Relationships between Health Education, Health Behaviors, and Health Status among Migrants in China: A Cross-Sectional Study Based on the China Migrant Dynamic Survey

Kim, M.; Gu, Hongtao

doi:10.3390/healthcare11121768

Cited by 6 publications

(5 citation statements)

References 61 publications

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“…The family doctor contracted service system influences the health status of migrants by improving their health education. Considering the effectiveness of face-to-face education, as indicated by previous studies [24][25][26], the positive impact of health education on immigrants' self-rated health became evident. The family doctor contracted service system has a significantly positive impact on migrants' access to health education, which in turn has a positive effect on their health status.…”

Section: Discussionmentioning

confidence: 72%

Can the Family Doctor Contracted Service System Improve the Health of Migrants? A Cross-Sectional Study in China

Liu,

2024

Preprint

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China's rapid urbanization and internal migration have increased the need for effective healthcare services for migrants. This study investigated the potential of China's family doctor contracted service system to improve migrant health, considering the unique healthcare access challenges they face. Using data from the China Migrants Dynamic Survey (CMDS) 2018, a cross-sectional analysis was conducted to assess the impact of the family doctor contracted service system on migrant health while also considering the mediating role of health education in this relationship. Statistical analysis included descriptive statistics, bivariate analysis, and a double machine learning model to estimate treatment effects. The analysis revealed a positive association between the family doctor contracted service system and migrant self-rated health status. Machine learning models consistently supported this finding, indicating the system's role in enhancing migrants' health perceptions. Furthermore, health education emerged as a significant mediator, with family doctor contracted services positively influencing migrants' access to health education, subsequently improving their health status. China's family doctor contracted service system holds promise for addressing health disparities among migrants. Strengthening promotion efforts, enhancing health education, and implementing effective policy evaluation mechanisms are crucial for leveraging primary healthcare initiatives to mitigate health disparities among migrants in China.

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Section: Discussionmentioning

confidence: 72%

Can the Family Doctor Contracted Service System Improve the Health of Migrants? A Cross-Sectional Study in China

Liu,

2024

Preprint

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“…The CMDS is a reliable sample with a small sampling error ( 29 ). The survey adopts a hierarchical, multi-stage, and proportional-to-size PPS sampling method ( 30 ). In the first stage, the townships (towns and streets) were sampled according to the PPS method.…”

Section: Methodsmentioning

confidence: 99%

A study on the impact and mechanism of action of public health education on the health of the migrant population: evidence from the 2018 China migrants dynamic survey

Dong

2024

Front. Public Health

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BackgroundChina has the world’s largest mobile population. As mobility increases, ensuring the health protection of this population is receiving more attention. Strengthening public health education is a crucial measure to improve their health and achieve equal access to basic public health services in China. Previous research has demonstrated that public health education has an impact on the health of mobile populations. However, there has been limited investigation into the mediating pathways through which health education influences the health of mobile populations, and few studies have examined the heterogeneity of this effect.ObjectivesThe aim of this study was to analyze the impact of public health education on the health of the mobile population and its mechanism of action. Additionally, we aimed to explore the differences in this impact among different subdivided groups.MethodsThis paper analyses the impact of public health education on the health of the mobile population using the 2018 China Migrant Dynamic Survey (CMDS) Data,. The data was cleaned and 4,034 people were included in the analysis. The study employed ordered logistic regression modeling to analyze the mediating pathways through which health education affects health. Additionally, binary logistic regression model, probit model, propensity score matching method and instrumental variables were used to verify the robustness of the results.ResultsThe self-assessed health status of the mobile population was good, and 82.10% of them accepted public health education. However, 17.89% of the mobile population did not receive any health education. Acceptance of health education can help improve the health status of the mobile population (OR = 1.178, 95% CI = 0.979–1.418). The study found that public health education can positively impact the health of mobile populations by influencing their health and hospitalization behaviors, as well as their social support. The analysis of heterogeneity revealed that the impact of public health education is more significant among rural, middle-aged, low-education, and low-income groups of the mobile population.ConclusionPublic health education can have a positive impact on the health of the migrant populations. To further improve health education for this group, it is necessary to actively promote the establishment of health records for the migrant population, to facilitate the contracting of family doctors by the migrant population, to improve the accessibility to hospitalization services, reduce the burden of hospitalization costs, and enhance social support. Simultaneously, it is essential to offer precise and varied health education to the migrant population based on their characteristics, to promote equity among diverse groups of individuals. These findings not only help to enrich theoretical research on health education for migrant populations and the health of migrant populations but also help to improve the level of public health education for migrant populations and improve the health protection of migrant populations.

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“…The CMDS is acknowledged for its representativeness and minimal sampling error ( 41 ). This survey employs a multi-stage stratified probability proportionate to size (PPS) cluster sampling strategy for sample selection ( 42 ). In the first stage, townships (towns, streets) are selected using the PPS method.…”

Section: Methodsmentioning

confidence: 99%

“…Based on the Andersen Healthcare Service Utilization Model ( 39 , 42 ) and relevant existing research, combined with data availability, the study selects control variables to adjust for confounding effects. These variables fall into three categories: predisposing characteristics, enabling resources, and contextual characteristics.…”

Section: Methodsmentioning

confidence: 99%

The impact of basic health insurance participation characteristics on the health of mobile populations: the mediating role of health service utilization behavior

Dong

2024

Front. Public Health

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ObjectivesIt is a pivotal element of China’s health system reform to improve the health security of health insurance for the mobile population. Achieving this objective is integral to the success of the reform. The aim of this study was to analyze the impact of different enrollment characteristics of basic health insurance on the health of the mobile population and to investigate the mediating role of health service utilization behavior.MethodsThis cross-sectional study included 135,372 migrants who participated in the 2018 China Migrants Dynamic Survey (CMDS). Two indicators were employed in this study to assess the characteristics of the mobile population’s involvement in basic health insurance–namely, whether or not they participated in local health insurance and the type of health insurance in which they participated. The health status of the mobile population was measured using self-assessed health. Health service utilization behavior was divided into public health service utilization and medical service utilization. Multivariate ordered logistic regression was employed to examine the effect of health insurance on the health of the mobile population. Subsequently, the Bootstrap method was applied to analyze the mediating effect of health service utilization behavior in the relationship between health insurance and the health of the mobile population.ResultsHealth insurance had a positive impact on health, public health services, and health service utilization among the mobile population. However, enrollment in local health insurance (OR = 1.088, 95% CI = 1.043–1.134) and enrollment in Basic Medical Insurance for Urban Employees (OR = 1.178, 95% CI = 1.090–1.273) were more likely to be associated with higher levels of health and a greater likelihood of receiving health service utilization. The results of the mediating mechanism analysis indicated that health education, health records, family doctor contracting, receiving inpatient services, and being hospitalized locally all played a partially mediating role in the impact of the place of enrollment on health. Regarding the effect of the type of enrollment on health, three types of services–namely, health education, health records, and contracting with a family doctor–played a partially mediating role, while receiving inpatient services and being hospitalized locally did not exhibit a mediating effect. The effect of the type of participation on health is partially mediated.ConclusionBased on the impact of the different enrolment characteristics of basic health insurance on the health of the mobile population and the mediating role of health service utilization in this impact, furthermore, improvement of health insurance coverage for the mobile population should focus on improving the accessibility of health services, increasing the level of health insurance coverage, mitigating differences in treatment between the different insurance systems, and simplifying the process of transferring the health insurance relationships.

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Relationships between Health Education, Health Behaviors, and Health Status among Migrants in China: A Cross-Sectional Study Based on the China Migrant Dynamic Survey

Cited by 6 publications

References 61 publications

Can the Family Doctor Contracted Service System Improve the Health of Migrants? A Cross-Sectional Study in China

Can the Family Doctor Contracted Service System Improve the Health of Migrants? A Cross-Sectional Study in China

A study on the impact and mechanism of action of public health education on the health of the migrant population: evidence from the 2018 China migrants dynamic survey

The impact of basic health insurance participation characteristics on the health of mobile populations: the mediating role of health service utilization behavior

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