From: Status and determinants of health services utilization among elderly migrants in China
Variables | Doctor visits | Hospitalization | Local inpatient care | |||
---|---|---|---|---|---|---|
OR | 95% CI | OR | 95% CI | OR | 95% CI | |
Predisposing factors | ||||||
Age (year) (reference: 60–64) | ||||||
65–69 | 1.11* | [1.01, 1.22] | 0.88 | [0.57, 1.35] | 1.08 | [0.68, 1.71] |
≥ 70 | 1.23** | [1.11, 1.37] | 0.87 | [0.57, 1.32] | 1.12 | [0.71, 1.76] |
Female (ref: male) | 1.03 | [0.95, 1.11] | 0.95 | [0.68, 1.33] | 1.23 | [0.85, 1.78] |
Currently married (ref: single) | 0.87* | [0.78, 0.97] | 1.06 | [0.70, 1.61] | 0.80 | [0.50, 1.27] |
Urban Hukou (ref: rural Hukou) | 1.13 | [0.99, 1.29] | 0.70 | [0.39, 1.27] | 1.29 | [0.65, 2.55] |
Education (ref: elementary/less) | ||||||
Middle school | 0.96 | [0.87, 1.06] | 0.75 | [0.49, 1.14] | 1.23 | [0.74, 2.05] |
High school/above | 1.02 | [0.89, 1.16] | 0.81 | [0.47, 1.40] | 1.36 | [0.75, 2.47] |
Enabling factors | ||||||
Monthly household income (RMB) (ref:≤3500 yuan) | ||||||
3501–7000 yuan | 1.29** | [1.18, 1.42] | 0.91 | [0.63, 1.31] | 0.77 | [0.49, 1.21] |
> 7000 yuan | 1.65** | [1.47, 1.84] | 1.89* | [1.12, 3.20] | 0.77 | [0.46, 1.30] |
Years of living in the city of residence (ref: ≤4 years) | ||||||
5–9 years | 0.96 | [0.88, 1.06] | 1.46 | [0.97, 2.20] | 1.03 | [0.67, 1.57] |
≥ 10 years | 0.88* | [0.79, 0.97] | 1.36 | [0.91, 2.04] | 2.64** | [1.53, 4.55] |
Migration range (ref: Across provinces) | ||||||
Across cities within a province | 0.89* | [0.81, 0.98] | 1.08 | [0.73, 1.61] | 1.27 | [0.82,1.94] |
Across counties within a city | 0.85** | [0.77, 0.94] | 1.31 | [0.88, 1.94] | 1.87** | [1.19, 2.93] |
Reasons for migration(ref: on business) | ||||||
Looking after children or grandchildren | 1.21** | [1.08, 1.36] | 3.09** | [1.79, 5.33] | 0.69 | [0.34, 1.38] |
Retirement/keeping fit | 1.27** | [1.12, 1.43] | 1.83* | [1.10, 3.05] | 1.10 | [0.54, 2.25] |
Others | 1.45** | [1.24, 1.69] | 1.41 | [0.73, 2.70] | 0.69 | [0.28, 1.68] |
Friends number ≥ 5 (ref: friend number < 5) | 1.23** | [1.13, 1.33] | 1.03 | [0.74, 1.44] | 1.88** | [1.29, 2.73] |
Health insurance (ref: NCMS) | ||||||
UEMI | 0.79** | [0.68, 0.92] | 1.86 | [0.94, 3.67] | 0.89 | [0.42, 1.87] |
Others | 0.87* | [0.76, 0.99] | 1.37 | [0.75, 2.51] | 1.63 | [0.79, 3.37] |
Local health insurance (ref: hometown health insurance) | 1.57** | [1.38, 1.78] | 1.22 | [0.72, 2.05] | 3.60 ** | [1.47, 8.84] |
Need factors | ||||||
Chronic diseases (ref: no) | 1.15** | [1.05, 1.27] | 1.20 | [0.87, 1.67] | ||
Self-rated health (ref: poor) | ||||||
Neutral | 1.01 | [0.88, 1.15] | 1.11 | [0.76, 1.62] | ||
Good | 1.14 | [0.99, 1.32] | 0.80 | [0.51, 1.25] | ||
N | 11,020 | 1128 | 844 | |||
-2 Log likelihood | 14,902.04 | 998.794 | 771.63 | |||
Cox & Snell R2 | 0.025 | 0.037 | 0.095 |