Background Population aging has become one of the most complex social problems in the world. In order to reduce the adverse impact of aging on the health level of the population and promote successful aging,researching the determinants of health level of the elderly group has become essential. More importantly, on the whole, compared with the permanent elderly population, the elderly migrants face some challenges in living environment and social communication, which may affect their health level. Objectives The aim of this study is to examine the associations between proactive health behaviour (including exercise, health care service utilization, close relationship) and health status among migrants aged above 45 in China. Methods The cross-sectional study data are obtained from the 2015 Migrant Population Dynamic Monitoring Survey, which include 6885 Chinese elderly migrants in this study. We use descriptive statistical analysis and multiple logistic regression to evaluate the association between exercise, health care service utilization, close relationship and health status among all sample. Moreover, we conducted group-level regressions for the elderly migrants of different ages, including 45–59 years old, 60–74 years old, 75–89 years old and over 90 years old. Results On the average, the elderly migrants’ daily exercise duration is more than an hour. Most of them have not used the health service provided by the community health center and other health organizations.On the whole, the number of children and friends is more than 2 and 8 respectively, which gives them a good foundation of social relationships. There are great significance in the association of exercise, health examination and friendship and health respectively. We also find the association varies in different age groups. Migrants who are between 45 and 59 years old need friendship more than exercise while people between 60 and 90 years old need exercise most. When people are above 90 years old, exercise, close relationship and health care service utilization proved to have no association with health status. Conclusion Exercise, friendship and health examination are greatly associated with health status among the elderly migrants, which requires more attention should be paid to the elderly migrants group.

The important risk factor of edentulism provides a new perspective and entry point for the prevention of neurodegenerative diseases (NDs). Nevertheless, previous studies mostly focused on the short-term effects of a single factor and ignored the combined effects of long-term and multiple factors. We aim to comprehensively ascertain the impact of edentulism on the risk of NDs among middle-aged and older adults. We conducted a longitudinal analysis of respondent data from 2011 to 2020 in the China health and retirement longitudinal study (CHARLS) to investigate the association between the two. Propensity score matching (PSM) was used to reduce the effects of bias and confounding, and the Cox proportional hazards model was applied to evaluate the association between edentulism and risk of NDs. Among 10,851 respondents, incidence of NDs were 29.5

Within the framework of the rapid urbanisation and digitalisation in China, health inequalities remain present regardless of the life expectancy improvement and the expansion of universal health coverage. Recent findings indicate that digital infrastructure can influence the development of these gaps because it influences health information access, prevention behaviour and utilisation of health services. This paper is an ecological cross-sectional study representing the relationship between digital access and health inequality in 30 Chinese cities using the official administrative data of 2023–2024 to create a Digital Ecosystem Index based on standardised z-scores of internet penetration and mobile phone penetration as well as a Health Inequality Index based on z-scores of Helicobacter pylori prevalence, soil-transmitted helminth infections prevalence, tuberculosis incidence, and the prevalence of anaemia caused by iron deficiency and reliability. The Digital Ecosystem Index was negatively related to the Health Inequality Index (β = −0.857, p < .001) as per the results from multiple linear regression that accounted for 93.9 percent of the variance in the Health Inequality Index variable (adjusted R² = .929). Health inequality levels were lower in high-status cities than in low-status cities (β = −0.605, p = .035), while population size showed a modest positive association. Diagnostic checks showed that there was no multicollinearity and non-standard regression assumptions violations. These findings imply that the burden of infectious and nutritional health outcomes appears to be lower in cities with wider and deeper spread of internet access, and indicates that investment in digital infrastructure, especially in low- and middle-tier cities, would be a viable path to enhancing health equity in the changing urban context in China.

Lifestyle modification interventions among women with gestational diabetes mellitus (GDM) history have shown to be effective on preventing or delaying the onset of diabetes, however, the differentiating benefits of lifestyle interventions due to socioeconomic inequalities have remained understudied. The Intensive LifeStyle Modification Program (ILSM) was tailored for women with a history of GDM in low-resource rural areas of China. The current study aimed to examine the effect of the ILSM intervention on physiological and behavioral outcomes between subgroups of women from different socioeconomic backgrounds. This study used the baseline, 3-month, 6-month, and 18-month data from a cluster randomized controlled trial in rural women with GDM history in Hunan Province of China. The lifestyle program consisted of a combination of in-person group sessions and telephone consultation sessions on dietary intake, physical activity, and stress management. Using generalized estimating equation, we conducted several subgroup analyses based on indicators of socioeconomic status, including age, ethnicity, income, employment, and education. A total of 320 women were analyzed. The ILSM intervention showed a consistent significance on reducing fasting blood glucose across subgroups. On the contrary, women with full-time employment and high income (≥3000RMB, approximately 425 dollars, per month) were reported to have greater benefits on intentions to eat low-glycemic foods, BMI and waist circumference, and diabetes risk. Women with younger age (≤35 years) or high education (15 years of education or above) were more likely to benefit on improving higher intentions to eat low-glycemic foods and lowering diabetes risk. Interestingly, compared to ethnic majority, ethnic minority women were more likely to increase intentions to eat low-glycemic foods. The ILSM program demonstrated a consistent significance on reducing fasting blood glucose across women from different socioeconomic backgrounds along with an increase of intentions to eat low-glycemic foods for ethnic minority women, despite of showing ineffective in lower socioeconomic status women on intention to have healthy diet, BMI, waist circumference, and diabetes risk. To fully address health disparities from socioeconomic inequalities, lifestyle interventions should be tailored for individuals with older age, lower education levels, and lower income without full-time employment. Chinese Clinical Trial Registry (ChiCTR2000037956), registered on 3rd Jan 2018.

IntroductionThis study investigates the impact of Health in All Policies (HiAP) on urban innovation within the context of China. Building on migration theory, innovation ecosystem theory, and the country's institutional context, we identify human capital accumulation as a key mediating factor.MethodsUsing a panel dataset of 271 cities from 2013 to 2021, we use the two-way fixed effects regressions, the Difference-in-Differences (DID) model, and the stepwise regression analysis method.ResultsWe find that HiAP significantly enhances urban innovation with the magnitude of its effect varying across city size, administrative level and geographic region. Furthermore, human capital accumulation mediates the relationship between HiAP and innovation outcomes.DiscussionThese results underscore the importance of HiAP in promoting innovation through human capital development and offer practical policy implications for advancing sustainable urban development.

Objective To describe changes in access to voluntary human immunodeficiency virus (HIV) counselling and testing services following the implementation ofa mini-application (app) at primary health-care facilities across Guangzhou, China. Methods In 2018, the Guangzhou Center for Disease Control and Prevention and the Lingnan Community Support Center co-developed WellTest, a mini-app within the WeChat environment, to address voluntary counselling and testing service needs. The mini-app provides on-demand information for clients, links them to health services, and allows users to provide feedback on health-care quality and share test results with partners. We retrieved data from the National HIV/AIDS Prevention and Control Information System and the app backend to assess adoption and service use after implementation of WellTest in primary health-care facilities in December 2018. Findings Between 2018 and 2023, WellTest adoption at primary health-care facilities increased from 1.5% (2/134) to 90.1% (172/191). The annual number of visits for voluntary HIV counselling and testing services at these facilities rose from 7376 to 20 002, representing 83.6% of all 23 930 voluntary HIV counselling and testing visits in 2023, compared with 36.6% (7376/20 129) in 2018. The proportion of newly diagnosed HIV infections at primary health-care facilities increased from 21.7% (187/862) to 50.4% (239/474). Conclusion The increased access to HIV services in Guangzhou's primary health-care facilities highlights the value of digital health interventions in addressing service delivery gaps and meeting the needs of providers and clients. Expanding such interventions has the potential to strengthen decentralized health care and disease screening in low-resource settings.

Introduction For decades, a "drug markup" policy enabled Chinese public hospitals to subsidize operations by allowing 15% profit for pharmaceuticals. This created perverse incentives for overprescribing, which contributed to cost inflation and antimicrobial resistance. China's 2009 healthcare reform included the elimination of this markup, the zero-markup drug policy (ZMDP), along with increased fees for medical services and government subsidies. This paper focuses on the structural financial evolution of Chinese public hospitals before and after the ZMDP and evaluates the impact of the reform on revenue structure, cost control, and operational efficiency. Methods We conducted a retrospective longitudinal study using national panel data from 2010–2021. Data were extracted from the China Health Statistics Yearbook, China Statistical Yearbook, and National Health Commission reports. Using a two-way fixed effects panel regression model, we evaluated the impact of the ZMDP on revenue structure while controlling for GDP per capita, urbanization, and bed density. An interrupted time series analysis (ITSA) was conducted to assess the impact of the policy on outpatient and inpatient costs. Analyses were conducted via Stata 17.0 and R 4.2.1. Results ZMDP implementation was associated with a significant decrease in the proportion of drug revenue in total hospital income, from an average of 43.7% (pre-2015) to 28.4% (post-2017) (p < 0.001). This was offset by a marked increase in revenue from medical services (e.g., diagnosis, surgery, treatment), which rose from 36.2% to 49.1% of total income. Government subsidies increased modestly from 8.9% to 12.5%. Crucially, the ITSA revealed a significant slowdown in the rate of growth of average outpatient and inpatient costs post reform. Conclusion China's reform has successfully initiated a structural shift from drug-driven to service-driven hospital financing. However, the transition remains precarious. The emergent reliance on volume-driven service revenue and regional disparities in subsidy allocation risk new distortions. Future policy must strengthen fiscal transfers, accelerate value-based payment models such as DRG/DIP, and decouple physician remuneration from departmental revenue to fully realize the reform's goals.

Congenital heart disease (CHD) has severe impact on people's health status and disease burden worldwide. Little is known about the disparities of the CHD burden in the western China. We aimed to analyze the disparities in sex, age, ethnic, marital status, and medical insurance so that we can improve the equity and reduce the disease burden among patients. We did a hospital-based cross-sectional study using data from a specialized cardiovascular hospital in western China, including health status, demographic and medical information. Logistic regression models were used in order to explore the association between CHD and sex, age, marital status, ethnic and medical insurance. Probit regression model was also used in sensitivity analysis. Female patients were more like to have CHD than their male counterparts (OR = 0.667; 95%CI = 0.515, 0.863; P = 0.002). Using people who aged less than 10 years old as reference, we found people aged between 10 and 19 years old, 20 to 29 years old, 30-39 years old, 40-49 years old had higher probability to suffer from CHD (OR = 11.051; 95%CI: 5.526, 22.097; P < 0.001; OR = 7.534; 95%CI: 3.528, 16.092; P < 0.001; OR = 3.479; 95%CI: 1.551, 7.803; P = 0.002; OR = 2.778; 95%CI: 1.313, 5.874; P = 0.008; respectively). Compared with no medical insurance, people use Urban Employee Basic Medical Insurance and Urban Resident Basic Medical Insurance have lower CHD prevalence (OR = 0.478; 95%CI: 0.274, 0.834; P = 0.009; OR = 0.408; 95%CI: 0.251, 0.663; P < 0.001; respectively). However, people with New rural cooperative medical insurance have higher CHD prevalence (OR = 1.985; 95%CI: 1.188, 3.316; P = 0.009). We also found significant relevance between marital status and the prevalence of CHD, married people had lower CHD prevalence compared with divorced or widowed respondents (OR = 0.492; 95%CI: 0.268, 0.904; P = 0.022). In this study, significant disparities were found in disease burden of CHD among different sex, age, marital status and medical insurance types. Our findings underscore the need for government and healthcare providers to prioritize early detection and proactive measures for CHD, with a particular focus on the demographic factors of sex and age. Additionally, enhancing the accessibility and coverage of public medical insurance is highlighted as a critical area for future improvement to mitigate the disease burden.

BACKGROUND AND OBJECTIVES:Aging poses a significant challenge worldwide, with China's aging status becoming particularly severe. What is the impact of Internet use on the health of the elderly? Existing studies have drawn conflicting conclusions that Internet use improves or harms health. The purpose of this study was to explore how Internet use affects the health of older adults, and the mechanisms and heterogeneity of these effects.RESEARCH DESIGN AND METHODS:Based on Grossman's theory, this paper constructs a health production function model. Using the data of China Family Panel Studies (CFPS) from 2014 to 2020, we investigated the impact of Internet use on the health of older adults using fixed effect model and instrumental variable method. We also examined the mediating role of health information acquisition, lifestyle, and social interaction in these associations.RESULTS:Internet use is positively associated with self-rated health and negatively associated with psychological sub-health level. Internet use promotes the health of older adults by facilitating access to health information, healthy lifestyles, and enhancing social interaction. And the impacts are heterogeneous at the individual and regional levels.DISCUSSION AND IMPLICATIONS:We should progressively enhance the level of internet accessibility for older adults, while concurrently addressing and narrowing the 'digital divide'. By generating an abundance of superior health-related information, we can significantly improve health education tailored for the elderly. Additionally, it is crucial to offer extensive training opportunities designed to equip older adults with the necessary skills to proficiently navigate the internet.

Long-term care insurance (LTCI) is essential to alleviate the challenges of rapid aging. Research on LTCI in developing countries is limited and conclusions remain controversial. This study aims to empirically evaluate how the LTCI pilot in selected cities influences healthcare utilization and expenditures among middle-aged and older Chinese adults. Data was from 2013, 2015, and 2018 China Health and Retirement Longitudinal Study. 167 LTCI and 8225 non-LTCI group participants were identified. Propensity score matching difference-in-difference method was used to evaluate the net effect of LTCI. The robustness of the findings was tested using a placebo test. In the pilot cities, around 17.8

BACKGROUND:Migrants is a large population in China. To improve the health and wellbeing of migrants is a critical policy and social issue in China, and to enhance the utilization of primary health care by migrants is one of the most important approaches in promoting equity in health. However, there exists little research about the association between social integration and the utilization of primary health care. To address the research gap, this research aims at exploring the relation between social integration and the utilization of primary health care among migrants in China.METHODS:Using the national data from China Migrants Dynamic Survey (CMDS) in 2017, 169,989 migrants were included in this study. Social integration was measured by social communication, acculturation and self-identity, with 8 indicators. The utilization of primary health care was measured by the receiving of health education on infectious diseases (ID) and noncommunicable diseases (NCD) as well as the first visit institution when migrants were sick. After the descriptive statistical analysis, binary logistic regression was employed to evaluate the association between social integration and the utilization of primary health care.RESULTS:65.99% of the migrants received health education on infectious diseases (ID), 40.11% of the migrants received health education on noncommunicable diseases (NCD) and 8.48% of the migrants chose to go to Community Health Center (CHC) seeking for health services. There was a positive effect of social organization participation, the influence of hometown customs, differences of hygiene habits between migrants and local people, integration willingness and evaluation of identity on the receiving of health education on ID and NCD, as well as a positive effect of civil activities engagement and differences of hygiene habits between migrants and local people on the utilization of CHC after getting sick.CONCLUSIONS:Social integration was associated with the utilization of primary health care among migrants in China. Generally speaking, greater social integration was associated with higher possibility of receiving health education on ID and NCD. However, the effect of social integration on the utilization of CHC was more complex among different indicators. There should be more policy interventions to improve the social integration of migrant which help them to get familiar with the health resource available, as well as improve the capacity of CHC.

China has implemented Basic Public Health Service (BPHS) in 2009, aiming to improve the health status of the people, and the content of service includes implying health education for residents. As an important group of people, the migrants can easily become main reason for major infectious diseases such as HIV between different provinces, but the effect of receiving health education is still unknown for migrants. Therefore, the health education of China’s migrant population has received widespread attention. This study used the data of the China Migrants Dynamic Survey (CMDS) from 2009 to 2017, and evaluated the trend of HIV health education acceptance rate of different migrant groups across the country (n = 570,614). Logistic regression model was used to test the influencing factors of HIV health education rate. Results: The study found that the overall HIV health education rate of Chinese migrants decreased from 2009 to 2017, and different types of migrants showed different trends. The proportion of migrants aged 20–35 who receive education fluctuates, and ethnic minorities, western regions, and migrants with high education were more likely to receive HIV health education. Conclusion: These findings identify when implementing health education for migrants, we can carry out more education for specific groups to promote the health equity of the migrant population.

BackgroundEvidence regarding the association between metabolism-related indicators and serum urate (SU) is limited. We aimed to obtain the incidence density of hyperuricemia and to explore the association between metabolism-related predisposing risk factors and SU.MethodsA total of 48,979 Chinese adults from the Beijing Physical Examination Center were included in the study. The partial least squares path model was used to explore the relationship between SU and metabolism-related risk factors. The generalized additive model was used for smooth curve fitting, showing the sex-specific associations of SU at follow-up with baseline fasting blood glucose (FBG) concentrations and age.ResultsThe incidence density of hyperuricemia was 78/1000 person-years. Baseline SU, age, sex, obesity, FBG, and lipid metabolism were significantly associated with SU at follow-up (all P values <0.05). Non-linear relationships were found between the baseline FBG concentrations and SU at follow-up, while U-shaped associations were observed between baseline age and SU at follow-up.ConclusionsThe SU concentration is associated with several metabolism-related risk factors such as obesity and FBG. Recognition of these associations will aid in a deeper understanding of the multifaceted nature of SU regulation.

Vaccination is proved to be one of the most effective and efficient way to prevent illness and reduce health inequality. Studies about association between vaccination inequalities in the childhood and awareness of basic public health services program among internal migrants in China are lacking. In this study, we aimed to explore the association between migrants’ vaccination status between 0 and 6 years old and their awareness of the National Basic Public Health Services (BPHSs) project in China. We included 10,013 respondents aged 15 years old or above of eight provinces from 2017 Migrant Population Dynamic Monitoring Survey in China, a nationwide cross-sectional study. Univariate and multivariable logistic regressions were used to assess vaccination inequalities and the awareness of public health information. Only 64.8

Health education is one of the most effective and efficient ways to achieve the goal of universal health coverage and the sustainable development goals. The equity of access to health services (especially services from community healthcare centers) for internal migrants is an important issue of global concern. However, due to the registration system, long-term residence plan, education level, and other determinants, it is more difficult for internal migrants to enjoy equitable health education compared with local residents. At present, there is no research on signing up with family doctors mainly from community healthcare centers among internal migrants and their impact on access to health education services. In this nationwide cross-sectional study, we used the migrant population dynamic monitoring survey (MDMS) in 2018 to assess the disparities in signing up with a family doctor and its association with health education among internal migrants in China. Among the 151,892 participants, a total of 11.26% migrants had signed up with a family doctor and 81.37% internal migrants had received health education. There was a significant association between signing up with a family doctor and health education in the univariate model (aOR = 1.113; 95% CI: 1.095, 1.132) and the multivariate model (aOR = 1.107, 95% CI: 1.089, 1.126). Meanwhile, age (aOR(interaction) = 0.996, 95% CI: 0.994, 0.997), migration time (aOR(interaction) = 0.927, 95% CI: 0.907, 0.948), and migration range (aOR(interaction) = 0.994, 95% CI: 0.992, 0.997) also had an impact on the relationship between signing up with family doctors and health education. Due to the health education inequalities among internal migrants in China, we need to improve health education access and utilization of internal migrants. As signed up with family doctors was significantly associated with health education among migrants in China, we recommended that the government and healthcare facilities promote health education through family doctors. The number and professional ability of family doctors should also be improved especially in areas with weak healthcare service resources in the future.

Objective To investigate 20-year trends and disparities in quality of life among older adults in China from 1998 to 2018. Methods Our study was based on eight representative nationwide health surveys among older adults conducted in China from 1998 to 2018. Quality of life data were obtained from 91,993 individuals aged 65 years or above. All surveys included identical indicators of self-reported quality of life, demographic factors, socioeconomic status, lifestyle habits, and health status. The trends in the standardized prevalence of poor quality of life from 1998 to 2018 were examined by locally weighted scatterplot smoothing regression (LOWESS) analysis. We assessed the prevalence of poor quality of life and its related factors by logistic regression models after adjusting for potential confounders. Results The prevalence of poor quality of life was 38.2% (95% CI: 37.9–38.5%). The trends of poor quality of life showed an inverted “U” shape, that the prevalence increased from 27.8% in 1998 to 43.6% in 2008, and then decreased from 39.2% in 2011 to 32.1% in 2018. Disparities in the prevalence of poor quality of life were exacerbating among participants with low or moderate household income per capita and participants with high household income per capita from 1998 to 2018. After controlling potential confounders, living in rural areas, aged below 80 years, unmarried, living alone, low household income, current smoker, poor dietary diversity, never participating in organized social activities, with chronic diseases, functional disability, poor self-reported health, and unhealthy psychological status were risk factors related with poor quality of life in the multivariate model (all p < 0.05). Conclusion During the past two decades, poor quality of life in Chinese older adults showed an inverted “U” trend from 1998 to 2018 that the prevalence of poor quality of life peaked in 2008 and declined since China's deepening health system reform in 2009. However, disparities in the poor quality of life were exacerbating among participants with different socioeconomic statuses. Strengthening the health system is of great importance in improving the quality of life. More efforts are needed to reduce the disparities in the quality of life among the population at the different socioeconomic levels.

Cross-sectional studies about the association between social integration, social exclusion, and vaccination behavior among internal migrants in China are lacking. In this study, we aimed to explore the association between the influenza vaccination behavior and social integration as well as social exclusion in China based on a cross-sectional study. We included 12,467 participants aged 15 years old or above from the 2017 Migrant Population Dynamic Monitoring Survey (MDMS). We used univariate analysis and logistic regression models to access the association between social integration, exclusion status, and influenza vaccination rates. Results suggested that the association between social integration and the vaccination rate was significantly positive. Moving between different districts impact on people’s mental health and their health performance. Significant association between influenza vaccination behavior and education attainment, income status, health record, and awareness of basic public health services program was reported. Therefore, in order to reduce the incidence of influenza disease and increase the vaccination rate, policymakers and the public should promote social integration for internal migrants. Meanwhile, our finding also implies possible strategies to promote COVID-19 vaccination.

We aimed to assess the association between change in social participation and long-term improved cognitive function among older adults. Data were obtained from 9648 participants aged ≥60 years in the 2011, 2014 and 2018 waves of the Chinese Longitudinal Healthy Longevity Survey, a national prospective cohort study. Cox regression models were used to calculate adjusted risk ratios (aRRs). Social participation was increased in 20.5% of the participants, decreased in 37.8% of the participants and stable in 41.7% of the participants from the 2011 wave to the 2014-2018 waves. The improved cognitive function rate was 17.9% at follow-up. Compared to individuals with decreased social participation from the 2011 wave to the 2014-2018 waves, individuals with unchanged total social participation were 59% (aRR = 1.59, 95% CI: 1.35-1.87) more likely to have improved cognitive function in the 2014-2018 waves, and individuals with increased social participation were 61% (aRR = 1.61, 95% CI: 1.43-1.82) more likely to have improved cognitive function, regardless of the baseline social participation status. As for the three forms of social participation, compared with the participants with decreased social participation, those with increased participation in organised social activities, increased participation in group leisure-time activities, unchanged informal social interactions and increased informal social interactions were 24% (aRR = 1.24, 95% CI: 1.02-1.51), 49% (aRR = 1.49, 95% CI: 1.21-1.84), 55% (aRR = 1.55, 95% CI: 1.37-1.76) and 57% (aRR = 1.57, 95% CI: 1.34-1.84) more likely to have improved cognitive function (all p < 0.05) respectively. The results were stable in the sensitivity analysis. Our findings highlight the importance of promoting social participation from a multidimensional perspective (duration, frequency and forms) to improve cognitive function among older adults, for policy makers and healthcare workers in the community.

In the past 70 years, in order to strengthen disease prevention and improve people's health, China had introduced a series of vaccine policies. However, compared with the permanent population, studies on the vaccination situation of the migrants were lacking. This study aimed to evaluate the vaccination rates of nine recommended vaccines (HepB, HepA, FIn, DTaP, JE, Rab, MPSV, HF, and TIG vaccine) among migrants and related determinants. We used nationwide data from the 2017 Migrant Population Dynamic Monitoring Survey (MDMS) to analyze the vaccination rates of migrants in terms of gender, age, marital status, household registration, education, health level, etc. The total vaccination rate of nine recommended vaccines was 64.8% (6488/10013). Education level and health level were positively correlated with vaccination rates, but age was negatively correlated with vaccination rates. Migrants from urban regions had a higher vaccination rate than those from rural regions. Among the nine recommended vaccines, HepB vaccination rate was the highest (59.08%), while HF vaccination rate was the lowest (4.08%). Combined with policies and demographic characteristics, the relationship between age, household registration, health level, education level and vaccination were studied. The findings suggested that more attention should be given to vaccination of migrants, and the monitoring of vaccination of such groups should be strengthened through information technology.

Background Migrants account for a large part of China's population. Many policies and inventions have been taken to improve access to public health services and the health of migrants. China's Basic Public Health Services(BPHS) are a series of public health services in this policy domain, which aims at promoting the access of public health sevices and improve health equity of residents. The establishment of health records is the fundamental service of BPHS. However, there is little known about the establishment of health records among migrants in China, which hinders the more efficient provision of health services for migrants, and health equity is difficult to achieve. Based on the research gap, this study aims at showing the sociodemographic disparities in the establishment rate of health records, and identifying priorities and recommendations for promoting health equity of migrants in China. Methods This study used national data from China Migrants Dynamic Survey (CMDS) from 2014 to 2017 to evaluate the sociodemographic disparities in the establishment rate of health records and utilization of relevant public health services. The study included 539,926 respondents. Following the descriptive statistics of migrants, we showed the establishment rate of health records by sociodemographic characteristics and migrating related characteristics. Multivariate analysis was conducted to explore the associations between sociodemographic charicteristics, migrating related charicteristics and the establishment of health records. Results The establishment rate of health records among migrants in the sampled years were 22.99, 38.44, 27.29% respectively, and 29.18% in general, and there existed heterogeneity in the establishment rate of health records by sociodemographic charicteristics and migrating related charicteristics. Female migrants who were older, from middle age, married or living with partner, with higher educational attainment, with urban household registration, migrated for longer time, migrated for the reason of studying or family issues, migrated in province were more likely to establish health records. Conclusion There existed sociodemographic disparities in the establishment rate of health records and inequalities in the utilization of health records services among migrants in China. Migrating related characteristics also had impact on the establishment status. Policies should take both supply side and demand side of health services to improve the health equity of migrants, which means that relative departments should continue to invest in primary healthcare centers to improve their ability to provide services as well as migrants' health literacy.