Objective  To explore the status quo and influencing factors of health record establishment and seeking medication in migrant population in Shandong province, and to provide evidences for improving the health of migrant people and promoting accessibility and equity of health care services.

  Methods  From the dataset of dynamic surveillance on migrant population, we extracted relevant information on health record establishment and seeking medication for 6 000 migrant people aged ≥ 15 years and living in Shandong province at least one month between May and August 2017. Descriptive statistics was performed on the data collected with SPSS 22.0 software.

  Results  Among all the included migrant people, 2 488 (41.47%) had their health records being established. Of the 3 646 people suffering from diseases as diarrhea, fever, rash, jaundice, conjunctival swelling, and cold during the past one year, 1 250 (34.28%) sought medication. Unconditional multivariate logistic regression analysis demonstrated that the migrants being unmarried were less likely to have their health records being established; while, the migrants being female, migrating within the province, having the willingness to settle in the immigratory place, and participating in medical insurance for urban workers were more likely to have their health records being established; the migrants at older age and with a general self-rated health were less likely to seek medication but the migrants participating in the new rural cooperative medical insurance or medical insurance for urban workers and other medical insurance were more likely to seek medication while suffering from diseases.

  Conclusion  Both the ratio of health record establishment and seeking medication are low among migrant population in Shandong province and the ratios are influenced by gender, age, marital status, regional scope of migration, willingness of resettlement, self-rated health, and the participation in medical insurance.