Abstract
Using 2017 Migrant Dynamic Survey (CMDS) data, logistic regression models were developed to explore the family migration rate on health care participation of floating population. The analysis reveals that 68.69% of the floating population in China moves with at least one family member, but the local health insurance participation rate of them are relative low. However, family migration rate has a significant positive correlation with the health insurance participation of the floating population at the destination, which explains by family support and social integration mechanisms. The higher the degree of family migration, the higher the likelihood of participating in local health insurance system. Age, labor contract types, migration range and cities numbers, health records, and the accessibility of health resources have a significant negative correlation with health care participation of the floating population at the destination; gender, health, marriage, education, hukou types, monthly income, migration history, and move duration have a significant positive correlation. The effect of family migration rate on health care participation is weaker in group in which people are low-educated and signs non-fixed-term contract or gets bottom 50% monthly income or under the no-kids family structure. Potential policies informed by these findings are also explored.
Highlights
The health and social welfare of migrants has always been a central issue in migration research
In terms of the model of family migration, only 8.5% of the migrant population migrated with their parents or other collateral relatives, 1.44% of the migrant population migrated only with their children, spousal migration accounted for 29.5%, and nuclear family migration accounted for 29.25%, indicating the nuclearization of migrating families
The differences on family migration rate are influenced by age, gender, marriage, hukou type, move range
Summary
The health and social welfare of migrants has always been a central issue in migration research. Since the 1980s, a large number of rural residents in China have poured into cities to participate in economic and social development actively. The large floating population faces great risks from its mobility while driving China’s modernization. Affected by subjective factors such as insufficient health awareness and objective factors such as high health costs, relatively poor living and working environment, the migrant population often faces health problems, including infectious diseases, reproductive system diseases, occupational hazards, and mental health issues [1]. The overall health of the migrant population in China is poor, and there is a need for improved basic health services and medical security.
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