The Association between Social Integration and Utilization of Essential Public Health Services among Internal Migrants in China: A Multilevel Logistic Analysis

Jing Liang, Yujia Shi, Mohammedhamid Osman, Bhawana Shrestha and Peigang Wang
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Jing Liang: School of Health Sciences, Wuhan University, 115 Donghu Road, Wuhan 430071, China
Yujia Shi: School of Philosophy, Zhongnan University of Economics and Law, South Nanhu Road, Wuhan 430073, China
Mohammedhamid Osman: School of Health Sciences, Wuhan University, 115 Donghu Road, Wuhan 430071, China
Bhawana Shrestha: School of Health Sciences, Wuhan University, 115 Donghu Road, Wuhan 430071, China
Peigang Wang: School of Health Sciences, Wuhan University, 115 Donghu Road, Wuhan 430071, China

IJERPH, 2020, vol. 17, issue 18, 1-14

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.

Keywords: internal migrants; social integration; health records; health education; multilevel analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (8)

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