Skip to main content

Advertisement

Log in

The promoting effect of health education on medical treatment seeking behavior in the context of healthy China: based on the comparison of migrants and registered local residents

  • Original Article
  • Published:
China Population and Development Studies Aims and scope Submit manuscript

Abstract

The migrants are the important participant and contributor in China's economic and social construction, but they still have many restrictions on their access to health services. This paper analyzes the differences between the migrants and the registered local residents in looking for medical treatment and explores the relationship between health education and medical treatment seeking behavior, so as to find an appropriate way to improve the health level of the migrants. By using the comparative survey data of the floating population and registered population in 2017 and establishing the binary Logit model, this paper finds that the health education has a promoting effect on medical treatment seeking behaviors. In terms of the influence mechanism of health education on medical treatment seeking behavior, the mediating effect of social participation factors is stronger in the migrants’ group because making new friends and learning about local public health resources through health education is of great significance to the migrants. It is proposed to expand the coverage of health education among migrant groups and improve the accessibility of health education. At the same time, public medical and health services should be used as a window to guide the migrants to seek medical treatment in an orderly manner while assisting their social integration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. https://www.chinaldrk.org.cn/wjw/#/data/index.

References

  • Ahmadinia, H., Eriksson-Backa, K., & Nikou, S. (2022). Health-seeking behaviours of immigrants, asylum seekers and refugees in Europe: A systematic review of peer-reviewed articles. Journal of Documentation, 78(7), 18–41. https://doi.org/10.1108/JD-10-2020-0168

    Article  Google Scholar 

  • Du, B. F., & Miao, F. (2012). Influencing factors and measurement analysis of medical flow choice of young floating population: Based on the survey in Beijing, Shanghai and Shenzhen. Population Research, 36(6), 71–86. in Chinese.

    Google Scholar 

  • Du, B. F., Cao, G., & Xu, F. (2018a). Analysis on health status and influencing factors of medical service utilization of floating elderly. China Health Policy Research, 11(5), 10–16. https://doi.org/10.3969/j.issn.1674-2982.2018a.05.002. in Chinese.

    Article  Google Scholar 

  • Du, B. F., Han, X., & Fu, L. L. (2018b). Demand, supply, utilization and health promotion strategy choice of medical and health services for floating population: From the perspective of medical service utilization behavior model. China Health Policy Research, 11(2), 23–29. https://doi.org/10.3969/j.issn.1674-2982.2018b.02.004. in Chinese.

    Article  Google Scholar 

  • Duan, C. R., Lv, L. D., & Zou, X. J. (2013). Main problems and countermeasures faced by Chinese floating population at present: Analysis based on the data of the sixth national census in 2010. Population Research, 37(2), 17–24. in Chinese.

    Google Scholar 

  • Feng, G. P., Qiao, N., & Qu, C. B. (2017). Study on the impact of medical insurance model on the accessibility of medical and health services for floating population: Based on the survey data of Dalian. Journal of Dalian University of Technology (Social Sciences), 38(1), 144–150. https://doi.org/10.19525/j.issn1008-407x.2017.01.022. in Chinese.

    Article  Google Scholar 

  • Giannoni, M., Franzini, L., & Masiero, G. (2016). Migrant integration policies and health inequalities in Europe. BMC Public Health, 16, 463. https://doi.org/10.1186/s12889-016-3095-9

    Article  Google Scholar 

  • Guo, J., Zhou, Q. Y., & Weng, H. Y. (2015). Multilevel logistic regression model analysis of health service utilization and influencing factors of floating population. China Health Economics, 34(3), 50–52. https://doi.org/10.7664/CHE20150314. in Chinese.

    Article  Google Scholar 

  • Guo, J., Shao, F., & Fan, H. (2016). Analysis on accessibility and influencing factors of basic public health services for floating population. China Health Policy Research, 9(8), 75–82. https://doi.org/10.3969/j.issn.1674-2982.2016.08.013

    Article  Google Scholar 

  • Guo, J., Dai, Y., & Fu, L. L. (2019). Study on influencing factors of medical seeking behavior of floating elderly population: Based on structural equation model. China Health Policy Research, 12(2), 35–40. in Chinese.

    Google Scholar 

  • He, A. Q., Yu, Y., & Zheng, S. (2022). Analysis on influencing factors of medical seeking behavior of floating population patients with chronic diseases: Based on hierarchical model. Public Health in China, 38(1), 75–78. https://doi.org/10.11847/zgggws1127307. in Chinese.

    Article  Google Scholar 

  • Hu, L., & Zhang, X. Y. (2020). Analysis on the equalization of basic public health services for China’s floating population: Based on the thematic data of China’s floating population dynamic monitoring survey in 2017. Journal of Anhui University of Science and Technology (Social Science), 22(6), 31–37. in Chinese.

    Google Scholar 

  • Hu, L. X., Chen, Y. Y., & Li, J. (2007). Analysis and evaluation of health education on AIDS prevention and treatment among floating population in Hangzhou development zone. China Health Education, 6, 431–433. https://doi.org/10.3969/j.issn.1002-9982.2007.06.010. in Chinese.

    Article  Google Scholar 

  • Ji, Y., Yuan, Y. F., & Li, C. Y. (2013). Comparative analysis of health status and utilization of health services between floating population and rural youth. Journal of Population, 35(2), 90–96. https://doi.org/10.3969/j.issn.1004-129X.2013.02.010. in Chinese.

    Article  Google Scholar 

  • Jiang, H. S. (2016). Study on medical insurance and medical service utilization of floating population: Based on the national dynamic monitoring data of floating population. Research World, 7, 14–20. https://doi.org/10.13778/j.cnki.11-3705/c.2016.07.003. in Chinese.

    Article  Google Scholar 

  • Jiang, T. T., Zhao, Y. Z., & Shi, Z. L. (2015). Analysis on the medical seeking behavior of floating population and the utilization quality of public health services: Based on the dynamic monitoring survey of floating population in Hubei province in 2013. Macro Quality Research, 3(1), 111–119. https://doi.org/10.3969/j.issn.2095-607X.2015.01.013. in Chinese.

    Article  Google Scholar 

  • Leng, C. X., & Zhu, Z. K. (2020). Basic public health services for floating population in China: Current situation and factor analysis. Economic System Reform, 6, 36–42. in Chinese.

    Google Scholar 

  • Li, G. S., Gao, Y. H., & Qi, Y. M. (2012). Effect evaluation of health education on health knowledge and behavior of young floating population and utilization of health services. China Health Education, 28(2), 138–140. in Chinese.

    Google Scholar 

  • Li, L., Li, Y. H., & Nie, X. Q. (2018). Analysis on health literacy level and its influencing factors of floating population from 2014 to 2016. China Health Education, 34(11), 963–967. https://doi.org/10.16168/j.cnki.issn.1002-9982.2018.11.001. in Chinese.

    Article  Google Scholar 

  • Li, L., Li, Y. H., & Nie, X. Q. (2020). Analysis on the relationship between health literacy and mobility characteristics of some floating population in Suzhou, Jiangsu Province. China Health Education, 36(11), 977–981. https://doi.org/10.16168/j.cnki.issn.1002-9982.2020.11.003. in Chinese.

    Article  Google Scholar 

  • Liu, L. C. (2019). Remote medical treatment of elderly floating population: Behavioral characteristics, support system and institutional guarantee. Population & Economics, 35(1), 39–51. https://doi.org/10.14132/j.2095-7963.2019.01.006. in Chinese.

    Article  Google Scholar 

  • Liu, H. Y., Luo, F., & Zhang, Y. (2013). Mediating effect analysis with dependent variable as hierarchical variable. Journal of Psychology., 45(12), 1431–1442. https://doi.org/10.3724/SP.J.1041.2013.01431. in Chinese.

    Article  Google Scholar 

  • Lou, P. Y., Luo, S., & Zhang, J. (2019). Relationship between health literacy and medical seeking behavior of college students in Shandong province. Chinese School Health, 40(12), 1820–1827. https://doi.org/10.16835/j.cnki.1000-9817.2019.12.015

    Article  Google Scholar 

  • Ma, C., Gu, H., & Han, J. Y. (2014). Study on the inequality of opportunity in the utilization of health services in China: An empirical analysis based on CHNS 2009 data. Journal of Public Administration, 11(2), 91–143. in Chinese.

    Google Scholar 

  • Meng, Y. Y., & Han, J. Q. (2019). The influence of medical insurance system on the utilization of health services of floating population. Chinese Journal of Population Science, 5, 110–120. in Chinese.

    Google Scholar 

  • Shi, M. F., Li, Y. H., & Li, L. (2018). Analysis of interview results on the current situation of health literacy of floating population in three provinces of China. China Health Education, 34(12), 1059–1062. https://doi.org/10.16168/j.cnki.issn.1002-9982.2018.12.001. in Chinese.

    Article  Google Scholar 

  • Shi, H., Zhang, X. M., & Li, X. R. (2020). Analysis of influencing factors of floating population without medical treatment after illness in a year: Based on structural equation model. Medicine and Society, 33(10), 44–49. https://doi.org/10.13723/j.yxysh.2020.10.009. in Chinese.

    Article  Google Scholar 

  • Song, Q. C., & Yin, K. (2021). Study on the choice and influencing factors of first visit behavior of elderly floating population in China. Dongyue Lun Cong, 42(1), 136–192. https://doi.org/10.15981/j.cnki.dongyueluncong.2021.01.014. in Chinese.

    Article  Google Scholar 

  • Tang, Z. Y. (2018). Intergenerational comparison of migrant workers’ choice of participating in medical insurance and medical treatment: Based on the data of nine provinces and cities in eastern China from the 2014 national floating population health and family planning dynamic monitoring survey. Guangdong Social Sciences, 1, 210–217. https://doi.org/10.3969/j.issn.1000-114X.2018.01.023. in Chinese.

    Article  Google Scholar 

  • Tao, Y. H., & Shen, Y. (2018). Spatial difference of accessibility of medical facilities and its influencing factors: Based on the comparison between registered residence and floating population in Shanghai. Progress in Geographical Science, 37(8), 1075–1085. https://doi.org/10.18306/dlkxjz.2018.08.007. in Chinese.

    Article  Google Scholar 

  • Wang, L., & Yuan, X. (2018). Analysis on health education acceptance level and influencing factors of floating population in Tianjin. China Health Education, 34(1), 29–37. https://doi.org/10.16168/j.cnki.issn.1002-9982.2018.01.007. in Chinese.

    Article  Google Scholar 

  • Wang, H. R., Cheng, Q., & Ni, Z. L. (2019). Can the equalization policy of basic public services for health and family planning improve the utilization of medical services for the floating population. Financial Research, 4, 91–101. in Chinese.

    Google Scholar 

  • Wang, X. H., Li, J. B., & Yang, Y. (2021). Analysis on the current situation and influencing factors of health education and establishment of health records for the elderly floating population in China. China Public Health, 37(2), 203–208. https://doi.org/10.11847/zgggws1128961. in Chinese.

    Article  Google Scholar 

  • Xue, L. P., Fan, H., & Guo, J. (2017). Study on the current situation and influencing factors of health education for floating population. China Health Education, 33(9), 771–796. https://doi.org/10.16168/j.cnki.issn.1002-9982.2017.09.001. in Chinese.

    Article  Google Scholar 

  • Yan, Q., & Tong, L. (2019). Analysis on the utilization of basic public health services and influencing factors of young floating population. China Public Health, 35(6), 680–684. https://doi.org/10.11847/zgggws1119401. in Chinese.

    Article  Google Scholar 

  • Yin, Q., Xu, Q. L., & Zheng, Y. Y. (2017). Analysis on utilization status and influencing factors of inpatient medical services of floating population. China Public Health, 33(3), 448–451. https://doi.org/10.11847/zgggws2017-33-03-28. in Chinese.

    Article  Google Scholar 

  • Yue, J. L., & Li, X. Y. (2014). Health awareness and health service utilization of floating population from the perspective of community: A study based on the Pearl River Delta. Journal of Public Administration, 11(4), 125–144. in Chinese.

    Google Scholar 

  • Zeng, Z., Chen, W., & Xia, Y. H. (2012). Analysis of the difference between the registered residence population and floating population in Guangzhou and its influencing factors. China Health Administration, 29(6), 417–450. https://doi.org/10.3969/j.issn.1004-4663.2012.06.006. in Chinese.

    Article  Google Scholar 

  • Zhang, P. F., Zheng, S. S., & Wang, Y. X. (2018). Meta analysis of two-week non-visit rate after illness of floating population in China from 2013 to 2018. Occupational Health and Injury, 33(3), 136–139. in Chinese.

    Google Scholar 

  • Zhang, J., Cai, J. L., & He, Z. C. (2021). Comparative analysis of health education status and influencing factors between floating population and registered residence population. Medicine and Society, 34(7), 1–6. https://doi.org/10.13723/j.yxysh.2021.07.001. in Chinese.

    Article  Google Scholar 

  • Zhao, Y. F., & Wang, X. H. (2020). Research on the impact of public health education on the health status of floating population: An empirical analysis based on the data of national floating population dynamic monitoring survey in 2018. Journal of Hunan Agricultural University (Social Sciences), 21(5), 61–94. https://doi.org/10.13331/j.cnki.jhau(ss).2020.05.008. in Chinese.

    Article  Google Scholar 

  • Zhu, Y. P., Yue, J. L., & Li, W. M. (2014). Policy participants, policy formulation and improvement of medical and health status of floating population: The path of policy network. Public Administration Review, 7(4), 46–184. https://doi.org/10.3969/j.issn.1674-2486.2014.04.003. in Chinese.

    Article  Google Scholar 

Download references

Funding

This study was funded by Jiangsu Provincial University Philosophy and Social Science Research Fund (grant number 2022SJYB0105).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Luchan Liu.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liu, L., Zhang, R. & Huang, J. The promoting effect of health education on medical treatment seeking behavior in the context of healthy China: based on the comparison of migrants and registered local residents. China popul. dev. stud. 7, 181–199 (2023). https://doi.org/10.1007/s42379-022-00125-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42379-022-00125-w

Keywords

Navigation