Predictors of Medical Care Delay or Avoidance Among Chinese Adults During the COVID-19 Pandemic

Lili Kang,1 Changle Li,1 Huifeng Du2 1School of Health Management, Fujian Medical University, Fuzhou, People’s Republic of China; 2School of Health Management, Inner Mongolia Medical University, Hohhot, People’s Republic of ChinaCorrespondence: Huifeng Du, School of Health Management, Inner Mongolia Medical University, Chilechuan Dairy Development Zone, Hohhot, 010110, People’s Republic of China, Email dhfeng2009_9@163.comPurpose: Medical care delay or avoidance increases morbidity and mortality risk and is costly for the national healthcare system. The objective of this study was to identify factors associated with medical care delay or avoidance among Chinese adults during the COVID-19 pandemic.Materials and Methods: A cross-sectional analysis was conducted using data from the 2020 China Family Panel Study (CFPS). The CFPS was conducted from July to December 2020 during the COVID-19 pandemic. The final sample included 4369 adults. A logistic regression model was employed to identify the factors associated with medical care delay or avoidance.Results: The empirical results indicate that regardless of rural-urban residence, older adults and adults with chronic conditions were less likely to delay or avoid medical care during the pandemic. However, individuals who had completed more than three years of college showed a higher likelihood of delaying or avoiding medical care. In urban areas, larger family sizes, greater general trust in physicians, and higher provider structural quality were associated with a decreased probability of delaying or avoiding medical care during the pandemic. In contrast, employed adults were more likely to delay or avoid medical care. In rural areas, current smokers were more likely to delay or avoid medical care during the pandemic.Conclusion: This study has identified several factors affecting medical care delay or avoidance, some of which are amenable to policy changes. Policymakers can help improve the utilization of health facilities and patient health outcomes by implementing a series of reforms.Keywords: delay or avoidance behavior, medical care, COVID-19 pandemic, China