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ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Health Policy
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1456839

Factors Influencing Health Service Utilization Among 19,869 China's Migrant Population: An Empirical Study Based on the Andersen Behavioral Model

Provisionally accepted
Beizhu Ye Beizhu Ye 1*Yalin Song Yalin Song 1Jingru Liu Jingru Liu 1Shuming Yan Shuming Yan 1Mingze Ma Mingze Ma 1Clifford Silver Tarimo Clifford Silver Tarimo 1,2Yiyang Chen Yiyang Chen 1Yanhong Lai Yanhong Lai 1Xinghong Guo Xinghong Guo 1Jian Wu Jian Wu 1
  • 1 Zhengzhou University, Zhengzhou, China
  • 2 Dar es Salaam Institute of Technology, Dar es Salaam, Tanzania

The final, formatted version of the article will be published soon.

    Background: With the surge in population migration across China, particularly from rural to urban regions, the migrant population encounters unique challenges in accessing healthcare services. This study addresses the gap in health service utilization among migrants, specifically examining their engagement with basic public health services and the factors that impact these interactions.Methods: In the year 2023, a cross-sectional survey was carried out among 19,869 migrants in China, employing a multi-stage stratified sampling technique for participant recruitment. The analysis was guided by the Andersen Health Service Utilization Model, examining predisposing, enabling, and needing factors related to health service utilization. Chi-square test and multivariate logistic regression were used to explore the group difference and the associations between demographic characteristics and utilization of health service.The study revealed significant underutilization of health services among the migrant communities, with only a minority having established health records or engaged with family doctors. Additionally, there existed a notable disparity in health education and the proactive pursuit of health knowledge. Age, gender, educational level, socioeconomic status, employment status, and proximity to healthcare facilities significantly influenced health service utilization.Notably, healthier lifestyle choices correlated with the increased involvement in health services.The findings highlight a substantial need for targeted health policy interventions and healthcare system reforms to enhance the accessibility and utilization of health services among the migrant population in China. Promoting education on health services, improving healthcare infrastructure, and addressing the unique needs and barriers encountered by migrants are crucial measures for achieving equitable health outcomes.

    Keywords: Migrant population, health service utilization, Anderson model, lifestyle, Public Health

    Received: 29 Jun 2024; Accepted: 08 Jan 2025.

    Copyright: © 2025 Ye, Song, Liu, Yan, Ma, Tarimo, Chen, Lai, Guo and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Beizhu Ye, Zhengzhou University, Zhengzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.