Air pollution and refraining from visiting health facilities: a cross-sectional study of domestic migrants in China

Bibliographic Details
Title: Air pollution and refraining from visiting health facilities: a cross-sectional study of domestic migrants in China
Authors: Zhixin Liu, Chaojie Liu, Yu Cui, Junping Liu, Huanyu Zhang, Yajie Feng, Nan Wang, Mingli Jiao, Zheng Kang, Xiaoxue Xu, Juan Zhao, Chen Wang, Dandan Zou, Libo Liang, Qunhong Wu, Yanhua Hao
Source: BMC Public Health, Vol 22, Iss 1, Pp 1-13 (2022)
Publisher Information: BMC, 2022.
Publication Year: 2022
Collection: LCC:Public aspects of medicine
Subject Terms: Air pollution, Refrain from visiting health facilities, Domestic migrants, China, Public aspects of medicine, RA1-1270
More Details: Abstract Background Local environmental factors are associated with health and healthcare-seeking behaviors. However, there is a paucity in the literature documenting the link between air pollution and healthcare-seeking behaviors. This study aimed to address the gap in the literature through a cross-sectional study of domestic migrants in China. Methods Data were extracted from the 2017 China Migrants Dynamic Survey (n = 10,051) and linked to the official air pollution indicators measured by particulate matter (PM2.5 and PM10) and air quality index (AQI) in the residential municipalities (n = 310) of the study participants over the survey period. Probit regression models were established to determine the association between air pollution and refraining from visiting health facilities after adjustment for variations in the predisposing, enabling and needs factors. Thermal inversion intensity was adopted as an instrumental variable to overcome potential endogeneity. Results One unit (µg/m3) increase in monthly average PM2.5 was associated with 1.8% increase in the probability of refraining from visiting health facilities. The direction and significance of the link remained unchanged when PM2.5 was replaced by AQI or PM10. Higher probability of refraining from visiting health facilities was also associated with overwork (β = 0.066, p = 0.041) and good self-related health (β = 0.171, p = 0.006); whereas, lower probability of refraining from visiting health facilities was associated with short-distance (inter-county) migration (β=-0.085, p = 0.048), exposure to health education (β=-0.142, p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2458
Relation: https://doaj.org/toc/1471-2458
DOI: 10.1186/s12889-022-14401-4
Access URL: https://doaj.org/article/b5dc94d6fc0b48039ff51d759b1803c2
Accession Number: edsdoj.b5dc94d6fc0b48039ff51d759b1803c2
Database: Directory of Open Access Journals
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More Details
ISSN:14712458
DOI:10.1186/s12889-022-14401-4
Published in:BMC Public Health
Language:English