Back to Search
Start Over
Are social security policies for Chinese landless farmers really effective on health in the process of Chinese rapid urbanization?: a study on the effect of social security policies for Chinese landless farmers on their health-related quality of life.
- Source :
- International Journal for Equity in Health; 2014, Vol. 13 Issue 1, p215-243, 29p, 1 Diagram, 4 Charts, 1 Graph, 1 Map
- Publication Year :
- 2014
-
Abstract
- Background The continuing urbanization in China has resulted in a loss of land and rights among farmers. The social security of landless farmers has attracted considerable research attention. However, only few studies measure the health-related quality of life (HRQOL) of landless farmers by employing scientific standardized scales. By using five-dimensional European quality of life (EQ-5D) scales, this study measures the HRQOL of landless farmers from a new perspective and examines how the social security policies affect their HRQOL. Methods This study is based on a 2013 household survey that has been conducted among 1,500 landless farmers who are residing in six resettlement areas in three cities within the Yangtze River Delta region, namely, Nanjing, Hangzhou, and Yangzhou. This study adopts EQ-5D scales to measure the HRQOL of these farmers. More than 50% of the respondents are in poor or non-serious health conditions, and over 50% are not satisfied with their current social security policies. The health conditions and social security policies are analyzed by multinomial regression analysis and the relationship between these two factors are analyzed via structural equation modeling (SEM). Results First, the descriptive statistical analysis shows that more than 50% of the respondents are in poor or non-serious health conditions, and that the largest proportion of these farmers are suffering from anxiety or depression, which is the most serious of the five dimensions. Second, multinomial regression analysis shows that the satisfaction of landless farmers with their social security policies improves their living conditions, particularly in their capacity for self-care, in their ability to perform daily activities, and in the reduction of pain, anxiety, and depression. Third, SEM model analysis shows that the satisfaction of landless farmers with their social security policies positively influences their HRQOL. Among the five dimensions of EQ-5D, daily activities produce the greatest influence on the HRQOL of landless farmers. As regards social security policies, the land acquisition compensation policy and the employment security policy produce the greatest and weakest influences on the HRQOL of landless farmers, respectively. Conclusions The rapid urbanization in China has deprived many farmers of their lands and of the benefits of urbanization. These farmers are often in a disadvantaged position in the land acquisition process. Statistic analysis in this paper shows that the satisfaction of landless farmers with their social security policies positively influences their HRQOL. The implementation and improvement of social security policies is very important for the long-term and sustainable development of these landless farmers. [ABSTRACT FROM AUTHOR]
- Subjects :
- RELOCATION
SOCIAL security
AGRICULTURAL laborers
ANXIETY
MENTAL depression
EMPLOYMENT
HEALTH status indicators
HUMAN rights
HEALTH insurance
QUALITY of life
RESEARCH funding
SATISFACTION
STATISTICS
SURVEYS
DATA analysis
MULTIPLE regression analysis
SECONDARY analysis
STRUCTURAL equation modeling
DESCRIPTIVE statistics
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 14759276
- Volume :
- 13
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal for Equity in Health
- Publication Type :
- Academic Journal
- Accession number :
- 94508402
- Full Text :
- https://doi.org/10.1186/1475-9276-13-5