Utilization and influencing factors of hospitalization service among the all, migrant and home-dwelling rural women aged 15 years and above in less-developed areas of Jiangxi province: a tracking survey

  Objective  To analyze the changing trend in hospitalization rate and its influencing factors among the all, migrant, and home-dwelling rural women and to provide evidences for improving hospitalization service to rural women in less-developed areas.

  Methods  Using stratified multistage random cluster sampling, we conducted household questionnaire surveys among 3 347, 3 285, 2 923, 3 051, and 2 994 permanent female residents ≥ 15 years old in less-developed rural areas of Wuyuan, Luxi and Xiushui county of Jiangxi province in 2006, 2008, 2010, 2012, and 2014, respectively. Complex sampling logistic regression was used to analyze influencing factors for utilization of hospitalization in the women.

  Results  The hospitalization rate increased among the all, migrant, and home-dwelling rural women during the period and for all the women, the rate rose from 5.46% in 2006 to 9.34% in 2014. Compared to the migrant women, the home-dwelling women had higher annual hospitalization rate in the study period, except in the year of 2006. The prevalence rate of chronic diseases was 2.80% in the migrant woman and the rate was much lower than that in the home-dwelling women (14.50%). In contrast to the migrant women, the home-dwelling women had significantly higher hospitalization rate in 2012 (8.29% vs. 1.92%, χ² = 137.996) and in 2014 (10.93% vs. 5.94%, χ² = 123.641)(both P < 0.05). The hospitalization rate in the married home-dwelling women was 8.24% and significantly higher than that (6.50%) in the migrant women (χ² = 5.334, P = 0.040). Complex sample logistic regression analyses revealed that the women aged 35 – 54 years, being unmarried, with middle income, and with ability to work were more likely to have a lower hospitalization rate in comparison to those aged 15 – 34 years, with higher income, being married/divorced/widowed, and being unable to work. Having chronic disease was a major risk factor for hospitalization for all the women.

  Conclusion  Both the demand and utilization of hospitalization increased among adult women, especially among home-dwelling elderly women, in less-developed rural areas of Jiangxi province during the period from 2005 to 2014, suggesting that measures should be taken to promote utilization of hospitalization service in the population.