Abstract
This study investigated the association between social integration and utilization of essential public health services among internal migrants. Data were from the 2017 China Migrants Dynamic Survey. Social integration was measured through four dimensions: economic integration, structural integration, sociocultural adaptation, and self-identity. Multilevel logistic regressions were used taking into account heterogeneity in the level of regional development. The utilization of health records and health education was less than 40% and varied widely across regions. Social integration was related to a higher likelihood of utilization of health records and health education. Moreover, sociocultural adaptation had a stronger effect on the utilization of health records in developed regions than in developing regions, and structural integration was strongly and positively related to the utilization of health education in developed regions. Hence, it appears that the relationship of some dimensions of social integration and utilization of essential public health services is moderated by the level of economic development. Promoting structural integration and sociocultural adaptation could strongly improve utilization of essential public health services in developed regions.
Highlights
As a vulnerable and specific group, migrants often experience a lack of access to health care services [1]
By using a more comprehensive dimension to measure social integration, our study found that it was related to a higher likelihood of utilizing essential public health services (EPHS) among internal migrants
We only focus on internal migration, social integration is important for international migration
Summary
As a vulnerable and specific group, migrants often experience a lack of access to health care services [1]. The UN 2030 Agenda for the Sustainable Development calls for empowering vulnerable groups such as internal migrants to reduce inequalities and to ensure healthy lives for all ages [2]. The health status of migrants has received attention in global public health circles [3]. The World Health Organization has been promoting the health of migrants to achieve universal health coverage [4]. China has the world’s largest (30%) internal immigration [5], estimated at 245 million in 2017. The Chinese government attaches great importance to the health of internal migrants, and some measures have been taken to promote the health of internal migrants
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