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

点击次数:389 次  更新时间:2021-03-02

Jing Liang, Yujia Shi, Mohammed-Hamid Osman kelifa, Bhawana Shrestha, Peigang Wang*. 

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

International Journal of Environmental Research and Public Health, 2020 Sep 8;17(18):6524.

DOI10.3390/ijerph17186524   

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: health education; health records; internal migrants; multilevel analysis; social integration.

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武汉大学人口与健康研究中心是武汉大学校级学术研究平台,王培刚教授任中心主任,何启强教授任中心执行【详细】

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