Association between health service utilisation of internal migrant children and parents’ acculturation in Guangdong, China: a cross-sectional study
ObjectivesTo assess the health service utilisation of internal migrant children in Guangdong, China, and to explore the association between children’s health service utilisation and their parents’ acculturation.DesignCross-sectional survey between April and May 2016.SettingSix society-run schools of...
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| Veröffentlicht in: | BMJ open 2018-01, Vol.8 (1), p.e018844-e018844 |
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| description | ObjectivesTo assess the health service utilisation of internal migrant children in Guangdong, China, and to explore the association between children’s health service utilisation and their parents’ acculturation.DesignCross-sectional survey between April and May 2016.SettingSix society-run schools of Tianhe and Baiyun districts in Guangzhou City of China.ParticipantsWe recruited all students at grade 7 or 8 and one of their parents who resided in Guangzhou over 6 months without permanent registered residence (hukou) in Guangzhou (1161 pairs completed this survey). 258 children were ill within the past 2 weeks or during the last year.Main outcome measuresThe main outcome was self-reported health service utilisation. Logistic regression analysis was conducted to explore the association between children’s unmet needs for outpatient or inpatient service and their parents’ acculturation (categorised into high, middle and low groups).ResultsIn total, 216 children, or 18.6% of the total subjects, were ill within the past 2 weeks and were in need of outpatient service; 94 children, or 8.1% of the total subjects, were in need of inpatient service. Among them, 17.6% and 46.8% of the migrant children had unmet needs for outpatient and inpatient services, respectively. After controlling for enabling resources and predisposing characteristics, migrant children with parents in the middle-acculturation group (adjusted OR=3.17, 95% CIs 1.2 to 8.3, P |
| doi_str_mv | 10.1136/bmjopen-2017-018844 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5781153</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1989593161</sourcerecordid><originalsourceid>FETCH-LOGICAL-b472t-ef5085b681fa6a0bc30afdbb2b355be2c4d8b61cb36a41fcefeaa9a9876d4d803</originalsourceid><addsrcrecordid>eNqNkcFu1DAQhiMEolXpEyAhS1w4kGLHcRJzQKpWUJAqcYGzNXYmG68Se7Gdot54CQ68Hk-ClyxV4YQvHmm-_9fM_EXxlNELxnjzSs87v0dXVpS1JWVdV9cPitOK1nXZUCEe3qtPivMYdzS_WkghqsfFSSU5Z7LpTovvlzF6YyFZ74jG9BXRkRFhSiOJGG6sQbIkO9m4In4g1iUMDiYy220Al4gZ7dSHrAPXkz3kKsWf334QMGaZ0hJWpXXkagG37b3bviSb0Tp4TYCY4GMsI5oDlE1jWvrbJ8WjAaaI58f_rPj87u2nzfvy-uPVh83ldanrtkolDoJ2QjcdG6ABqg2nMPRaV5oLobEydd_phhnNG6jZYHBAAAmya5s-tyg_K96svvtFz9ibPHmASe2DnSHcKg9W_d1xdlRbf6NE2zEmeDZ4cTQI_suCManZRoPTBA79EhWTnRSSs4Zl9Pk_6M4vhztGVVEp65a3VGSKr9TvuwQc7oZhVB2SV8fk1SF5tSafVc_u73Gn-ZNzBi5WIKv_y_EXXS_AkQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2099473705</pqid></control><display><type>article</type><title>Association between health service utilisation of internal migrant children and parents’ acculturation in Guangdong, China: a cross-sectional study</title><source>BMJ Open Access Journals</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Peng, Bo-li ; Zou, Guan-yang ; Chen, Wen ; Lin, Yan-wei ; Ling, Li</creator><creatorcontrib>Peng, Bo-li ; Zou, Guan-yang ; Chen, Wen ; Lin, Yan-wei ; Ling, Li</creatorcontrib><description>ObjectivesTo assess the health service utilisation of internal migrant children in Guangdong, China, and to explore the association between children’s health service utilisation and their parents’ acculturation.DesignCross-sectional survey between April and May 2016.SettingSix society-run schools of Tianhe and Baiyun districts in Guangzhou City of China.ParticipantsWe recruited all students at grade 7 or 8 and one of their parents who resided in Guangzhou over 6 months without permanent registered residence (hukou) in Guangzhou (1161 pairs completed this survey). 258 children were ill within the past 2 weeks or during the last year.Main outcome measuresThe main outcome was self-reported health service utilisation. Logistic regression analysis was conducted to explore the association between children’s unmet needs for outpatient or inpatient service and their parents’ acculturation (categorised into high, middle and low groups).ResultsIn total, 216 children, or 18.6% of the total subjects, were ill within the past 2 weeks and were in need of outpatient service; 94 children, or 8.1% of the total subjects, were in need of inpatient service. Among them, 17.6% and 46.8% of the migrant children had unmet needs for outpatient and inpatient services, respectively. After controlling for enabling resources and predisposing characteristics, migrant children with parents in the middle-acculturation group (adjusted OR=3.17, 95% CIs 1.2 to 8.3, P<0.05) were more likely to have an unmet outpatient need than high-acculturation or low-acculturation groups, although only statistically significant when comparing with the high-acculturation group. Stratified analysis suggested that this association could be moderated by their family economic status.ConclusionsOur study suggested that the association between migrant children’s health service utilisation and their parents’ acculturation was complex and could be moderated by family economic status. Increasing the service utilisation among migrant children requires improving the acculturation and economic status of the parents of internal migrants.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2017-018844</identifier><identifier>PMID: 29331968</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Acculturation ; Adult ; Child ; Child Health ; Child Health Services ; China ; Cross-Sectional Studies ; Delivery of Health Care ; Economic development ; Emergency medical care ; Families & family life ; Female ; Health care policy ; Health insurance ; Health services ; Health services utilization ; Humans ; Identity ; Language proficiency ; Logistic Models ; Male ; Noncitizens ; Odds Ratio ; Parents ; Parents & parenting ; Patient Acceptance of Health Care ; Public Health ; Rural areas ; Rural Population ; Self Report ; Self-medication ; Social Class ; Social structure ; Transients and Migrants ; Urban areas ; Urban Population</subject><ispartof>BMJ open, 2018-01, Vol.8 (1), p.e018844-e018844</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>2018 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-ef5085b681fa6a0bc30afdbb2b355be2c4d8b61cb36a41fcefeaa9a9876d4d803</citedby><cites>FETCH-LOGICAL-b472t-ef5085b681fa6a0bc30afdbb2b355be2c4d8b61cb36a41fcefeaa9a9876d4d803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://bmjopen.bmj.com/content/8/1/e018844.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://bmjopen.bmj.com/content/8/1/e018844.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27526,27527,27901,27902,53766,53768,77343,77374</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29331968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peng, Bo-li</creatorcontrib><creatorcontrib>Zou, Guan-yang</creatorcontrib><creatorcontrib>Chen, Wen</creatorcontrib><creatorcontrib>Lin, Yan-wei</creatorcontrib><creatorcontrib>Ling, Li</creatorcontrib><title>Association between health service utilisation of internal migrant children and parents’ acculturation in Guangdong, China: a cross-sectional study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesTo assess the health service utilisation of internal migrant children in Guangdong, China, and to explore the association between children’s health service utilisation and their parents’ acculturation.DesignCross-sectional survey between April and May 2016.SettingSix society-run schools of Tianhe and Baiyun districts in Guangzhou City of China.ParticipantsWe recruited all students at grade 7 or 8 and one of their parents who resided in Guangzhou over 6 months without permanent registered residence (hukou) in Guangzhou (1161 pairs completed this survey). 258 children were ill within the past 2 weeks or during the last year.Main outcome measuresThe main outcome was self-reported health service utilisation. Logistic regression analysis was conducted to explore the association between children’s unmet needs for outpatient or inpatient service and their parents’ acculturation (categorised into high, middle and low groups).ResultsIn total, 216 children, or 18.6% of the total subjects, were ill within the past 2 weeks and were in need of outpatient service; 94 children, or 8.1% of the total subjects, were in need of inpatient service. Among them, 17.6% and 46.8% of the migrant children had unmet needs for outpatient and inpatient services, respectively. After controlling for enabling resources and predisposing characteristics, migrant children with parents in the middle-acculturation group (adjusted OR=3.17, 95% CIs 1.2 to 8.3, P<0.05) were more likely to have an unmet outpatient need than high-acculturation or low-acculturation groups, although only statistically significant when comparing with the high-acculturation group. Stratified analysis suggested that this association could be moderated by their family economic status.ConclusionsOur study suggested that the association between migrant children’s health service utilisation and their parents’ acculturation was complex and could be moderated by family economic status. Increasing the service utilisation among migrant children requires improving the acculturation and economic status of the parents of internal migrants.</description><subject>Acculturation</subject><subject>Adult</subject><subject>Child</subject><subject>Child Health</subject><subject>Child Health Services</subject><subject>China</subject><subject>Cross-Sectional Studies</subject><subject>Delivery of Health Care</subject><subject>Economic development</subject><subject>Emergency medical care</subject><subject>Families & family life</subject><subject>Female</subject><subject>Health care policy</subject><subject>Health insurance</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Identity</subject><subject>Language proficiency</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Noncitizens</subject><subject>Odds Ratio</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Patient Acceptance of Health Care</subject><subject>Public Health</subject><subject>Rural areas</subject><subject>Rural Population</subject><subject>Self Report</subject><subject>Self-medication</subject><subject>Social Class</subject><subject>Social structure</subject><subject>Transients and Migrants</subject><subject>Urban areas</subject><subject>Urban Population</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkcFu1DAQhiMEolXpEyAhS1w4kGLHcRJzQKpWUJAqcYGzNXYmG68Se7Gdot54CQ68Hk-ClyxV4YQvHmm-_9fM_EXxlNELxnjzSs87v0dXVpS1JWVdV9cPitOK1nXZUCEe3qtPivMYdzS_WkghqsfFSSU5Z7LpTovvlzF6YyFZ74jG9BXRkRFhSiOJGG6sQbIkO9m4In4g1iUMDiYy220Al4gZ7dSHrAPXkz3kKsWf334QMGaZ0hJWpXXkagG37b3bviSb0Tp4TYCY4GMsI5oDlE1jWvrbJ8WjAaaI58f_rPj87u2nzfvy-uPVh83ldanrtkolDoJ2QjcdG6ABqg2nMPRaV5oLobEydd_phhnNG6jZYHBAAAmya5s-tyg_K96svvtFz9ibPHmASe2DnSHcKg9W_d1xdlRbf6NE2zEmeDZ4cTQI_suCManZRoPTBA79EhWTnRSSs4Zl9Pk_6M4vhztGVVEp65a3VGSKr9TvuwQc7oZhVB2SV8fk1SF5tSafVc_u73Gn-ZNzBi5WIKv_y_EXXS_AkQ</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Peng, Bo-li</creator><creator>Zou, Guan-yang</creator><creator>Chen, 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Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peng, Bo-li</au><au>Zou, Guan-yang</au><au>Chen, Wen</au><au>Lin, Yan-wei</au><au>Ling, Li</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between health service utilisation of internal migrant children and parents’ acculturation in Guangdong, China: a cross-sectional study</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>8</volume><issue>1</issue><spage>e018844</spage><epage>e018844</epage><pages>e018844-e018844</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesTo assess the health service utilisation of internal migrant children in Guangdong, China, and to explore the association between children’s health service utilisation and their parents’ acculturation.DesignCross-sectional survey between April and May 2016.SettingSix society-run schools of Tianhe and Baiyun districts in Guangzhou City of China.ParticipantsWe recruited all students at grade 7 or 8 and one of their parents who resided in Guangzhou over 6 months without permanent registered residence (hukou) in Guangzhou (1161 pairs completed this survey). 258 children were ill within the past 2 weeks or during the last year.Main outcome measuresThe main outcome was self-reported health service utilisation. Logistic regression analysis was conducted to explore the association between children’s unmet needs for outpatient or inpatient service and their parents’ acculturation (categorised into high, middle and low groups).ResultsIn total, 216 children, or 18.6% of the total subjects, were ill within the past 2 weeks and were in need of outpatient service; 94 children, or 8.1% of the total subjects, were in need of inpatient service. Among them, 17.6% and 46.8% of the migrant children had unmet needs for outpatient and inpatient services, respectively. After controlling for enabling resources and predisposing characteristics, migrant children with parents in the middle-acculturation group (adjusted OR=3.17, 95% CIs 1.2 to 8.3, P<0.05) were more likely to have an unmet outpatient need than high-acculturation or low-acculturation groups, although only statistically significant when comparing with the high-acculturation group. Stratified analysis suggested that this association could be moderated by their family economic status.ConclusionsOur study suggested that the association between migrant children’s health service utilisation and their parents’ acculturation was complex and could be moderated by family economic status. Increasing the service utilisation among migrant children requires improving the acculturation and economic status of the parents of internal migrants.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>29331968</pmid><doi>10.1136/bmjopen-2017-018844</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Acculturation Adult Child Child Health Child Health Services China Cross-Sectional Studies Delivery of Health Care Economic development Emergency medical care Families & family life Female Health care policy Health insurance Health services Health services utilization Humans Identity Language proficiency Logistic Models Male Noncitizens Odds Ratio Parents Parents & parenting Patient Acceptance of Health Care Public Health Rural areas Rural Population Self Report Self-medication Social Class Social structure Transients and Migrants Urban areas Urban Population |
| title | Association between health service utilisation of internal migrant children and parents’ acculturation in Guangdong, China: a cross-sectional study |
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