Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Participants
2.2. Data Collection and Variables Measurement
2.3. Statistical Methods
2.4. Charactersitics of Participants
2.5. Ethics
3. Results
3.1. Resident Experience on Rural Basic Public Health Services
3.2. Influencing Factors of Residents’ Overall Satisfaction with Rural Basic Public Health Services
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Characteristics | N | % |
---|---|---|
Gender (n = 8949) | ||
Female | 5061 | 56.55 |
Male | 3888 | 43.45 |
Age (n = 8632) | ||
≤35 years | 3658 | 42.38 |
36–45 years | 1795 | 20.79 |
≥46 years | 3179 | 36.83 |
Education (n = 8980) | ||
Illiteracy | 1336 | 14.88 |
Primary school | 2036 | 22.67 |
Junior high school | 2770 | 30.85 |
Senior high school and above | 2838 | 31.6 |
Occupation (n = 8984) | ||
Farmer | 4223 | 47.01 |
Nonfarmer | 3603 | 40.1 |
Other | 1158 | 12.89 |
Monthly income (n = 8956) | ||
No regular income | 2796 | 31.22 |
≤2000 Yuan | 3754 | 41.92 |
≥2001 Yuan | 2406 | 26.86 |
Health status (n = 9019) | ||
Relatively bad | 2371 | 26.29 |
Good | 6648 | 73.71 |
Indicators | Likert 5-point Scale of Resident Satisfaction, N (%) | Satisfaction Score | Spearman Correlation 1 | |||||
---|---|---|---|---|---|---|---|---|
Strongly Dissatisfied | Dissatisfied | Neither Dissatisfied nor Satisfied | Satisfied | Strongly Satisfied | Mean ± S.D. 2 | Coeffi. 3 | p-Value | |
Health education | 198 (2.20) | 1314 (14.63) | 3288 (36.61) | 3103 (34.55) | 1078 (12.00) | 3.40 ± 0.951 | 0.537 | <0.001 |
Immunization and health man. 4 for children | 135 (1.50) | 997 (11.10) | 2848 (31.69) | 3698 (41.15) | 1308 (14.56) | 3.56 ± 0.922 | 0.521 | <0.001 |
Maternal health man. 4 | 113 (1.26) | 1223 (13.61) | 2990 (33.29) | 3398 (37.83) | 1259 (14.02) | 3.50 ± 0.937 | 0.579 | <0.001 |
Elderly health man. 4 | 135 (1.50) | 1557 (17.30) | 3026 (33.63) | 3109 (34.55) | 1172 (13.02) | 3.40 ± 0.968 | 0.577 | <0.001 |
Health man. 4 for residents with chronic diseases | 153 (1.70) | 1729 (19.23) | 2890 (32.15) | 2979 (33.14) | 1239 (13.78) | 3.38 ± 0.999 | 0.591 | <0.001 |
Reporting and handling of infectious diseases | 132 (1.47) | 1540 (17.13) | 2955 (32.87) | 3129 (34.81) | 1233 (13.72) | 3.42 ± 0.974 | 0.592 | <0.001 |
PHC worker’s attitude | 132 (1.47) | 764 (8.49) | 2817 (31.29) | 3759 (41.75) | 1532 (17.01) | 3.64 ± 0.910 | 0.710 | <0.001 |
Overall satisfaction | 124 (1.37) | 813 (9.01) | 2950 (32.71) | 3666 (40.65) | 1466 (16.25) | 3.61 ± 0.908 | N/A |
Characteristics | Mean ± S.D. 1 | One-Way ANOVA |
---|---|---|
F-Value (p-Value) | ||
Gender | 1.092 (0.296) | |
Female | 3.62 ± 0.888 | |
Male | 3.60 ± 0.932 | |
Age | 15.717 (<0.001) | |
≤35 years | 3.55 ± 0.931 | |
36–45 years | 3.64 ± 0.930 | |
≥46 years | 3.67 ± 0.864 | |
Education | 2.860 (0.035) | |
Illiteracy | 3.64 ± 0.923 | |
Primary school | 3.65 ± 0.881 | |
Junior high school | 3.59 ± 0.898 | |
≥ Senior high school | 3.59 ± 0.930 | |
Occupation | 23.263 (<0.001) | |
Farmer | 3.67 ± 0.874 | |
Nonfarmer | 3.60 ± 0.943 | |
Other | 3.47 ± 0.902 | |
Monthly income | 9.711 (<0.001) | |
No regular income | 3.55 ± 0.905 | |
≤2000 Yuan | 3.64 ± 0.909 | |
≥2001 Yuan | 3.64 ± 0.902 | |
Health status | 43.336 (<0.001) | |
Relatively bad | 3.72 ± 0.925 | |
Good | 3.58 ± 0.899 |
Variables | Multiple Linear Regression | Binary Logistic Regression | ||||||
---|---|---|---|---|---|---|---|---|
B (95% CI 1) | S.E. 2 | t-Value | p-Value | B | S.E. 2 | OR 3 (95% CI 1) | p-Value | |
Satisfaction with health education | 0.074 (0.056, 0.092) | 0.009 | 8.160 | <0.001 | 0.323 | 0.045 | 1.38 (1.26, 1.51) | <0.001 |
Satisfaction with immunization and health man. 4 for children | 0.043 (0.024, 0.061) | 0.009 | 4.498 | <0.001 | 0.170 | 0.046 | 1.19 (1.08, 1.30) | <0.001 |
Satisfaction with maternal health man. 4 | 0.074 (0.054, 0.094) | 0.010 | 7.346 | <0.001 | 0.283 | 0.048 | 1.33 (1.21, 1.46) | <0.001 |
Satisfaction with elderly health man. 4 | 0.073 (0.054, 0.092) | 0.010 | 7.438 | <0.001 | 0.288 | 0.046 | 1.33 (1.22, 1.46) | <0.001 |
Satisfaction with health man. 4 for residents with chronic diseases | 0.099 (0.080, 0.117) | 0.009 | 10.412 | <0.001 | 0.311 | 0.044 | 1.37 (1.25, 1.49) | <0.001 |
Satisfaction with reporting and handling of infectious diseases | 0.128 (0.109, 0.147) | 0.010 | 13.122 | <0.001 | 0.397 | 0.046 | 1.49 (1.36, 1.63) | <0.001 |
Satisfaction with PHC worker’s attitude | 0.425 (0.407, 0.443) | 0.009 | 46.171 | <0.001 | 1.527 | 0.050 | 4.61 (4.17, 5.08) | <0.001 |
Age (36–45 years) | 0.007 (−0.027, 0.040) | 0.017 | 0.386 | 0.700 | 0.074 | 0.085 | 1.08 (0.91, 1.27) | 0.382 |
Age (≥46 years) | 0.037 (0.005, 0.069) | 0.016 | 2.281 | 0.023 | 0.281 | 0.079 | 1.33 (1.14, 1.55) | <0.001 |
Education (Primary school) | 0.012 (−0.031, 0.054) | 0.022 | 0.542 | 0.588 | 0.119 | 0.106 | 1.13 (0.91, 1.39) | 0.265 |
Education (Junior high school) | −0.008 (−0.051, 0.035) | 0.022 | −0.365 | 0.715 | −0.091 | 0.107 | 0.91 (0.74, 1.13) | 0.395 |
Education (≥ Senior high school) | 0.002 (−0.046, 0.050) | 0.024 | 0.078 | 0.938 | 0.033 | 0.120 | 1.03 (0.82, 1.31) | 0.782 |
Occupation (Nonfarmer) | −0.017 (−0.051, 0.018) | 0.018 | −0.954 | 0.340 | −0.103 | 0.086 | 0.90 (0.76, 1.07) | 0.227 |
Occupation (Other) | −0.037 (−0.078, 0.004) | 0.021 | −1.766 | 0.077 | −0.021 | 0.102 | 0.98 (0.80, 1.20) | 0.839 |
Income (≤2000 Yuan) | 0.010 (−0.021, 0.040) | 0.016 | 0.640 | 0.522 | 0.116 | 0.076 | 1.12 (0.97, 1.30) | 0.129 |
Income (≥2001 Yuan) | 0.040 (0.003, 0.078) | 0.019 | 2.112 | 0.035 | 0.181 | 0.094 | 1.20 (0.99, 1.44) | 0.055 |
Health status (Relatively bad) | 0.007 (−0.021, 0.036) | 0.015 | 0.509 | 0.611 | 0.037 | 0.073 | 1.04 (0.90, 1.20) | 0.614 |
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Liu, J.; Mao, Y. Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China. Healthcare 2019, 7, 160. https://doi.org/10.3390/healthcare7040160
Liu J, Mao Y. Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China. Healthcare. 2019; 7(4):160. https://doi.org/10.3390/healthcare7040160
Chicago/Turabian StyleLiu, Jinlin, and Ying Mao. 2019. "Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China" Healthcare 7, no. 4: 160. https://doi.org/10.3390/healthcare7040160