Abstract
BackgroundMost Chinese migrants have been faced with obstacles to getting access to local public health services. Young migrants among internal migrants make a major contribution to the economy. However, the establishment of their health records has been ignored. This research was aimed at exploring the status and associated factors of the establishment of health records among young Chinese migrants.MethodsData were obtained from the 2017 China Migrants Dynamic Survey (CMDS). Chi-square test and binary logistic regression were performed to investigate the associated factors of the establishment of health records among young Chinese migrants.ResultsApproximately 30.2% of young migrants had their health records established in inflow communities. Urban residence, medical insurance (insured), and lower average monthly household income were attributed to the establishment of more health records. Young migrants who were in northeast China and across provinces and immigrated for working or engaging in trade were less likely to have health records established. Young migrants who participated in social activities and public affairs activities and took type of people in touch as natives in the inflow area showed a higher possibility of establishing health records. Meanwhile, receiving health education and hearing about national basic public health services (BPHSs) were beneficial for establishing the health records of more young migrants.ConclusionThis study showed that the health records of young migrants had a relatively low establishment rate. Sociodemographic and migration characteristics, health status, public health services, and social integration factors were all related to the health record establishment of young Chinese migrants.
Highlights
Most Chinese migrants have been faced with obstacles to getting access to local public health services
With regard to health status and PHS characteristics, the majority of young migrants had good self-rated health (87.0%), about 2.0% had hypertension or type 2 diabetes, the distance of medical facilities was ≤ 15 min (84.2%), 61.8% had heard about national basic public health services (BPHS), and most received health education (75.1%)
49.0% of young migrants participated in social activities, 45.2% participated in public affairs activities, 93.7% were willing to integrate and type of people in touch was natives in the inflow area (34.5%)
Summary
Most Chinese migrants have been faced with obstacles to getting access to local public health services. This research was aimed at exploring the status and associated factors of the establishment of health records among young Chinese migrants. Young migrants among internal migrants make a major contribution to the economy and have a direct or indirect impact on the development of politics, economy, culture, and other aspects in China [3]. Research has shown that younger migrants are most likely to experience a decline in health after migration [4]. They are much less likely to be aware of their conditions, suffer from unnoticed high health risks leading to their vulnerability to long-term health problems [5], and find it impossible to seek medical attention by themselves [6].
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