Explaining urban-rural health disparities in China

Given strict residency controls and geographic imbalances in health care resources, China may experience serious urban-rural health disparities. To investigate urban-rural disparities in the patterns of health status and health care utilization in China and to examine the evolution of these disparit...

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Vydané v:Medical care Ročník 47; číslo 12; s. 1209
Hlavní autori: Fang, Hai, Chen, Jie, Rizzo, John A
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.12.2009
Predmet:
Adolescent
Adult
Aged
China
Female
Health Behavior
Health Services - utilization
Health Status Disparities
Health Surveys
Healthcare Disparities - statistics & numerical data
Humans
Male
Middle Aged
Rural Population - statistics & numerical data
Socioeconomic Factors
Urban Population - statistics & numerical data
Young Adult
China
ISSN:1537-1948, 1537-1948
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Shrnutí:Given strict residency controls and geographic imbalances in health care resources, China may experience serious urban-rural health disparities. To investigate urban-rural disparities in the patterns of health status and health care utilization in China and to examine the evolution of these disparities from 1997 to 2006. This study uses data from the China Health and Nutrition Survey 1997-2006 with a sample of 27,897 rural and 13,898 urban respondents aged 18 or older. We use self-reported health status, activity limitations due to illness, and diagnosis of serious diseases to measure health status, and physician visits for illness to measure health care utilization. Self-reported health status of urban residents is consistently worse than their rural counterparts (OR = 0.76; P < 0.01) based on multivariate logistic regression analysis. Urban residents are significantly more likely to have activity limitations due to illness (OR = 1.13; P < 0.01) and to have been diagnosed with a serious disease (OR = 1.69; P < 0.01). Urban residents are less likely to visit physicians for illness than are rural residents, a difference that has increased substantially since 1997. Urban residents appear to fare worse than rural residents in terms of overall health status and health care utilization in China. Identifying the causes of these urban-rural health disparities and developing appropriate policy responses are critical directions for researchers and policymakers.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1537-1948
1537-1948
DOI:10.1097/MLR.0b013e3181adcc32