Associations Between Schemes of Social Insurance and Self-Rated Health Comparison: Evidence From the Employed Migrants in Urban China.

Ming Guan

doi:10.3389/fpubh.2019.00253

Abstract

Background: Little was known about the relationship between social insurance without health insurance and self-rated health comparison (SRHC). The present study aimed to investigate how social insurance schemes improved SRHC among employed migrants in urban China.Methods: The employed migrants aged 18 and above were selected from the 2009 Rural-Urban Migration in China project. Multiple probit regression models were adopted to identify the determinants of participation of social insurance. Multiple logistic regression models were used to analyze the relationship between unemployment insurance, pension insurance, and work injury insurance and SRHC.Results: In the sample, most of the participants were middle-aged, male, and uninsured persons. However, over 80% of them reported better SRHC. Health insurance contributed to the participation of social insurance. The social insurance schemes were associated with financial risk. Regarding the confounding effects of health insurance, the three schemes of social insurance were associated with SRHC.Conclusions: The result indicated that not all three, but two schemes of social insurance, could improve SRHC among the employed migrants.

Highlights

A large part of the literature has reported the protective effect of health insurance on health status [1,2,3,4,5]
Data were from the 2009 Rural-Urban Migration in China (RUMiC) project, which was established to study the patterns and Abbreviations: SRHC, self-rated health comparison; RUMiC, Rural-Urban Migration in China; AOR, adjusted odd ratio; CI, confidence interval; UI, unemployment insurance; PI, pension insurance; WII, work injury insurance; CMI, commercial medical insurance; PHI, public health insurance; LI, labor insurance; MICFM, medical insurance covering family members; RCMI, rural cooperatives medical insurance; CHMI, comprehensive medical insurance
UI was reflected by the answer to the question: “Do you have UI?” PI was denoted by the answer to the question: “Do you have PI?” WII was defined by the answer to the question: “Do you have WII?” Their response options to answer these questions were available on a four-point Likert scale: paid by employer, paid by yourself, paid by both employer and yourself, and none

Summary

Introduction

A large part of the literature has reported the protective effect of health insurance on health status [1,2,3,4,5]. Two current studies indicated that the effect relied on the health insurance coverage [7, 8]. The Chinese health insurance policy could not realize full coverage and equal utilization of health insurance among migrant workers in China [11]. As for rural-to-urban migrants in China, migration to urban areas limited the effectiveness of Associations Social Insurance and SRHC rural health insurance on chronic disease management due to its non-portable nature [12]. Little was known about the relationship between social insurance without health insurance and self-rated health comparison (SRHC).

Objectives

Methods

Results

Conclusion