Lack of health risk awareness in low-income Chinese youth migrants: assessment and associated factors

Shi, Yongmin; Ji, Ying; Sun, Jing; Wang, Yanling; Sun, Xia; Li, Chaoyang; Wang, Dongxu; Chang, Chun

doi:10.1007/s12199-012-0264-z

Cited by 22 publications

(24 citation statements)

References 8 publications

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“…By 2014, there were 253 million rural‐to‐urban migrants, accounting for about 18% of China's total population . Rural‐to‐urban migrants have long been considered a vulnerable group : because of poor living conditions , insufficient health knowledge , and lack of social support and social integration , they are susceptible to a variety of health problems such as infectious diseases , sexually transmitted diseases and mental health problems . In addition, migrants tend to use health services less .…”

Section: Introductionmentioning

confidence: 99%

“…Many rural‐to‐urban migrants participate in the New Cooperative Medical System (NCMS), a new type of rural health insurance in their hometown , but this is often not applicable in their workplace areas. High medical cost remains a significant barrier to health service utilisation for rural‐to‐urban migrants, together with low income, poor education and lack of time .…”

Section: Introductionmentioning

confidence: 99%

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Health service utilisation of rural‐to‐urban migrants in Guangzhou, China: does employment status matter?

Song

Zou

Chen

et al. 2016

Tropical Med Int Health

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Abstractobjective To describe the self-reported health status and service utilisation of employed, retired and unemployed migrants in Guangzhou, a megacity in southern China.methods A cross-sectional study adapted from the National Health Service Survey was conducted between September and December in 2014. Based on the distribution of occupation of migrants, multistage sampling was used to recruit individuals. Logistic regression was applied to explore the factors influencing their service utilisation.results Of 2906 respondents, 76.6% were employed, 9.2% retired and 14.2% unemployed. Only 8.1% reported having an illness in the previous 2 weeks, and 6.5% reported having been hospitalised in the previous year. Employed migrants had the lowest recent physician consultation rate (3.4%) and the lowest annual hospitalisation rate (4.5%) (P < 0.05); unemployed migrants had the highest rates (6.8% and 14.5% respectively, P < 0.05). Retired migrants were more likely to return to their hometown for health care (8.6%) than employed (1.5%) and unemployed migrants (3.4%) (P < 0.05). After adjusting for age and gender, employment status remained significant in explaining the recent two-week treatment-seeking behaviour of migrants (P < 0.05).conclusion Disparity of service utilisation continues to be a problem for migrants due to the poor health awareness, lack of time and inconvenience of medical insurance reimbursement. Employed migrants make the least use of health services.keywords healthcare inequalities, health services, China

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health service utilisation of rural‐to‐urban migrants in Guangzhou, China: does employment status matter?

Song

Zou

Chen

et al. 2016

Tropical Med Int Health

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“…A large number of migrants are low-income with poor education, consisting with this study's findings. They typically have no medical insurance, and are often involved in unnatural deaths such as illegal medical practice deaths [23][24][25][26][27]. Aloneness, separation In this study, changes in living environment and separation from their original families were verified and could be seen as a main factor in the neonaticides.…”

Section: Discussionmentioning

confidence: 70%

A Retrospective Study of Neonaticides in Shanghai from 2007 to 2013

Li¹,

Ge²,

Xue³

et al. 2017

J Forensic Res

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Neonaticide is defined as killing of a newborn within the first 24 hours of life. Neonaticide happens globally. The characteristics and motives of Chinese neonaticide are unknown. This study is committed to outline Chinese neonaticide offenders' characteristics and primary motives. Neonaticide cases in Shanghai Public Security Bureau (SPSB) were reviewed and analyzed. All offenders were domestic migrants with normal mental status. Neonaticide offenders' common characteristics such as biological mother, young age, immaturity, being unmarried, low socioeconomic status and having an unwanted pregnancy were confirmed. 18 unmarried offenders were resident in Shanghai under 2 years. Their first sexual experience occurred around coming to Shanghai. The offenses occurred under 2 years after coming to Shanghai due to the stigma of illegitimacy. 2 married offenders were resident in Shanghai over 5 years. They both already had children. They committed neonaticides due to the stigma of giving birth to a female newborn and removal of a burden. Migration, life changes and separation from original families were verified and could be seen as a main factor in the neonaticides. First sexual experience, unwanted pregnancy and neonaticide occurred in unmarried young women under this background. Unwanted baby was primary motive. Unmarried young women with low socio-economic status and recent migration who got unwanted pregnancies are more prone to commit neonaticide. Basic medical care and interventions should be extensively spread in them to improve human beings' well-beings.

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“…As far as the basic public health service is concerned, the migrants are difficult to enter the basic public health service network due to most of them are flow frequently. There is still an imbalance of basic public health services utilization between the local and migrant population, such as migrants have lower health awareness [11], high rate of spread of communicable diseases [12,13], compared with local residents. At present, the trend of migration has changed from "temporary residence" and "migrant alone" to "long-term residence" and "migration with family members" in the last decade [14].…”

Section: Introductionmentioning

confidence: 99%

Analysis of health education utilization of migrants in Beijing using Anderson health service utilization model

Shao

Zhang

Xuxiao

et al. 2019

Preprint

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Background: Domestic migration is considered as a challenge for China. Migrants are vulnerable to certain risks and diseases due to encounter several obstacles to accessing preventive care services. This research sought to unveil and explore the determinant factors associated with health education utilization as one important aspect of basic public health services for migrants in Beijing of China. Methods: A sample of 863 inter-provincial migrants who were 18 years old and above was chosen by three-stage stratified cluster sampling method in 2016 urban-rural connection districts of Beijing. A structured questionnaire survey was conducted via face-to-face interviews. Anderson health service utilization model was used to demonstrate the effects of the explanatory variables on health education seeking behavior from predisposing, enabling, health behavior and need variables. Results: The study revealed that 60.4% migrants desired to receive health education, while only 34.5% of them received in the past year. Many migrants desired to access various types of health education information from the internet. Chi-square independence test shows that age, "Hukou" registration system, marital status, education level, plan to reside for a long time in Beijing, have at least one child in Beijing, employment status, housing source, average working time daily, do exercises, acquire health knowledge, smoking, self-evaluation general health status are the major determinants affecting migrants to receive whole health education. The binary logistic regression indicates that the migrants with younger, high education level, have at least one child in Beijing, do exercises and self-evaluated good health status were more likely to receive whole health education. The results also show that average working time daily of enabling variables and do exercise of health behavior variables were the strong and consistent determinants of three types of health education utilization, including communicable, non-communicable and occupational diseases. Conclusion: There were certain gaps between the needs and utilization in health education. More attention should be given to the migrants with heavy workload and low education level. Relevant policies and feasible measures, including health providing health information by multiple channels, should be vigorously implemented to ensure easy and equitable access to health education for migrants.

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Lack of health risk awareness in low-income Chinese youth migrants: assessment and associated factors

Cited by 22 publications

References 8 publications

Health service utilisation of rural‐to‐urban migrants in Guangzhou, China: does employment status matter?

Health service utilisation of rural‐to‐urban migrants in Guangzhou, China: does employment status matter?

A Retrospective Study of Neonaticides in Shanghai from 2007 to 2013

Analysis of health education utilization of migrants in Beijing using Anderson health service utilization model

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