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Abstract：
Objectives: To identify differences in healthcare use between older migrant workers (OMWs) and older migrants (OMs) and explore associated factors and paths of healthcare use. Methods: The data came from the 2015 China Migrant Dynamic Monitoring Survey (CMDMS). CMDMS used a multi-stage stratified probability proportionate to size method as the sampling technique and conducted a desk review. The samples include OMWs, OMs for caring offspring (N = 4,439), and OMs for receiving care from family (N = 4,184). We built logistic regression and path analysis models to analyze the data. Results: Social health insurance (SHI) in current place of residence is associated with less expenditure among all subgroups. OMWs and OMs for receiving care from family with SHI in current place of residence are more likely to use healthcare. Conclusion: OMWs are particularly vulnerable in healthcare use and socioeconomic status. Having SHI registered in current place of residence helps decrease expenditure among OMs. We urge policymakers to consider a united health financing scheme across OMWs and other urban employees and streamline policies for migrants to enroll in SHI in current place of residence.
摘要：
目标：确定老年移民工人（OMWs）和老年移民（OMs）之间在医疗保健使用方面的差异，并探讨医疗保健使用的相关因素和路径。方法:数据来源于2015年中国移民动态监测调查(CMDMS)。CMDMS使用与大小成比例的多阶段分层概率方法作为抽样技术，并进行了案头审查。样本包括OMW，照顾后代的OMs(N=4,439)，和OM接受家庭护理(N=4，184)。我们建立了逻辑回归和路径分析模型来分析数据。结果：当前居住地的社会健康保险（SHI）与所有亚组的支出减少有关。在当前居住地接受SHI家庭护理的OMWs和OMs更有可能使用医疗保健。结论：OMWs在医疗保健使用和社会经济地位方面特别脆弱。在当前居住地注册SHI有助于减少OM的支出。我们敦促政策制定者考虑在OMWs和其他城市雇员之间建立统一的卫生融资计划，并简化移民在当前居住地注册SHI的政策。
