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Residents' educational attainment and preventive care utilization in China
Yen-Han Lee1, Timothy Chiang2, Ching-Ti Liu3
1Indiana University School of Public Health-Bloomington , Bloomington, Indiana, USA.
International Journal of Health Care Quality Assurance
|March 6, 2018
Summary
Higher education levels in China are linked to increased preventive care use, especially after the 2009 health reform. This study highlights the importance of education for accessing health services.
Area of Science:
- Public Health
- Health Services Research
- Health Economics
Background:
- China's 2009 health reform aimed to enhance healthcare quality.
- Preventive care utilization in China remains under-researched.
- Education is a key indicator of health outcomes.
Purpose of the Study:
- To examine the association between education level and preventive care utilization.
- To compare this association before and after China's 2009 health reform.
Main Methods:
- Analysis of four China Health and Nutrition Surveys (CHNS) datasets from 2004, 2006, 2009, and 2011.
- Application of Andersen's healthcare utilization model.
- Multivariable logistic regression, odds ratios (ORs), and 95% confidence intervals (95% CIs) were used.
Main Results:
- General education was significantly associated with preventive care access in 2004, 2009, and 2011 (p<0.05).
- Higher education levels correlated with increased odds of preventive care utilization compared to lower education levels.
- No significant association was found in 2006.
Conclusions:
- Education level is a significant factor influencing preventive care utilization in China.
- The association between education and preventive care persisted after the 2009 health reform.
- Targeted educational interventions for lower-educated populations are recommended.