Socioeconomic distribution of health and health care utilization in a new town in Hong Kong, China

Biomed Environ Sci. 2004 Jun;17(2):234-45.

Abstract

Objectives: To assess the association of socioeconomic indicators with various chronic and acute illnesses and the utilization of public health care in a new town in Hong Kong, China.

Methods: Illness experience and socioeconomic and demographic data of 7570 residents from 2022 randomly selected households were collected through telephone interviews. The relationships between socioeconomic indicators and illnesses/choice of health care were explored using stepwise logistic regressions after adjusting for sex and age.

Results: Significant positive associations were noted between low household income and diabetes mellitus, any chronic illnesses among adults and flu among younger subjects; low educational level and accident-related illness among adults; being born in Chinese mainland and flu, any acute illness in adults. For the utilization of public health care, low household income was the most consistent risk factor.

Conclusion: This study did not demonstrate a unidirectional socioeconomic gradient in health but supported the hypothesis that socioeconomic deprivation was associated with the utilization of public health care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease / economics
  • Acute Disease / epidemiology*
  • Adolescent
  • Adult
  • Age Factors
  • China
  • Chronic Disease / economics
  • Chronic Disease / epidemiology*
  • Cities
  • Cross-Sectional Studies
  • Delivery of Health Care / statistics & numerical data*
  • Educational Status
  • Employment
  • Female
  • Health Surveys
  • Hong Kong / epidemiology
  • Housing
  • Humans
  • Income
  • Male
  • Prevalence
  • Residence Characteristics
  • Sex Factors
  • Socioeconomic Factors