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Open AccessArticle

Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China

1
School of Public Health, Nanchang University, Nanchang, Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang 330006, China
2
Queen Mary School, Nanchang University, Nanchang 330006, China
3
Office of Public Health Studies, University of Hawaii at Mānoa, Honolulu, HI 96822, USA
4
Global Health Institute, Wuhan University, Wuhan 430071, China
*
Author to whom correspondence should be addressed.
These authors contributed equally to this study.
Int. J. Environ. Res. Public Health 2020, 17(2), 514; https://doi.org/10.3390/ijerph17020514
Received: 11 December 2019 / Revised: 8 January 2020 / Accepted: 9 January 2020 / Published: 14 January 2020
(This article belongs to the Special Issue Potential Risks and Factors of Women's Health Promotion)
The aim of this study is to understand the utilization of inpatient services and its contributing factors among middle-aged and elderly females (MAEF) in less developed rural regions. Five surveys were conducted between 2006 and 2014 with rural residents of Jiangxi by stratified cluster random sampling. Participant females included only those who were aged 45 and above. Complex sampling logistics analysis was performed to analyze the effect of three factors on inpatient service. Complex sampling logistics regression analysis revealed that the probability of hospitalization for the divorced or widowed females was significantly lower than that of married ones (aOR = 0.177, p < 0.05). However, the probability of early discharge was significantly higher among divorced or widowed females than married ones (aOR = 3.237, p < 0.05). In addition, females with chronic diseases were more likely to be hospitalized (aOR = 3.682, p < 0.05). Also, early discharge (aOR = 7.689, p < 0.05) occurred among the participants who should be hospitalized but were not hospitalized occurred (aOR = 3.258, p < 0.05). The continuous improvement of the new rural cooperative medical policy has promoted the utilization of inpatient services for the MAEF. Findings from this study emphasize the need to strengthen the prevention and treatment of chronic diseases among middle-aged and elderly women. View Full-Text
Keywords: less developed regions; rural; middle-aged and elderly; female; inpatient less developed regions; rural; middle-aged and elderly; female; inpatient
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Wen, X.; Cui, L.; Yuan, F.; Liu, X.; Ouyang, M.; Sun, Y.; Liu, Y.; Liu, Y.; Yu, H.; Zheng, H.; Lu, Y.; Yuan, Z. Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China. Int. J. Environ. Res. Public Health 2020, 17, 514.

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