Table 3.

Trends in care users’ first contact to PHC facilities in Jilin, China, 2008–2018, by urban and rural settings, and type of diseases

Diseases	Urban			Rural
	2008	2013	2018	2008	2013	2018
Choice of PHC facilities, %
Diseases recommended to PHC facilities	40.70	70.89	47.34	80.90	89.30	78.90
Hypertensions and/or diabetes	21.05	82.14	40.66	78.13	94.34	82.31
Acute upper respiratory tract infections	53.85	72.97	78.16	90.38	93.71	91.41
Other ailment	44.44	43.33	34.38	77.39	73.91	70.82
Diseases not recommended to PHC facilities	30.30	28.33	35.68	67.18	67.11	57.63
Crude RR(95% CI)
Diseases recommended to PHC facilities	0.57 (0.44,0.75)**	ref	0.67 (0.58,0.77)**	0.91 (0.84,0.98)*	ref	0.88 (0.84,0.93)**
Hypertensions and/or diabetes	0.26 (0.11,0.62)*	ref	0.49 (0.38,0.64)**	0.83 (0.69,0.99)*	ref	0.87 (0.82,0.93)**
Acute upper respiratory tract infections	0.74 (0.43,1.27)	ref	1.07 (0.85,1.34)	0.96 (0.87,1.06)	ref	0.98 (0.92,1.04)
Other ailment	1.03 (0.68,1.56)	ref	0.79 (0.55,1.14)	1.05 (0.90,1.21)	ref	0.96 (0.84,1.09)
Diseases not recommended to PHC facilities	1.07 (0.62,1.84)	ref	1.26 (0.81,1.95)	1.00 (0.85,1.18)	ref	0.86 (0.75,0.98)*
Adjusted RR(95% CI)†
Diseases recommended to PHC facilities	0.56 (0.43,0.74)**	ref	0.70 (0.60,0.82)**	0.91 (0.85,0.99)*	ref	0.88 (0.84,0.93)**
Hypertensions and/or diabetes	0.26 (0.11,0.63)*	ref	0.61 (0.46,0.80)**	0.82 (0.68,0.99)*	ref	0.88 (0.83,0.94)**
Acute upper respiratory tract infections	0.79 (0.48,1.33)	ref	1.03 (0.81,1.30)	0.99 (0.89,1.09)	ref	0.98 (0.92,1.04)
Other ailments	0.99 (0.65,1.52)	ref	0.85 (0.58,1.25)	1.05 (0.90,1.22)	ref	0.94 (0.83,1.07)
Diseases not recommended to PHC facilities	0.99 (0.56,1.73)	ref	1.41 (0.89,2.25)	1.01 (0.85,1.19)	ref	0.87 (0.76,1.00)

Data were weighted to yield provincially representative estimates.

*P<0.05, **p<0.001.

†Adjusting for sex, age, household income per capita, educational achievement, social health insurance and ethnicity.

PHC, primary health care; ref, reference group; RR, relative rate.