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Int. J. Environ. Res. Public Health 2015, 12(2), 2205-2214; doi:10.3390/ijerph120202205

Health-Related Quality of Life and Health Service Utilization in Chinese Rural-to-Urban Migrant Workers

1
Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou 510182, China
2
Institute of Public Health, School of Nursing, Henan University, Kaifeng 475004, China
3
Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xin Hua Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai 200092, China
4
Community Health Services Center of Liaobu, Dongguan 523401, China
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 14 November 2014 / Revised: 7 January 2015 / Accepted: 13 February 2015 / Published: 16 February 2015
View Full-Text   |   Download PDF [674 KB, uploaded 16 February 2015]

Abstract

Objectives: The number of rural-to-urban migrant workers has been increasing rapidly in China over recent decades, but there is a scarcity of data on health-related quality of life (HRQOL) and health service utilization among Chinese rural-to-urban migrant workers in comparison to local urban residents. We aimed to address this question. Methods: This was a cross-sectional study of 2315 rural-to-urban migrant workers and 2347 local urban residents in the Shenzhen-Dongguan economic zone (China) in 2013. Outcomes included HRQOL (measured by Health Survey Short Form 36) and health service utilization (self-reported). Results: Compared to local urban residents, rural-to-urban migrant workers had lower scores in all domains of HRQOL, and were more likely to report chronic illnesses (9.2% vs. 6.0%, adjusted OR = 1.62, 95% CI 1.28–2.04) and recent two-week morbidity (21.3% vs. 5.0%, adjusted OR = 5.41, 95% CI 4.26–6.88). Among individuals who reported sickness in the recent two weeks, migrant workers were much less likely to see a doctor (32.7% vs. 66.7%, adjusted OR = 0.21, 95% CI 0.13–0.36). Conclusions: Chinese rural-to-urban migrant workers have lower HRQOL, much more frequent morbidity, but are also much less likely to see a doctor in times of sickness as compared to local urban residents, indicating the existence of significant unmet medical care needs in this population. View Full-Text
Keywords: health-related quality of life (HRQOL); health service utilization; migrant workers health-related quality of life (HRQOL); health service utilization; migrant workers
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Lu, C.-H.; Luo, Z.-C.; Wang, J.-J.; Zhong, J.-H.; Wang, P.-X. Health-Related Quality of Life and Health Service Utilization in Chinese Rural-to-Urban Migrant Workers. Int. J. Environ. Res. Public Health 2015, 12, 2205-2214.

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