Establishment of health records in migrant population and its determinants in Eastern China, 2016 – 2017

  Objective  To explore the status and influencing factors of health record establishment in migrant populations in 10 provincial-level regions in Eastern China and to provide evidences for promoting basic public health services in the regions.

  Methods  The information about health record establishment among 69 000 migrant people in 10 provinces/municipalities in eastern part of China were extracted from National Dynamic Surveillance on Migrant Population conducted from May 2016 to May 2017. Statistical analysis on collected data was carried out using Stata 12.0 software.

  Results  Of all the migrant people surveyed, 28.3% (19 527) had their health records established and the proportions of health record establishment for the migrants in various provincial-level regions in descending order were 50.75% (Shandong), 44.81% (Fujian), 43.85% (Guangdong), 28.50% (Tianjin), 25.61% (Jiangsu), 23.80% (Hainan), 18.53% (Beijing), 17.50% (Shanghai), 13.92% (Hebei), and 13.16% (Zhejiang), respectively. Multivariate logistic regression analysis demonstrated that the migrants with following characteristics were more likely to have their health records established: aged 20 – 34, being female, with the education of junior high school and above, married, having a family average monthly income of 5 001 – 10 000 yuan (RMB), living in a community under administration of neighborhood committee, willing to live permanently in the region of immigration, and participating in a medical insurance; while, the migrants aged 50 years and above and having a family average monthly income of more than 10 000 yuan were less likely to have their health records established.

  Conclusion  The establishment of health records for migrant people is at a relatively low level in ten provincial level regions of Eastern China and the health record establishment is correlated with the migrants' gender, age, education, marital status, average family monthly income, type of residential community, the willingness to live permanently in a region of immigration, and the participation in a medical insurance.