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

Area of Science:

• Public Health
• Sociology
• Health Services Research

Background:

• The equalization of basic public services is a key policy objective.
• Utilization of basic public health services by the floating population is a critical indicator for assessing service equalization.
• Understanding intergenerational differences in service utilization is essential for targeted interventions.

Purpose of the Study:

• To investigate intergenerational disparities in basic public health service utilization among the floating population.
• To identify factors influencing these disparities between older and newer generations of migrants.

Main Methods:

• Utilized data from the 2017 national health and family planning dynamic monitoring survey on the floating population.
• Employed Pearson Chi-square test, bi-grouping logistic regression, and Poisson regression for analysis.

Main Results:

• Significant differences were observed in establishing health records between the new (36.42%) and old (34.96%) generations (P<0.01).
• The new generation received more general health education (74.07%) than the old generation.
• The old generation had higher utilization of chronic disease prevention education, while the new generation accessed other health education types more frequently (all P<0.05).

Conclusions:

• Despite generational differences, overall utilization of basic public health services remains low for both the new and old floating population generations.
• There is a critical need to enhance public health service utilization across the entire floating population, considering generational specificities.