Influence of health-related quality of life on health service utilization in Chinese rural-to-urban female migrant workers

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• 作者：Chu-Hong Lu (1) (2)
  Pei-Xi Wang (1) (2)
  Yi-Xiong Lei (1)
  Zhong-Cheng Luo (3)
  
  1. Department of Preventive Medicine ; School of Public Health ; Guangzhou Medical University ; Guangzhou ; China
  2. Institute of Public Health ; School of Nursing ; Henan University ; Kaifeng ; China
  3. Ministry of Education-Shanghai Key Laboratory of Children鈥檚 Environmental Health ; Xin Hua Hospital ; Shanghai Jiao-Tong University School of Medicine ; Shanghai ; China
  
• 关键词：Health ; related quality of life ; Health service utilization ; Female migrant worker ; Chinese
• 刊名：Health and Quality of Life Outcomes
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：12
• 期：1
• 全文大小：218 KB
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• 刊物主题：Quality of Life Research; Quality of Life Research;
• 出版者：BioMed Central
• ISSN：1477-7525

文摘

Background Rural-to-urban migrant workers have been increasing rapidly in China over recent decades. Health related quality of life (HRQOL) may affect health service utilization. There is a lack of data on HRQOL in relation to health service utilization in Chinese rural-to-urban migrant workers. This study was aimed to explore the influence of HRQOL on health service utilization in Chinese rural-to-urban female migrant workers. Methods This was a cross-sectional survey of 1,438 female rural-to-urban migrant workers in Shenzhen-Dongguan economic zone, China in 2013. HRQOL was assessed by the 36-items Health Survey Short Form (SF-36). Health service utilization was measured by any physician visit over the recent two weeks and any hospitalization over the last 1-year (annual hospitalization). Clustered logistic regression was used to analyze the influence of HRQOL on health service utilization. Results Lower scores in three HRQOL domains (bodily pain, general health, role physical) were associated with more frequent health service utilization in female rural-to-urban migrant workers. Bodily pain and general health were associated with an independent influence of 15.6% on the risk of recent two-week physician visit, while role physical and general health were associated with an independent influence of 21.2% on the risk of annual hospitalization. The independent influence of HRQOL on health service utilization was smaller than that of socio-demographic and health-related variables. Conclusions HRQOL may have a modest influence on health service utilization in Chinese rural-to-urban female migrant workers - an underprivileged population in urban China.