Establishment and associated factors of health records among young Chinese migrants

Abstract

Background Most Chinese migrants have been faced with obstacles to getting access to local public health services. Young migrants among internal migrants make a major contribution to the economy. However, the establishment of their health records has been ignored. This research was aimed at exploring the status and associated factors of the establishment of health records among young Chinese migrants. Methods Data were obtained from the 2017 China Migrants Dynamic Survey (CMDS). Chi-square test and binary logistic regression were performed to investigate the associated factors of the establishment of health records among young Chinese migrants. Results Approximately 30.2% of young migrants had their health records established in inflow communities. Urban residence, medical insurance (insured), and lower average monthly household income were attributed to the establishment of more health records. Young migrants who were in northeast China and across provinces and immigrated for working or engaging in trade were less likely to have health records established. Young migrants who participated in social activities and public affairs activities and took type of people in touch as natives in the inflow area showed a higher possibility of establishing health records. Meanwhile, receiving health education and hearing about national basic public health services (BPHSs) were beneficial for establishing the health records of more young migrants. Conclusion This study showed that the health records of young migrants had a relatively low establishment rate. Sociodemographic and migration characteristics, health status, public health services, and social integration factors were all related to the health record establishment of young Chinese migrants.

Moderating effects of regional disparities on the relationship between individual determinants and public health service utilization among internal migrants: evidence from the China migrant dynamic survey in 2017

“…Previous studies have attributed the low level of IMs’ NEPHS utilization in HIPs to the shortage of NEPHS resources per capita [ 15 , 22 , 26 ] Although the samples from Beijing, Tianjin and Shanghai were excluded, our results partly support this conclusion [ 19 – 23 , 26 ], that is, IMs in HIPs have lower levels of NEPHS utilization. The relationship between REDL and health service utilization seems to be at odds with what is commonly believed.…”

“…Personal income is a widely discussed factor affecting the accessibility of health services. Nevertheless, most existing studies have used absolute income [ 5 , 7 , 15 , 18 – 20 , 22 , 23 ]. The unbalanced economic development of various provinces in China means that a person earning 3000 Yuan per month is considered to belong in the high-income group in Gansu province, but a low-income group in Zhejiang.…”

“…Previous studies have explored the impact of region disparity on the health service utilization of IMs, but the conclusions are inconsistent. Some studies have noted that the health service utilization is low in eastern China and high in central and western China [ 19 – 23 , 26 ]. Since most of the eastern regions are high-income provinces (HIPs), while most of the central and western regions are low- and middle-income provinces (LMIPs), these studies speculated that the regional economic development level (REDL) may be negatively related to the NEPHS utilization level in IMs [ 15 , 26 ].…”

“…For example, in the Yangtze River Delta, per capita disposable income (PCDI) in Shanghai was nearly twice that of Anhui province in 2017, and a gap of such proportions may interfere with the analysis. Second, when analyzing regional differences using national samples, the majority of studies analyze individual determinants and REDL as independent variables, without considering the possible interactions between the two [ 19 – 21 , 23 , 26 ]. REDL should be regarded more as a societal determinant, and the effect of individual determinants on health service utilization could be influenced by societal determinants [ 16 ].…”

Exploring the relationship between depression and different multimorbidity patterns among older people covered by long‐term care insurance in Shanghai, China

“…Our results found that the association of chronic disease with depression was different from most studies, 41 , 42 by the presence of hypertension and cataracts, respectively. A possible explanation may be that hypertension and cataracts have been included in the National Basic Public Health Service Program in China, a program to better facilitate health management among Chinese residents, 43 and people with these conditions could receive regular physical examinations and follow‐up services from their family physicians, thus, chances are higher for those to be found to have depression.…”