To understand the utilization of basic public health services and the influencing factors of the young female floating population in the Pearl River Delta (PRD), to provide reference suggestions to enhance the utilization of basic public health services by the young female floating population, and to help shape the Healthy Bay Area and the construction of Healthy China.

Utilization of basic public health services by young female mobile population in the Pearl River Delta and its influencing factors were analyzed using descriptive statistics, chi-square test, and binary logistic regression using the 2018 National Mobile Population Dynamics Monitoring data.

Of the 2 970 young female migrants who had flowed into the PRD for 6 months or more, 407 (13.7%) had signed up for a family doctor in the local community, 886 (29.8%) had established a resident health record, and 2 479 (83.3%) had received ≥1 type of health education, which was mainly in the form of publicity materials and bulletin boards. Factors affecting the contracting status of local family doctors included whether or not they participated in urban residents’ medical insurance (OR=0.626, 95% CI: 0.425-0.921) and whether or not they planned to have children in the next two years (OR=0.806, 95% CI: 0.668-0.972); factors affecting the establishment of health records of the young female migrants included whether or not they participated in urban residents’ medical insurance (OR=0.806, 95% CI: 0.668-0.972). Medical insurance (OR=0.626, 95% CI: 0.425-0.921) and whether they intend to give birth in the next two years (OR=0.813, 95% CI: 0.675-0.981); factors affecting the acceptance of health education by young female migrants included marital status (OR=4.644, 95% CI: 2.265-9.523), weekly working time (OR=1.384, 95% CI: 1.206-1.589).

The young female migrant population in the PRD underutilizes basic public health services, with the highest rate of having received ≥1 type of health education, followed by the rate of establishing a health record, and lowest rate of signing up for a family doctor. The rates of family doctor contracting and file establishment are higher among young female migrants who have no intention of having children or who do not participate in urban residents’ health insurance, whereas the rates of health education acceptance are higher among young female migrants who are first married or whose weekly working hours are less than 40h, and lower among those who are widowed or whose weekly working hours are more than 70h. The rate of acceptance is also higher among those who have not participated in the urban residents’ health insurance program.