Association between sociodemographic, psychosocial, lifestyle factors, and self-reported health among migrant laborers in China

Li, Chengcheng; Meng, Xuehui; Wang, Jingru; Ma, Hongjun; Chen, Chun; Liu, Yuanqing

doi:10.1016/j.jcma.2016.10.011

Cited by 14 publications

(15 citation statements)

References 43 publications

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“…For example, factors influencing poor self-reported health of internal Chinese migrant labourers were associated with age, working hours, marital status, illness and hospitalization. Factors associated with good self-reported health included income, number of friends, levels of trust, education and appropriate alcohol consumption (38). Long working hours and income dissatisfaction were associated with poor mental health among rural-urban migrants in Guangzhou, China, while higher income and social support were associated with reduced risk (39).…”

Section: Health Issues and Outcomes Associated With Migrationmentioning

confidence: 97%

Barriers to health care services in migrants and potential strategies to improve accessibility: A qualitative analysis

Kuan

Chen

Lee

2020

Journal of the Chinese Medical Association

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Background: While migrants in Taiwan are entitled to universal health care, barriers to health care services exist. We aimed to explore challenges encountered by migrants when accessing health care services and potential strategies to overcome these barriers. Methods: Invitations to participate in the study were sent to all hospitals, 12 migrant organizations, one language school, and one language service company in Taiwan, and convenience sampling was used to recruit study participants. Focus group interviews were held with 111 migrants, clinicians, migrant organization coordinators, and representatives from the medical institutions, language school and language service company. Interviews were audio-recorded and transcribed verbatim. Data were analyzed using a thematic approach. Results: The study participants acknowledged that the current support system for migrants in the health care sector is inadequate. Barriers to health care services were noted in three areas - language and information, sociocultural and economic, and policy and resources. Potential strategies to overcome these barriers included the provision of on-site or distant interpreting services, provision of multilingual instruction notes and forms, and establishing a multilingual medical assistance hotline. Conclusion: While migrants benefit from the current support and welfare system, our study found substantial gaps that need to be filled including a lack of professional medical interpreters and training programs, a lack of legal framework for medical interpreting, and inadequacy in the dispersal of information on existing resources that may facilitate the integration of migrants into society and the health care system. Overcoming these barriers may improve migrants’ access to health services.

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Section: Health Issues and Outcomes Associated With Migrationmentioning

confidence: 97%

Barriers to health care services in migrants and potential strategies to improve accessibility: A qualitative analysis

Kuan

Chen

Lee

2020

Journal of the Chinese Medical Association

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“…Li et al found that money earned from employment, the number of friends a person has, and the quality of their neighbour relationships were significant factors in self-reported good health (Li, Meng et al, 2017).…”

Section: Additional Positive Mental Health Factors Highlighted In Thementioning

confidence: 99%

“…Wang et al particularly emphasize the need for prior awareness of the discrimination urban migrants may subsequently suffer at their destination (Wang, Li et al, 2010). (Wen, Zheng et al, 2017) One intriguing finding from Li et al was that respondents who consumed alcohol were more likely to report good health: most other previous studies have usually found alcohol consumption to be associated with poor self-reported health (Li, Meng et al, 2017).…”

Section: Additional Positive Mental Health Factors Highlighted In Thementioning

confidence: 99%

Resilience, mental health and urban migrants: a narrative review

Coope

Barrett

Brown

et al. 2020

IJMHSC

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Purpose The purpose of this paper is to provide a narrative review of the literature on mental health resilience and other positive mental health capacities of urban and internal migrants. Design/methodology/approach The methodology for this narrative review included a search of articles published up to 2017. The abstracts were screened and relevant articles studied and discussed. Literature on the particular mental health challenges of urban migrants in India was also studied. References found in the literature relating to neurourbanism were also followed up to explore broader historical and conceptual contexts. Findings Several key sources and resources for mental health resilience were identified – including familial and community networks and individual hope or optimism. Nevertheless, much of the literature tends to focus at the level of the individual person, even though ecological systems theory would suggest that mental health resilience is better understood as multi-layered, i.e. relevant to, and impacted by, communities and broader societal and environmental contexts. Originality/value This paper provides insight into an aspect of migrant mental health that has tended to be overlooked hitherto: the mental health resilience and positive mental health capacities of urban migrants. This is particularly relevant where professional “expert” mental health provision for internal migrant communities is absent or unaffordable. Previous work has tended to focus predominantly on mental health risk factors, despite growing awareness that focusing on risk factors along can lead to an over-reliance on top-down expert-led interventions and overlook positive capacities for mental health that are sometimes possessed by individuals and their communities.

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“…The rapid industrialization, in particular in the eastern coastal region, attracted large scales of population internal migration [ 12 ]. The population of internal migrants increased from about 6 million in the 1980s to 244 million in 2017, accounting for about 18% of the population size nowadays in China [ 13 , 14 ]. The majority of internal migrants occupied job positions that would not otherwise be filled by the locals [ 15 ], making a great contribution to the economic development in China over the past few decades [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…This makes transfer of insurance enrollment across different funds and regions extremely challenging, if not impossible. Meanwhile, medical services outside of local contracted providers usually attract higher levels of out-of-pocket payments [ 1 ], jeopardizing the accessibility of healthcare services of internal migrants [ 11 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Inequality in Health Services for Internal Migrants in China: A National Cross-Sectional Study on the Role of Fund Location of Social Health Insurance

Yao

Liu

Sun

2020

IJERPH

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On-the-spot settlements of medical bills for internal migrants enrolled with a social health insurance program outside of their residential location have been encouraged by the Chinese government, with the intention to improve equality in healthcare services. This study compared the use of health services between the internal migrants who had local health insurance coverage and those who did not. Data (n = 144,956) were obtained from the 2017 China Migrants Dynamic Survey. Use of health services was assessed by two indicators: visits to physicians when needed and registration (shown as health records) for essential public health services. Multi-level logistic regression models were established to estimate the effect size of fund location on the use of health services after controlling for variations in other variables. The respondents who enrolled with a social health insurance scheme locally were more likely to visit physicians when needed (adjusted odds ratio (AOR) = 1.18, 95% CI = 1.06–1.30) and to have a health record (AOR = 1.47, 95% CI = 1.30–1.65) compared with those who enrolled outside of their residential location: a gap of 3.5 percentage points (95% CI: 1.3%–5.8%) and 6.1 percentage point (95% CI: 4.3%–7.8%), respectively. The gaps were larger in the rural-to-urban migrants than those in the urban-to-urban migrants (AOR = 1.17, 95% CI = 0.93–1.48 for visiting physicians when needed; AOR = 0.71, 95% CI = 0.54–0.93 for having a health record). The on-the-spot medical bill settlement system has yet to fully achieve its proposed potential as inequalities in both medical and public health services remain between the internal migrants with and without local health insurance coverage. Further studies are needed to investigate how on-the-spot settlements of medical bills are implemented through coordination across multiple insurance funds.

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Association between sociodemographic, psychosocial, lifestyle factors, and self-reported health among migrant laborers in China

Cited by 14 publications

References 43 publications

Barriers to health care services in migrants and potential strategies to improve accessibility: A qualitative analysis

Barriers to health care services in migrants and potential strategies to improve accessibility: A qualitative analysis

Resilience, mental health and urban migrants: a narrative review

Inequality in Health Services for Internal Migrants in China: A National Cross-Sectional Study on the Role of Fund Location of Social Health Insurance

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