Health and lifestyle changes among migrant workers in China: implications for the healthy migrant effect

Salazar, Miguel Antonio; Hu, Xiaojiang

doi:10.1016/s2213-8587(15)00438-6

Cited by 20 publications

(19 citation statements)

References 10 publications

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“…Considering TB prevalence in rural areas in China was approximately twice as high as it in urban areas and Shenzhen city locates in the area with low prevalence of TB 15 , it is not surprising that the higher prevalence of TB infection and of active disease among rural labor migrants might influence TB epidemic in local residents 23 . As compared to those residents continuously living in rural areas, we do not know whether the changed living conditions of rural labor migrants would change their risk of disease developing from infection 24, 25 . Long term follow-up studies with larger sample size are needed to disclose such an important scientific question.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis infection in rural labor migrants in Shenzhen, China: Emerging challenge to tuberculosis control during urbanization

Yang

Feng

et al. 2017

Sci Rep

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During China’s urbanization process, rural labor migrants have been suggested to be one important bridge population to change urban-rural distribution on tuberculosis (TB) burden. Aiming to estimate the prevalence of TB infection and to track the active disease development in rural labor migrants, a prospective study was conducted in Shenzhen city, southern China. TB infection was detected using interferon-γ release assay (IGRA). Here we mainly report the characteristics of TB infection in the study population based on the baseline survey. A total of 4,422 eligible participants completed baseline survey in July 2013. QuantiFERON (QFT) positivity rates 17.87% (790/4,422) and was found to be consistent with the local TB epidemic of the areas where the participants immigrated from. Age, smoking, residence registered place, and present of BCG scars were found to be independently associated with QFT positivity. Additionally, evidence for interaction between smoking and age was observed (p for likelihood ratio test < 0.001). Our results suggested that the development of TB control strategy including latent TB infection management should pay more attention to the rural flowing population due to their high mobility and higher prevalence of TB infection.

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Section: Discussionmentioning

confidence: 99%

Tuberculosis infection in rural labor migrants in Shenzhen, China: Emerging challenge to tuberculosis control during urbanization

Yang

Feng

et al. 2017

Sci Rep

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“…The other reason might be the improved economic ability4 but worse health status of the returned population 5. In this study, we found that the returned population and rural residents had poorer self-rated health status compared with the urban residents.…”

Section: Discussionmentioning

confidence: 53%

“…Migration has improved the IMs’ working conditions and economic status4 but has produced other problems, especially with their health. The famous ‘healthy migrant’ theory5 indicated that migrants were in good health status and only returned when their health status worsened 6.…”

Section: Introductionmentioning

confidence: 99%

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Migration status and healthcare seeking behaviours among the Chinese labor-force: a nationally representative study

et al. 2019

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ObjectivesWe aimed to analyse the healthcare seeking behaviours (HSB) of populations with different migration status and examine the relationship between migration status and HSB.DesignA secondary analysis of cross-sectional data of China Labor-force Dynamics Survey wave 2016, which was conducted by the Sun Yat-sen University every 2 years since 2010.Setting29 provinces/cities/autonomous regions in mainland China, excluding Tibet and Hainan province.Participants3522 respondents in a condition in the previous 2 weeks or during the last 12 months were analysed.Main outcome measuresThe migration status included internal migrants (IMs), returned population, rural residents and urban residents. The HSB including health services utilisation and choice of health facilities for their health services. Multivariable logistic regressions were used to examine the association between migration status and HSB.Results2193 and 1898 of 3522 respondents were in need of outpatient services (having a condition in the previous 2 weeks) or inpatient services (being asked to use the inpatient services during the last 12 months). Compared with urban residents, the returned population (OR=0.66, 95% CIs 0.49 to 0.89) and rural residents (OR=0.65, 95% CIs 0.51 to 0.82) were less likely to have an unmet need for outpatient services. The latter tended to choose lower-level hospitals, while the IMs preferred the lowest-level healthcare facilities for health services. After controlling for confounding factors, the results above did not reach any statistical significance.ConclusionAssociation between migration status and HSB might be through enabling resource and needs. Returned population, IMs and rural residents tended to choose low-level hospitals for their health service needs, but this association was mainly associated with their poorer social and economic resources. Improving their social and economic resources would be helpful for reducing the barriers of HSB.

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“…Although migrants are needed for socioeconomic development and urban construction in major cities, they often encounter several obstacles to accessing public services because of their distinguishing characteristics irregular status (e.g. low paid wages, low education level, poor living condition, and insufficiently protected working environment) and economic and social marginalization (many public policies and social welfare programs were implemented based on a rigid "Hukou" system, serving as a domestic passport) [2,3]. They suffer certain unnoticed health risks that can wear off their health awareness and make them vulnerable to health problems, such as communicable disease (CD), chronic non-communicable disease (NCD) and occupational disease, and also relatively easy to ignore their own health status [4,5].…”

Section: Introductionmentioning

confidence: 99%

Analysis of health education utilization of migrants in Beijing using Anderson health service utilization model

Shao

Zhang

Xuxiao

et al. 2019

Preprint

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Background: Domestic migration is considered as a challenge for China. Migrants are vulnerable to certain risks and diseases due to encounter several obstacles to accessing preventive care services. This research sought to unveil and explore the determinant factors associated with health education utilization as one important aspect of basic public health services for migrants in Beijing of China. Methods: A sample of 863 inter-provincial migrants who were 18 years old and above was chosen by three-stage stratified cluster sampling method in 2016 urban-rural connection districts of Beijing. A structured questionnaire survey was conducted via face-to-face interviews. Anderson health service utilization model was used to demonstrate the effects of the explanatory variables on health education seeking behavior from predisposing, enabling, health behavior and need variables. Results: The study revealed that 60.4% migrants desired to receive health education, while only 34.5% of them received in the past year. Many migrants desired to access various types of health education information from the internet. Chi-square independence test shows that age, "Hukou" registration system, marital status, education level, plan to reside for a long time in Beijing, have at least one child in Beijing, employment status, housing source, average working time daily, do exercises, acquire health knowledge, smoking, self-evaluation general health status are the major determinants affecting migrants to receive whole health education. The binary logistic regression indicates that the migrants with younger, high education level, have at least one child in Beijing, do exercises and self-evaluated good health status were more likely to receive whole health education. The results also show that average working time daily of enabling variables and do exercise of health behavior variables were the strong and consistent determinants of three types of health education utilization, including communicable, non-communicable and occupational diseases. Conclusion: There were certain gaps between the needs and utilization in health education. More attention should be given to the migrants with heavy workload and low education level. Relevant policies and feasible measures, including health providing health information by multiple channels, should be vigorously implemented to ensure easy and equitable access to health education for migrants.

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Health and lifestyle changes among migrant workers in China: implications for the healthy migrant effect

Cited by 20 publications

References 10 publications

Tuberculosis infection in rural labor migrants in Shenzhen, China: Emerging challenge to tuberculosis control during urbanization

Tuberculosis infection in rural labor migrants in Shenzhen, China: Emerging challenge to tuberculosis control during urbanization

Migration status and healthcare seeking behaviours among the Chinese labor-force: a nationally representative study

Analysis of health education utilization of migrants in Beijing using Anderson health service utilization model

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