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Healthcare resource accessibility and farmers’ health in rural China

A multidimensional perspective

Dados Bibliográficos

ID22073403
AutoresShiyu Sun (0000-0002-1450-0511, Yantai University), Changcai Qin (Yantai University, autor correspondente)
Ano2026
Volume14
Páginas1792629-1792629
Data de publicação2026-04-09
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1792629
PMID42040152
OpenAlexW7152622826
IdiomaEN
Referências citadas23

Farmers’ health capital is vital for global agriculture, yet farmers face multifaceted health risks. Using the China Family Panel Studies (CFPS) and China Statistical Yearbook data, this study employs fixed-effects, instrumental-variable, and quantile regression models to examine how geographic, economic, and social accessibility to healthcare affect farmers’ health in China. Economic accessibility exerts the largest and most consistent effect, particularly among older farmers and those in central and western regions. Geographic accessibility shows a counterintuitive negative association, revealing reverse causality where poorer health drives long-distance care-seeking. Social accessibility yields modest gains, becoming more important among healthier farmers and uniquely significant in the western region. Heterogeneity analysis shows stronger associations among farmers with lower educational attainment, especially for geographic and social accessibility. For lower-income farmers, financial protection alone may be insufficient and should be complemented by health education. By constructing a multidimensional framework and identifying subgroup-specific effects, this study provides evidence for targeted policies integrating financial protection, infrastructure investment, and community-embedded care to address heterogeneous barriers across rural China

China · Counterintuitive · Health care · Health equity · Rural area · Social capital · Social determinants of health · Agricultural Innovations and Practices · Agriculture and Farm Safety · Healthcare Systems and Reforms

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