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

International Journal for Equity in Health

Research

Jun Wang¹  Xueyao Wang²  Yang Bai²  Jue Liu³  Jingmin Zhu⁴ 

[1] Center for Health Policy Research and Evaluation, Renmin University of China, 100872, Beijing, China;Beijing Famous Cultural Artist Studio--Health Beijing Governance Theory Creation Studio, 100872, Beijing, China;Center for Health Policy Research and Evaluation, Renmin University of China, 100872, Beijing, China;School of Public Administration and Policy, Renmin University of China, 100872, Beijing, China;Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Centre, 100080, Beijing, China;Institute for Global Health and Development, Peking University, 100871, Beijing, China;Key Laboratory of Reproductive Health, National Health Commission of the People’s Republic of China, 100083, Beijing, China;Department of Epidemiology and Public Health, University College London, WC1E 7HB, London, UK;

关键词: Migrants;    Social integration;    Utilization of primary health care;   

DOI  :  10.1186/s12939-023-02018-x

 received in 2023-04-17, accepted in 2023-09-19,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundMigrants 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.MethodsUsing 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.Results65.99% 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.ConclusionsSocial 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.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023