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The association between social integration and utilization of primary health care among migrants in China: a nationwide cross-sectional study.
- Source :
- International Journal for Equity in Health; 10/9/2023, Vol. 22 Issue 1, p1-12, 12p
- Publication Year :
- 2023
-
Abstract
- Background: 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. Methods: 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. Results: 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. Conclusions: 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH education
HEALTH policy
CONFIDENCE intervals
CROSS-sectional method
MIGRANT labor
COMMUNITY health services
HELP-seeking behavior
INTERVIEWING
PRIMARY health care
MEDICAL care use
SURVEYS
COMPARATIVE studies
PSYCHOSOCIAL factors
QUESTIONNAIRES
QUALITY assurance
DESCRIPTIVE statistics
RESEARCH funding
ODDS ratio
DATA analysis software
LOGISTIC regression analysis
SOCIAL integration
Subjects
Details
- Language :
- English
- ISSN :
- 14759276
- Volume :
- 22
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal for Equity in Health
- Publication Type :
- Academic Journal
- Accession number :
- 172866351
- Full Text :
- https://doi.org/10.1186/s12939-023-02018-x