I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in China
Background: Primary health care (PHC) services are underused due to the unbalanced distribution of medical resources. This is especially true in developing countries where the construction of PHC systems has begun to take effect. Social capital is one of the important factors affecting primary healt...
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doaj-f6b425c80b4d48ac9df97763767a82372021-07-30T04:40:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-07-01910.3389/fpubh.2021.689765689765I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in ChinaWeiwei ZhangYuankai HuangMengqing LuGuohua LinTian WoXiaoyu XiBackground: Primary health care (PHC) services are underused due to the unbalanced distribution of medical resources. This is especially true in developing countries where the construction of PHC systems has begun to take effect. Social capital is one of the important factors affecting primary health care utilization.Method: This study investigated the utilization of PHC services by Chinese community residents in the past year. Social capital, PHC utilization, age, health care insurance, etc., were measured. A multilevel negative binomial model was adopted to analyze the association of social capital with PHC utilization.Results: Data of 5,471 residents from 283 communities in China were collected through a questionnaire survey in 2018. The results showed that community social capital (CSC) is significantly associated with PHC utilization in China, but individual social capital (ISC) had no significant association with PHC utilization. A one-standard deviation increase in the CSC leads to a 1.9% increase in PHC utilization. Other factors like gender, education, income, health insurance, health status, etc., are significantly associated with PHC utilization in China.Conclusions: Community social capital plays a more important role in promoting PHC utilization, while ISC plays an unclear role in PHC utilization by the residents of China.https://www.frontiersin.org/articles/10.3389/fpubh.2021.689765/fullprimary health careutilizationsocial capitalmultilevel analysisChina |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Weiwei Zhang Yuankai Huang Mengqing Lu Guohua Lin Tian Wo Xiaoyu Xi |
spellingShingle |
Weiwei Zhang Yuankai Huang Mengqing Lu Guohua Lin Tian Wo Xiaoyu Xi I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in China Frontiers in Public Health primary health care utilization social capital multilevel analysis China |
author_facet |
Weiwei Zhang Yuankai Huang Mengqing Lu Guohua Lin Tian Wo Xiaoyu Xi |
author_sort |
Weiwei Zhang |
title |
I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in China |
title_short |
I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in China |
title_full |
I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in China |
title_fullStr |
I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in China |
title_full_unstemmed |
I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in China |
title_sort |
i know some people: the association of social capital with primary health care utilization of residents in china |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Public Health |
issn |
2296-2565 |
publishDate |
2021-07-01 |
description |
Background: Primary health care (PHC) services are underused due to the unbalanced distribution of medical resources. This is especially true in developing countries where the construction of PHC systems has begun to take effect. Social capital is one of the important factors affecting primary health care utilization.Method: This study investigated the utilization of PHC services by Chinese community residents in the past year. Social capital, PHC utilization, age, health care insurance, etc., were measured. A multilevel negative binomial model was adopted to analyze the association of social capital with PHC utilization.Results: Data of 5,471 residents from 283 communities in China were collected through a questionnaire survey in 2018. The results showed that community social capital (CSC) is significantly associated with PHC utilization in China, but individual social capital (ISC) had no significant association with PHC utilization. A one-standard deviation increase in the CSC leads to a 1.9% increase in PHC utilization. Other factors like gender, education, income, health insurance, health status, etc., are significantly associated with PHC utilization in China.Conclusions: Community social capital plays a more important role in promoting PHC utilization, while ISC plays an unclear role in PHC utilization by the residents of China. |
topic |
primary health care utilization social capital multilevel analysis China |
url |
https://www.frontiersin.org/articles/10.3389/fpubh.2021.689765/full |
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