Abstract
Using a multi-stage cluster sampling approach, we collected healthcare and demographic data from 531 migrants and 529 local urban residents aged 16–64 in Shanghai, China. Logistic regressions were used to analyze the relationship between gender-migration status and healthcare utilization while controlling for predisposing, enabling and needs factors. Other things equal, female migrants and male locals had significantly lower actual healthcare utilization rates, compared to female locals. Female migrants were more likely to report “no money” as a reason for not seeking care, while male locals were more likely to report “self-medication” as a reason. Considering established gender differences in healthcare utilization, we conclude that female migrants as a group face the most healthcare access barriers among all groups.
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Acknowledgments
This study was jointly sponsored by the University of Utah, The Chinese University of Hong Kong and Fudan University. The authors thank Xiaoxin Su for her valuable research assistance.
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Fan, J.X., Wen, M., Jin, L. et al. Disparities in Healthcare Utilization in China: Do Gender and Migration Status Matter?. J Fam Econ Iss 34, 52–63 (2013). https://doi.org/10.1007/s10834-012-9296-1
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DOI: https://doi.org/10.1007/s10834-012-9296-1