Urban-rural disparity in utilization of preventive care services in China
- PMID: 27631229
- PMCID: PMC5402572
- DOI: 10.1097/MD.0000000000004783
Urban-rural disparity in utilization of preventive care services in China
Abstract
Preventive care service is considered pivotal on the background of demographic ageing and a rise in chronic diseases in China. The disparity in utilization of preventive care services between urban and rural in China is a serious issue. In this paper, we explored factors associated with urban-rural disparity in utilization of preventive care services in China, and determined how much of the urban-rural disparity was attributable to each determinant of utilization in preventive care services. Using representative sample data from China Health and Nutrition Survey in 2011 (N = 12,976), the present study performed multilevel logistic model to examine the factors that affected utilization of preventive care services in last 4 weeks. Blinder-Oaxaca decomposition method was applied to divide the utilization of preventive care disparity between urban and rural residents into a part that can be explained by differences in observed covariates and unobserved part. The percentage of rural residents utilizing preventive care service in last 4 weeks was lower than that of urban residents (5.1% vs 9.3%). Female, the aged, residents with higher education level and household income, residents reporting self-perceived illness in last 4 weeks and physician-diagnosed chronic disease had higher likelihood of utilizing preventive care services. Household income was the most important factor accounting for 26.6% of urban-rural disparities in utilization of preventive care services, followed by education (21.5%), self-perceived illness in last 4 weeks (7.8%), hypertension (4.4%), diabetes (3.3%), other chronic diseases (0.8%), and health insurance (-1.0%). Efforts to reduce financial barriers for low-income individuals who cannot afford preventive services, increasing awareness of the importance of obtaining preventive health services and providing more preventive health services covered by health insurance, may help to reduce the gap of preventive care services utilization between urban and rural.
Conflict of interest statement
The authors have no conflicts of interest to disclose.
Similar articles
-
Utilization of preventive medical services in the United States: a comparison between rural and urban populations.J Rural Health. 2000 Fall;16(4):349-56. doi: 10.1111/j.1748-0361.2000.tb00485.x. J Rural Health. 2000. PMID: 11218321
-
The comparison of healthcare utilization inequity between URRBMI and NCMS in rural China.Int J Equity Health. 2019 Jun 14;18(1):90. doi: 10.1186/s12939-019-0987-1. Int J Equity Health. 2019. PMID: 31200711 Free PMC article.
-
Rural-urban disparities in the utilization of mental health inpatient services in China: the role of health insurance.Int J Health Econ Manag. 2018 Dec;18(4):377-393. doi: 10.1007/s10754-018-9238-z. Epub 2018 Mar 27. Int J Health Econ Manag. 2018. PMID: 29589249 Free PMC article.
-
Explaining urban-rural health disparities in China.Med Care. 2009 Dec;47(12):1209-16. doi: 10.1097/MLR.0b013e3181adcc32. Med Care. 2009. PMID: 19786910
-
Gaps in the Utilization of Community Health Services for the Elderly Population in Rural Areas of Mainland China: A Systematic Review Based on Cross-Sectional Investigations.Health Serv Insights. 2022 Oct 31;15:11786329221134352. doi: 10.1177/11786329221134352. eCollection 2022. Health Serv Insights. 2022. PMID: 36330309 Free PMC article. Review.
Cited by
-
Home care practice behavior and its influencing factors of primary care providers: a multicenter cross-sectional study in Sichuan Province, China.BMC Nurs. 2024 May 2;23(1):303. doi: 10.1186/s12912-024-01948-3. BMC Nurs. 2024. PMID: 38698388 Free PMC article.
-
The action logic of the older adults about health-seeking in South Rural China.BMC Public Health. 2023 Dec 12;23(1):2487. doi: 10.1186/s12889-023-17314-y. BMC Public Health. 2023. PMID: 38087231 Free PMC article.
-
Disparity Analysis for Cardiac Surgical Outcomes: The Citizenship Factor.J Cardiovasc Dev Dis. 2023 Jul 9;10(7):292. doi: 10.3390/jcdd10070292. J Cardiovasc Dev Dis. 2023. PMID: 37504548 Free PMC article.
-
Horizontal inequity trends of health care utilization in rural China after the medicine and healthcare system reform: based on longitudinal data from 2010 to 2018.Int J Equity Health. 2023 May 17;22(1):90. doi: 10.1186/s12939-023-01908-4. Int J Equity Health. 2023. PMID: 37194035 Free PMC article.
-
Urban living and chronic diseases in the presence of economic growth: Evidence from a long-term study in southeastern China.Front Public Health. 2022 Dec 19;10:1042413. doi: 10.3389/fpubh.2022.1042413. eCollection 2022. Front Public Health. 2022. PMID: 36600942 Free PMC article.
References
-
- Maciosek MV, Coffield AB, Edwards NM, et al. Priorities among effective clinical preventive services: results of a systematic review and analysis. Am J Prevent Med 2006; 31:52–61. - PubMed
-
- Partnership for Prevention. Preventive Care: A National Profile on Use, Disparities, and Health Benefits. Washington, DC: National Commission on Prevention Priorities, Partnership for Prevention; 2007.
-
- Marin MG, Zitter JN. Expenditures associated with preventive healthcare. Prev Med 2004; 39:856–862. - PubMed
-
- Nelson DE, Bland S, Powell-Griner E, et al. State trends in health risk factors and receipt of clinical preventive services among US adults during the 1990s. JAMA 2002; 287:2659–2667. - PubMed
-
- Faulkner LA, Schauffler HH. The effect of health insurance coverage on the appropriate use of recommended clinical preventive services. Am J Prev Med 1997; 13:453–458. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous