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

Jun 30, 2010Journal of biosocial science

Differences in Health Knowledge and Use of Services Between Migrants from Rural and Urban Areas in Kunming City, China

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Abstract

A survey of 2765 individuals revealed that rural migrants are less likely to know about and utilize high-level hospitals compared to urban residents.

Migrant populations showed a preference for private health services over public ones for general care and delivery.
Rural migrants had lower knowledge about condom sources compared to urban migrants, despite utilizing more low-cost private clinics.
Rural residents demonstrated greater knowledge and utilization of township hospitals than urban residents, who favored high-level hospitals.
The differences in health service knowledge and utilization suggest a need for targeted reforms in urban health care access.

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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.

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

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