The Age of Mobility: Can Equalization of Public Health Services Alleviate the Poverty of Migrant Workers?

Zhou, Ziming; Jiang, Yan; Wu, Haitao; Fan, Jun; Yu, Zhiming

doi:10.3390/ijerph192013342

Cited by 6 publications

(5 citation statements)

References 47 publications

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“…According to the results of our full-sample measurement, approximately 90% of migrant workers are deprived with respect to at least four indicators. This high poverty rate is basically consistent with the measurement results of Zhou et al Our findings suggest that poverty among migrants requires urgent national and academic attention [47].…”

Section: Discussionsupporting

confidence: 91%

A Study of Multidimensional and Persistent Poverty among Migrant Workers: Evidence from China’s CFPS 2014–2020

Chen

Tang

2023

Sustainability

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Poverty is a critical social problem in numerous countries. It is a result of many aspects and has been addressed worldwide for a long time. In this study, we construct the multidimensional poverty index (MPI) for migrant workers in China based on Amartya Sen’s capabilities approach. Using the Chinese Family Panel Studies (CFPS) data during 2014–2020 and the Alkire–Foster methodology, our study examines the multidimensional poverty of migrant workers using static to dynamic analyses. The results show the following: (1) The multidimensional poverty of migrant workers shows a general decreasing trend over time. (2) Over one third of migrant workers are in severe multidimensional poverty. (3) The in-work poverty of migrant workers is serious, which is reflected in the indicators of employment security, housing provident fund, labor contract, and labor union. (4) Approximately 30% of migrant workers’ multidimensional poverty is persistent. It is difficult for them to rid themselves of persistent poverty by their own effort. This study suggests that the government should pay more attention to poverty reduction and capability improvement for migrant workers.

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Section: Discussionsupporting

confidence: 91%

A Study of Multidimensional and Persistent Poverty among Migrant Workers: Evidence from China’s CFPS 2014–2020

Chen

Tang

2023

Sustainability

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“…The NEPHS has witnessed an expansion of its service categories from 9 in 2009 to 14 in 2017, and the per capita financial subsidy standard has risen from ¥15 in 2009 to ¥89 in 2023. [4][5][6] Several studies have investigated the beneficial impacts of NEPHS utilisation on various aspects of the floating population, such as the treatment and control of chronic diseases, 7 8 health status, [9][10][11][12] accessibility and utilisation of healthcare services, [13][14][15] multidimensional poverty 16 and settlement intentions. 17 While the NEPHS attempts to ensure that all floating population and registered residents have equal access to NEPHS awareness and utilisation, most floating population is excluded from NEPHS in the initial stage of policy implementation, and they are unable to access basic public health services as registered residents.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Disparities in awareness and utilisation of National Essential Public Health Services between the floating population and the registered residents: a cross-sectional study in China

Wang,

Bai,

2024

BMJ Open

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ObjectiveThere are differences between the floating population and the registered population in the awareness and use of the National Essential Public Health Services (NEPHS) due to the influence of China’s household registration system. The Equalization of Basic Public Health and Family Planning Services (EBPHFPS) policy aims to reduce disparities among populations by enhancing the migrant population’s access to basic public health services. The aim of this study is to examine the relationship between the EBPHFPS targeted at the floating population and the disparities in access to and utilisation of NEPHS between registered residents and the floating population.DesignA cross-sectional study.Setting8 cities (regions, autonomous prefectures) in China.Participants13 998 floating population and 14 000 registered residents in eight cities (regions, autonomous prefectures) were included in the analysis.Outcome measuresThree binomial variables, including awareness of NEPHS, acceptance of health education and establishment of health records, were used as outcome indicators to examine the relationship between the EBPHFPS and the disparities between the floating and registered populations.MethodsA linear regression model, fairness gap calculation and propensity score matching were used to explore the associations.ResultsThe areas that implemented EBPHFPS exhibited an 8.3% increase in awareness of the NEPHS (p<0.01) and a 4.0% increase (p<0.05) in the likelihood of individuals having received health education within the previous year compared with the areas without the policy implementation. In contrast to registered residents, however, the floating population still faces significant disparities in NEPHS awareness and utilisation. Compared with areas without the equalisation policy, the inequality of opportunity in health education of the floating population in implementation areas is significantly lower (p<0.01), whereas no significant difference is observed in the inequality of opportunity regarding NEPHS awareness among the floating population (p>0.1). The floating population in the pilot areas of the policy encountered greater disparities in the establishment of health records (p<0.01).ConclusionsPositive associations between the EBPHFPS policy and NEPHS awareness and utilisation among the floating population were demonstrated to some extent; however, the floating population was still confronted with a degree of inequality of opportunity. The government needs to develop target-oriented policies and a guaranteed mechanism to ensure access to NEPHS among the floating population.

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“…Regarding the establishment of a health record or not, when implementing basic public health programs, the establishment of a health record is considered to be a prerequisite for the provision of basic public health services [44][45][46]. According to existing practice and research, "Have you established a health record for your local area?"…”

Section: Independent Variablementioning

confidence: 99%

The Impact of Basic Public Health Services on Migrant Peasant Workers’ Urban Integration: Evidence from China

Yang

Gao

et al. 2023

Sustainability

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The key to promoting urbanization in China is to achieve urban integration of migrant peasant workers, and basic public health services may have a potential social impact on the subjective welfare of migrant peasant workers. In this paper, we use data from the China Migrants Dynamic Survey (CMDS) to study the impact of basic public health services on the urban integration of migrant peasant workers. The results show that basic public health services can significantly improve the probability of migrant peasant workers’ urban integration. The conclusions remain robust after mitigating potential endogeneity issues using the propensity score matching method (PSM), the CMP method, and robustness testing by replacing the explanatory variables with the reduced tail treatment. Further research found that the impact of basic public health services on migrant peasant workers’ urban integration is heterogeneous. The urban integration effect of basic public health services is more significant in male, high school and above, migrant peasant workers’ groups. The urban integration effect of basic public health services gradually increases with upgrading of the urban grade at the second-tier city and higher urban levels, and it also plays a vital role in the urban integration of the migrant peasant workers at the third-tier city and lower urban levels. Our findings also provide an evidence-based policy for China to promote equalizing basic public health services and a path to the urbanization of migrant peasant workers.

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The Age of Mobility: Can Equalization of Public Health Services Alleviate the Poverty of Migrant Workers?

Cited by 6 publications

References 47 publications

A Study of Multidimensional and Persistent Poverty among Migrant Workers: Evidence from China’s CFPS 2014–2020

A Study of Multidimensional and Persistent Poverty among Migrant Workers: Evidence from China’s CFPS 2014–2020

Disparities in awareness and utilisation of National Essential Public Health Services between the floating population and the registered residents: a cross-sectional study in China

The Impact of Basic Public Health Services on Migrant Peasant Workers’ Urban Integration: Evidence from China

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