Intergenerational differences and influential factors of basic public health service utilization for floating population.

Abstract

OBJECTIVES\nThe Fourth Plenary Session of the 19th Central Committee of the Communist Party of China put forward the idea of promoting the equalization of basic public services . The utilization of basic public health services by the floating population is an important indicator to measure the equalization of basic public health services. This study aims to understand the intergenerational differences in the utilization of basic public health services between the older generation and the new generation of floating population, and to analyze the influential factors.\n\n\nMETHODS\nWe employed the personal questionnaire (A) of the national health and family planning dynamic monitoring survey on floating population in 2017. Pearson Chi-square test, bi-grouping logistic regression, and Poisson regression were applied to analyze the basic situation of the floating population and the intergenerational differences in the use of basic public health services between the new and old generations.\n\n\nRESULTS\nThe proportions of the new generation and the old generation who had established the residents health records in the inflow area were 36.42% and 34.96%, respectively, with the significant difference (P<0.01). In the new generation, 74.07% of the floating population received at least one health education, 5.33 percentage higher than that in the old generation. The proportion of the old generation in the health education of chronic disease prevention and control was significantly higher than that of the new generation (P<0.01). The proportions of the other eight kinds of health education were significantly lower than those of the new generation (all P<0.05).\n\n\nCONCLUSIONS\nAlthough the coverage of basic public health services for the two generations of floating population is obviously different, the utilization of basic public health services of the floating population is still at a low level both in the new generation and in the old generation. There is an urgent need to improve the utilization of public health services for the whole floating population according to the characteristics of generations.