To examine the utilization and influencing factors of rehabilitation services among certified persons with disabilities in China, providing a basis for meeting the rehabilitation service needs of disabled individuals and enhancing service utilization.

Using data from the 2023 national survey on the subjective perceptions and evaluations of the status of persons with disabilities and the national database on persons with disabilities, a descriptive analysis and binary logistic regression analysis were conducted to assess factors associated with rehabilitation service use among certified persons with disabilities.

Among 8 667 certified persons with disabilities, 2 244 individuals used rehabilitation services in the past year, with a utilization rate of 25.89%. Among those who used rehabilitation services, 89% used one type of service, while only 11% used two or more types. Multivariate regression analysis showed that middle and higher income levels (OR=1.318,95% CI: 1.158-1.502; OR=1.625, 95% CI: 1.423-1.856), receipt of disability subsidies (OR=1.515, 95% CI: 1.329-1.726),and health insurance (OR=1.395, 95% CI: 0.972-2.003) were significant factors promoting the use of rehabilitation services.Individuals with mental disabilities (OR=3.034, 95% CI: 2.357-3.904) and physical disabilities (OR=1.202, 95% CI: 0.975-1.483) were more likely to use rehabilitation services. Regarding community support, the presence of rehabilitation service stations (OR=1.174, 95% CI: 1.026-1.343), day care centers (OR=1.439, 95% CI: 1.242-1.668), suitable cultural and sports facilities for persons with disabilities (OR=1.323, 95% CI: 1.170-1.496), and accessibility features in public service locations (OR=1.174, 95% CI: 1.036-1.329) positively influenced rehabilitation service utilization.

The utilization of rehabilitation services among persons with disabilities is closely associated with socioeconomic status, type of disability, and supportive community environments.