Influencing factors of medication seeking behaviors among adult migrant population with chronic diseases: a hierarchical model-based analysis

ObjectiveTo examine the status and influencing factors of medication seeking behaviors among migrant population with chronic diseases for promoting reasonable medication seeking in the population.MethodsThe data on 5 657 migrant people with chronic diseases (aged 18 – 96 years, averagely 51.25 ± 12.02) were extracted from Dynamic Monitoring Survey among Migrant Population conducted in 2017 across China and that on population were from China Health Statistics Yearbook – 2019. Based on Anderson behavioral model for health services utilization, hierarchical model was used to analyze influencing factors of medication seeking behaviors among migrant people with chronic diseases.ResultsOf the patients surveyed, 88.51% reported seeking medication when being ill during previous one year and only 21.12% reported ever seeking medical services in primary medical institutions. The results of multi-level logistic regression analysis revealed following promoting factors for seeking medication during previous one year: ever receiving health education (odds ratio [OR] = 1.396), with their health records being established (OR = 1.273), with medical insurance (OR = 1.447), with a residence no more than 15 minutes away from a nearest medical institution (OR = 1.329), having poor self-rated health (OR = 1.611), and higher proportion of government health expenditure in total health expenditure (OR = 1.048); the results also indicated that ever receiving health education (OR = 1.407), with their health records being established (OR = 1.487), and with a residence no more than 15 minutes away from a nearest medical institution (OR = 1.273) were promoting factors for seeking medical service in primary medical institutions.ConclusionAmong adult migrant people with chronic diseases, both personal factors and the proportion of government health expenditure in total health expenditure are associated with medication seeking behaviors.