Abstract
BackgroundMany migrants suffer from discrimination and poor health in China. We sought to examine the associations between experiences of discrimination and self-reported health among internal migrants in China, as well as the mediators of social integration and perceived stress.MethodsThe data was obtained from a specific survey of migrants, as a part of the National Health and Family Planning Dynamic Monitoring for Migrants conducted in 2014. A total of 15,999 migrants aged 15 to 59 years were recruited by a stratified, multistage clustered sampling procedure in eight Chinese cities. Structural Equation Modeling (SEM) was conducted.ResultsThe results indicated that experiences of discrimination were associated with worse self-reported health (β = − 0.32, P < 0.001), less social integration (β = − 0.25, P < 0.001), as well as higher perceived stress (β = 0.21, P < 0.01). Both objectively measured socioeconomic status (β = 0.21, P < 0.001) and subjective social status (β = 0.21, P < 0.01) had significantly positive correlations with self-reported health.ConclusionsThe discrimination, social exclusion and perceived stress experienced by migrants have significant implications on their health.
Highlights
Many migrants suffer from discrimination and poor health in China
Migrants migrated across provinces had worse self-reported health than those moved within the province (Z = -3.42, P = 0.0006)
The present study demonstrated that the everyday discrimination that Chinese migrants frequently experienced is associated with poor self-reported health, while social integration and perceived stress are factors likely to mediate the association
Summary
We sought to examine the associations between experiences of discrimination and self-reported health among internal migrants in China, as well as the mediators of social integration and perceived stress. According to a Migrant Population Development report, China’s internal migrant population had reached 245 million in 2016, comprising more than a sixth of the nation’ s total population [1]. The nature of such intercity migration involve migrants from both rural areas (rural migrants) and from other urban areas (urban migrants). There are currently limited studies showing that mental health among rural-to-urban migrants are negatively influenced by discrimination in daily life and perceived social inequity [9]. The current study is focusing on the interpersonal discrimination of migrants
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