ArticleWorld medical & health policy2015
A Multilevel Logit Estimation on the Determinants of Utilization of Preventive Health Care and Healthy Lifestyle Practice in China.
Article in World medical & health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Factors associated with Traditional Chinese Medicine use among older adults with chronic diseases in China.Scientific reports · 2026Article
- Article
- Socio-economic inequalities in the use of flu vaccination in Europe: a multilevel approach.Health economics review · 2024Article
- Patients' perception of lifestyle advice as a mechanism between health shocks and health behaviours: Evidence from a longitudinal study in China.Journal of global health · 2024Article
- Indoor Air Purification and Residents' Self-Rated Health: Evidence from the China Health and Nutrition Survey.International journal of environmental research and public health · 2022Article
- The Effect of Health Check-Ups on Health Among the Elderly in China: Evidence From 2011-2018 Longitudinal Data.International journal of public health · 2022Article
- Health shocks and changes in preventive behaviors: Results from the China Health and Retirement Longitudinal Study.Frontiers in public health · 2022Article
- The changes in socioeconomic inequalities and inequities in health services utilization among patients with hypertension in Pearl River Delta of China, 2015 and 2019.BMC public health · 2021Article
- Factors Influencing Utilization of Preventive Health Services in Primary Health Care in the Republic of Serbia.International journal of environmental research and public health · 2021Article
- Investigating the association of health system characteristics and health care utilization: a multilevel model in China's ageing population.Journal of global health · 2020Article
- Changes in inequality in utilization of preventive care services: evidence on China's 2009 and 2015 health system reform.International journal for equity in health · 2019Article
- Understanding Healthcare Utilization In China Through The Andersen Behavioral Model: Review Of Evidence From The China Health And Nutrition Survey.Risk management and healthcare policy · 2019Article
- Assessment of Surgery Resident Competency Provided by Patients.The Journal of craniofacial surgery · 2016Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study is to provide policy implications by estimating the individual and community level determinants of preventive health-care utilization in China based upon data from the China Health and Nutrition Survey. Two different frameworks, a human capital model and a psychological-behavioral model, are tested using a multilevel logit estimation. The results demonstrate different patterns for medical and nonmedical preventive activities. There is a strong correlation between having medical insurance and utilizing preventive health services. For the usage of medical-related preventive health care (MP), age, gender, education, urban residence, and medical insurance are strong predictors. High income did not provide much of an increase in the usage level of MP, but the lack of income was a huge obstacle for low-income people to overcome. Community variation in number of facilities accounted for about one third of the total variation in the utilization of MP. The utilization of MP in China remains dependent upon the individual's social-economic conditions.
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