The association between social integration and utilization of primary health care among migrants in China: a nationwide cross-sectional study

Springer Science and Business Media LLC - Tập 22 - Trang 1-12 - 2023
Xueyao Wang1,2, Jue Liu3,4,5, Jingmin Zhu6, Yang Bai1,2, Jun Wang1,7
1Center for Health Policy Research and Evaluation, Renmin University of China, Beijing, China
2School of Public Administration and Policy, Renmin University of China, Beijing, China
3Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Centre, Beijing, China
4Institute for Global Health and Development, Peking University, Beijing, China
5Key Laboratory of Reproductive Health, National Health Commission of the People’s Republic of China, Beijing, China
6Department of Epidemiology and Public Health, University College London, London, UK
7Beijing Famous Cultural Artist Studio--Health Beijing Governance Theory Creation Studio, Beijing, China

Tóm tắt

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. 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. 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. 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.

Tài liệu tham khảo

Saunders CL, Steventon A, Janta B, Stafford M, Sinnott C, Allen L, Deeny SR. Healthcare utilization among migrants to the UK: cross-sectional analysis of two national surveys. J Health Serv Res Policy. 2021;26(1):54–61. https://doi.org/10.1177/1355819620911392.

Ginsburg C, Collinson MA, Gómez-Olivé FX, Gross M, Harawa S, Lurie MN, Mukondwa K, Pheiffer CF, Tollman S, Wang R, White MJ. Internal migration and health in South Africa: determinants of healthcare utilisation in a young adult cohort. BMC Public Health. 2021;21(1):554. https://doi.org/10.1186/s12889-021-10590-6.

Ma S, Zhou X, Jiang M, Li Q, Gao C, Cao W, Li L. Comparison of access to health services among urban-to-urban and rural-to-urban older migrants, and urban and rural older permanent residents in Zhejiang Province, China: a cross-sectional survey. BMC Geriatr. 2018;18(1):174. https://doi.org/10.1186/s12877-018-0866-4.

Zheng L, Hu R, Dong Z, Hao Y. Comparing the needs and utilization of health services between urban residents and rural-to-urban migrants in China from 2012 to 2016. BMC Health Serv Res. 2018;18(1):717. https://doi.org/10.1186/s12913-018-3522-y.

Wang Z, Wu Q, Ming J. The Relationship between Homeownership and the utilization of local Public Health Services among Rural Migrants in China: a nationwide cross-sectional study. Front Public Health. 2020;8:589038. https://doi.org/10.3389/fpubh.2020.589038.

Zhang J, Lin S, Liang D, Qian Y, Zhang D, Hou Z. Public Health Services utilization and its determinants among internal Migrants in China: evidence from a nationally Representative Survey. Int J Environ Res Public Health. 2017;14(9):1002. https://doi.org/10.3390/ijerph14091002.

Tang S, Long C, Wang R, Liu Q, Feng D, Feng Z. Improving the utilization of essential public health services by chinese elderly migrants: strategies and policy implication. J Glob Health. 2020;10(1):010807. https://doi.org/10.7189/jogh.10.010807.

Shao S, Zhang H, Chen X, Xu X, Zhao Y, Wang M, Du J. Health education services utilization and its determinants among migrants: a cross-sectional study in urban-rural fringe areas of Beijing, China. BMC Fam Pract. 2021;22(1):23. https://doi.org/10.1186/s12875-021-01368-1.

Peng Y, Chang W, Zhou H, Hu H, Liang W. Factors associated with health-seeking behavior among migrant workers in Beijing, China. BMC Health Serv Res. 2010;10:69. https://doi.org/10.1186/1472-6963-10-69.

Ding L, Li X, Tang X, Feng Y, Wang Y, Cheng J, Sun M, Zhou C. Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China. BMC Health Serv Res. 2020;20(1):918. https://doi.org/10.1186/s12913-020-05783-5.

Arcury TA, Grzywacz JG, Ip EH, Saldana S, Nguyen HT, Bell RA, Kirk JK, Quandt SA. Social integration and diabetes management among rural older adults. J Aging Health. 2012;24(6):899–922. https://doi.org/10.1177/0898264312449186.

Zhao J, Kong F, Li S. Association between social integration and medical returns among the migrant elderly following children to Jinan City China. BMC Public Health. 2021;21(1):1822. https://doi.org/10.1186/s12889-021-11901-7.

Chen W, Ling L, Renzaho AM. Building a new life in Australia: an analysis of the first wave of the longitudinal study of humanitarian migrants in Australia to assess the association between social integration and self-rated health. BMJ Open. 2017;7(3):e014313. https://doi.org/10.1136/bmjopen-2016-014313.

Rapp C, Huijts T, Eikemo TA, Stathopoulou T. Social integration and self-reported health: differences between immigrants and natives in Greece. Eur J Public Health. 2018;28(suppl5):48–53. https://doi.org/10.1093/eurpub/cky206.

Lin Y, Zhang Q, Chen W, Shi J, Han S, Song X, Xu Y, Ling L. Association between Social Integration and Health among Internal Migrants in ZhongShan, China. PLoS ONE. 2016;11(2):e0148397. https://doi.org/10.1371/journal.pone.0148397.

Jo EB, Kwon RH, Jung M. Contextual effects of social integration and disintegration on health status: evidence from South Korea. BMC Public Health. 2020;20(1):940. https://doi.org/10.1186/s12889-020-09077-7.

Trudel-Fitzgerald C, Zevon ES, Kawachi I, Tucker-Seeley RD, Grodstein F, Kubzansky LD. The prospective association of Social Integration with Life Span and exceptional longevity in women. J Gerontol B Psychol Sci Soc Sci. 2020;75(10):2132–41. https://doi.org/10.1093/geronb/gbz116.

Rose T, Joe S, Shields J, Caldwell CH. Social Integration and the Mental Health of Black Adolescents. Child Dev. 2014;85(3):1003–18. https://doi.org/10.1111/cdev.12182.

Wei S, Kong F, Li S. The Effects of Social Support and Morbidities on Self-Rated Health among migrant Elderly following children to Jinan, China. Healthc (Basel). 2021;9(6):686. https://doi.org/10.3390/healthcare9060686.

Wei S, Kong F, Li S. The Effects of Social Support and Morbidities on Self-Rated Health among migrant Elderly following children to Jinan, China. Healthc (Basel). 2021;9(6):686. https://doi.org/10.3390/healthcare9060686.

Jing Z, Wang Y, Ding L, Tang X, Feng Y, Zhou C. Effect of social integration on the establishment of health records among elderly migrants in China: a nationwide cross-sectional study. BMJ Open. 2019;9(12):e034255. https://doi.org/10.1136/bmjopen-2019-034255.

Lin Y, Wang T, Zhu T. Do Migration characteristics influence the utilization of Basic Public Health Services in Internal Elderly Migrants in China? Front Public Health. 2021;9:514687. https://doi.org/10.3389/fpubh.2021.514687.

Liang J, Shi Y, Osman M, Shrestha B, Wang P. The Association between Social Integration and utilization of essential Public Health Services among Internal Migrants in China: a Multilevel Logistic Analysis. Int J Environ Res Public Health. 2020;17(18):6524. https://doi.org/10.3390/ijerph17186524.

Hou Z, Lin S, Zhang D. Social capital, neighbourhood characteristics and utilisation of local public health services among domestic migrants in China: a cross-sectional study. BMJ Open. 2017;7(8):e014224. https://doi.org/10.1136/bmjopen-2016-014224.

Smith P, Nicaise P, Giacco D, Bird VJ, Bauer M, Ruggeri M, Welbel M, Pfennig A, Lasalvia A, Moskalewicz J, Priebe S, Lorant V. Use of psychiatric hospitals and social integration of patients with psychiatric disorders: a prospective cohort study in five european countries. Soc Psychiatry Psychiatr Epidemiol. 2020;55(11):1425–38. https://doi.org/10.1007/s00127-020-01881-1.

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