
2.2. Measures
2.2.1. Health Care Services Utilization
2.2.2. Residence Permit
2.2.3. Control Variables
2.3. Estimation Method
3. Results
3.1. Descriptive Analysis
3.2. Utilization of Public Health Services
3.3. Utilization of Public Medical Services
3.4. Utilization in Megacities
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | Overall Mean | CI 95% | Group Mean | Independent t-Test | ||
---|---|---|---|---|---|---|
With RP | Without RP | Difference | p-Value | |||
Health record | 0.295 | (0.292. 0.297) | 0.305 | 0.273 | 0.032 | 0.000 |
Health education | 0.709 | (0.706, 0.711) | 0.717 | 0.692 | 0.024 | 0.000 |
Hospital visit | 0.354 | (0.350, 0.358) | 0.375 | 0.312 | 0.063 | 0.000 |
General hospital visit | 0.159 | (0.156, 0.162) | 0.165 | 0.146 | 0.019 | 0.000 |
Residence permit | 0.679 | (0.676, 0.681) | — | — | — | — |
Gender | 0.565 | (0.563, 0.568) | 0.577 | 0.541 | 0.035 | 0.000 |
Age | 35.973 | (35.923, 36.024) | 36.281 | 35.325 | 0.955 | 0.000 |
Primary school and below | 0.150 | (0.149, 0.152) | 0.153 | 0.146 | 0.007 | 0.001 |
Junior high school | 0.441 | (0.438, 0.444) | 0.451 | 0.420 | 0.032 | 0.000 |
High school | 0.222 | (0.220, 0.224) | 0.221 | 0.224 | −0.004 | 0.132 |
College | 0.110 | (0.108, 0.111) | 0.103 | 0.124 | −0.021 | 0.000 |
Graduate and above | 0.077 | (0.076, 0.078) | 0.073 | 0.087 | −0.014 | 0.000 |
Hukou | 0.782 | (0.780, 0.784) | 0.786 | 0.773 | 0.014 | 0.000 |
Marital status | 0.819 | (0.816, 0.821) | 0.837 | 0.780 | 0.057 | 0.000 |
Low income | 0.066 | (0.064, 0.067) | 0.053 | 0.093 | −0.040 | 0.000 |
Relatively low income | 0.383 | (0.380, 0.386) | 0.366 | 0.420 | −0.054 | 0.000 |
Middle income | 0.336 | (0.333, 0.339) | 0.345 | 0.317 | 0.029 | 0.000 |
Relatively high income | 0.133 | (0.131, 0.135) | 0.141 | 0.116 | 0.025 | 0.000 |
High income | 0.082 | (0.081, 0.084) | 0.095 | 0.055 | 0.041 | 0.000 |
Work contract | 0.294 | (0.292, 0.297) | 0.300 | 0.282 | 0.018 | 0.000 |
Home ownership | 0.277 | (0.274, 0.279) | 0.250 | 0.333 | −0.083 | 0.000 |
Self-reported health | 3.829 | (3.827, 3.831) | 3.835 | 3.816 | 0.019 | 0.000 |
Chronic disease | 0.042 | (0.041, 0.044) | 0.042 | 0.043 | 0.000 | 0.828 |
Variables | Health Record | Health Education | ||||
---|---|---|---|---|---|---|
A.M.E | 95% CI | p-Value | A.M.E | 95% CI | p-Value | |
Residence permit | 0.079 | (0.074, 0.085) | 0.000 | 0.065 | (0.059, 0.070) | 0.000 |
Gender | −0.025 | (−0.030, −0.020) | 0.000 | −0.021 | (−0.026, −0.016) | 0.000 |
Age | 0.000 | (0.000, 0.001) | 0.011 | −0.001 | (−0.001, −0.001) | 0.000 |
Junior high school | 0.025 | (0.018, 0.033) | 0.000 | 0.061 | (0.053, 0.069) | 0.000 |
High school | 0.038 | (0.030, 0.047) | 0.000 | 0.090 | (0.081, 0.099) | 0.000 |
College | 0.055 | (0.044, 0.065) | 0.000 | 0.086 | (0.075, 0.097) | 0.000 |
Graduate and above | 0.063 | (0.050, 0.075) | 0.000 | 0.102 | (0.089, 0.114) | 0.000 |
Hukou | −0.018 | (−0.024, −0.011) | 0.000 | −0.019 | (−0.026, −0.012) | 0.000 |
Marital status | 0.041 | (0.034, 0.048) | 0.000 | 0.059 | (0.052, 0.066) | 0.000 |
Relatively low income | 0.000 | (−0.011, 0.010) | 0.933 | 0.018 | (0.008, 0.029) | 0.000 |
Middle income | −0.005 | (−0.016, 0.006) | 0.370 | 0.015 | (0.004, 0.026) | 0.007 |
Relatively high income | −0.019 | (−0.031, −0.007) | 0.002 | −0.002 | (−0.014, 0.010) | 0.720 |
High income | −0.026 | (−0.039, −0.012) | 0.000 | −0.016 | (−0.029, −0.002) | 0.027 |
Work contract | 0.056 | (0.050, 0.061) | 0.000 | 0.051 | (0.045, 0.057) | 0.000 |
Home ownership | 0.038 | (0.032, 0.043) | 0.000 | 0.010 | (0.004, 0.015) | 0.002 |
Self-reported health | 0.047 | (0.041, 0.053) | 0.000 | 0.031 | (0.025, 0.037) | 0.000 |
Chronic disease | 0.021 | (0.008, 0.033) | 0.001 | −0.002 | (−0.014, 0.010) | 0.751 |
Provincial fixed effect | Yes | Yes | ||||
Observations | 128,757 | 128,757 |
Variables | Hospital Visit | General Hospital Visit | ||||
---|---|---|---|---|---|---|
A.M.E | 95% CI | p-Value | A.M.E | 95% CI | p-Value | |
Residence permit | 0.046 | (0.038, 0.055) | 0.000 | 0.012 | (0.006, 0.019) | 0.000 |
Gender | −0.018 | (−0.025, −0.010) | 0.000 | −0.017 | (−0.023, −0.011) | 0.000 |
Age | −0.001 | (−0.001, 0.000) | 0.000 | −0.001 | (−0.001, 0.000) | 0.002 |
Junior high school | 0.024 | (0.013, 0.036) | 0.000 | 0.022 | (0.013, 0.030) | 0.000 |
High school | 0.041 | (0.028, 0.054) | 0.000 | 0.039 | (0.029, 0.049) | 0.000 |
College | 0.056 | (0.039, 0.073) | 0.000 | 0.061 | (0.049, 0.074) | 0.000 |
Graduate and above | 0.060 | (0.041, 0.079) | 0.000 | 0.077 | (0.062, 0.092) | 0.000 |
Hukou | 0.001 | (−0.009, 0.011) | 0.838 | −0.006 | (−0.014, 0.001) | 0.112 |
Marital status | 0.015 | (0.003, 0.026) | 0.011 | 0.007 | (−0.002, 0.015) | 0.137 |
Relatively low income | 0.002 | (−0.015, 0.018) | 0.850 | 0.012 | (0.000, 0.024) | 0.052 |
Middle income | 0.010 | (−0.007, 0.027) | 0.236 | 0.015 | (0.003, 0.028) | 0.019 |
Relatively high income | 0.016 | (−0.003, 0.035) | 0.099 | 0.032 | (0.018, 0.046) | 0.000 |
High income | 0.028 | (0.007, 0.049) | 0.009 | 0.066 | (0.050, 0.082) | 0.000 |
Work contract | 0.040 | (0.031, 0.049) | 0.000 | 0.012 | (0.006, 0.019) | 0.000 |
Home ownership | 0.026 | (0.017, 0.034) | 0.000 | 0.027 | (0.020, 0.034) | 0.000 |
Self-reported health | −0.052 | (−0.060, −0.044) | 0.000 | −0.062 | (−0.068, −0.056) | 0.000 |
Chronic disease | 0.058 | (0.041, 0.075) | 0.000 | 0.036 | (0.023, 0.048) | 0.000 |
Provincial fixed effect | Yes | Yes | ||||
Observations | 63,277 | 63,277 |
Variables | Health Record | Health Education | Hospital Visit | General Hospital Visit | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
A.M.E | 95% CI | p-Value | A.M.E | 95% CI | p-Value | A.M.E | 95% CI | p-Value | A.M.E | 95% CI | p-Value | |
Residence permit | 0.082 | (0.076, 0.088) | 0.000 | 0.075 | (0.069, 0.081) | 0.000 | 0.052 | (0.042, 0.061) | 0.000 | 0.014 | (0.007, 0.021) | 0.000 |
Residence permit × Megacity | −0.014 | (−0.024, −0.005) | 0.002 | −0.041 | (−0.050, −0.032) | 0.000 | −0.021 | (−0.034, −0.007) | 0.002 | −0.005 | (−0.015, 0.005) | 0.325 |
Gender | −0.025 | (−0.030, −0.020) | 0.000 | −0.021 | (−0.026, −0.016) | 0.000 | −0.018 | (−0.025, −0.010) | 0.000 | −0.017 | (−0.023, −0.011) | 0.000 |
Age | 0.000 | (0.000, 0.001) | 0.010 | −0.001 | (−0.001, −0.001) | 0.000 | −0.001 | (−0.001, 0.000) | 0.000 | −0.001 | (−0.001, 0.000) | 0.002 |
Junior high school | 0.025 | (0.018, 0.033) | 0.000 | 0.062 | (0.054, 0.069) | 0.000 | 0.025 | (0.013, 0.036) | 0.000 | 0.022 | (0.013, 0.030) | 0.000 |
High school | 0.038 | (0.030, 0.047) | 0.000 | 0.091 | (0.082, 0.100) | 0.000 | 0.042 | (0.028, 0.055) | 0.000 | 0.039 | (0.029, 0.049) | 0.000 |
College | 0.055 | (0.045, 0.066) | 0.000 | 0.088 | (0.077, 0.099) | 0.000 | 0.057 | (0.041, 0.074) | 0.000 | 0.062 | (0.049, 0.074) | 0.000 |
Graduate and above | 0.064 | (0.051, 0.076) | 0.000 | 0.105 | (0.092, 0.117) | 0.000 | 0.061 | (0.042, 0.081) | 0.000 | 0.077 | (0.062, 0.093) | 0.000 |
Hukou | −0.018 | (−0.024, −0.011) | 0.000 | −0.019 | (−0.026, −0.013) | 0.000 | 0.001 | (−0.009, 0.011) | 0.852 | −0.006 | (−0.014, 0.001) | 0.111 |
Marital status | 0.041 | (0.034, 0.048) | 0.000 | 0.059 | (0.052, 0.066) | 0.000 | 0.015 | (0.003, 0.026) | 0.012 | 0.007 | (−0.002, 0.015) | 0.138 |
Relatively low income | 0.000 | (−0.011, 0.010) | 0.948 | 0.019 | (0.008, 0.029) | 0.000 | 0.002 | (−0.015, 0.018) | 0.843 | 0.012 | (0.000, 0.024) | 0.052 |
Middle income | −0.005 | (−0.015, 0.006) | 0.397 | 0.015 | (0.005, 0.026) | 0.005 | 0.011 | (−0.006, 0.028) | 0.223 | 0.015 | (0.003, 0.028) | 0.018 |
Relatively high income | −0.018 | (−0.030, −0.006) | 0.003 | −0.001 | (−0.013, 0.011) | 0.873 | 0.016 | (−0.002, 0.035) | 0.086 | 0.032 | (0.018, 0.046) | 0.000 |
High income | −0.025 | (−0.038, −0.011) | 0.000 | −0.013 | (−0.027, 0.001) | 0.068 | 0.029 | (0.008, 0.050) | 0.006 | 0.067 | (0.050, 0.083) | 0.000 |
Work contract | 0.056 | (0.050, 0.061) | 0.000 | 0.051 | (0.045, 0.056) | 0.000 | 0.040 | (0.031, 0.049) | 0.000 | 0.012 | (0.006, 0.019) | 0.000 |
Home ownership | 0.038 | (0.032, 0.043) | 0.000 | 0.010 | (0.004, 0.015) | 0.002 | 0.025 | (0.017, 0.034) | 0.000 | 0.027 | (0.020, 0.034) | 0.000 |
Self-reported health | 0.047 | (0.041, 0.053) | 0.000 | 0.031 | (0.025, 0.037) | 0.000 | −0.052 | (−0.060, −0.044) | 0.000 | −0.062 | (−0.068, −0.056) | 0.000 |
Chronic disease | 0.021 | (0.008, 0.033) | 0.001 | −0.002 | (−0.014, 0.010) | 0.752 | 0.058 | (0.041, 0.075) | 0.000 | 0.036 | (0.023, 0.048) | 0.000 |
Provincial fixed effect | Yes | Yes | Yes | Yes | ||||||||
Observations | 128,757 | 128,757 | 63,277 | 63,277 |
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Xu, H.; Yang, H.; Wang, H.; Li, X. The Association of Residence Permits on Utilization of Health Care Services by Migrant Workers in China. Int. J. Environ. Res. Public Health 2021, 18, 9623. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189623
Xu H, Yang H, Wang H, Li X. The Association of Residence Permits on Utilization of Health Care Services by Migrant Workers in China. International Journal of Environmental Research and Public Health. 2021; 18(18):9623. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189623
Chicago/Turabian StyleXu, Haochuan, Han Yang, Hui Wang, and Xuefeng Li. 2021. "The Association of Residence Permits on Utilization of Health Care Services by Migrant Workers in China" International Journal of Environmental Research and Public Health 18, no. 18: 9623. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189623