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

The Association between Social Integration and Utilization of Essential Public Health Services among Internal Migrants in China: A Multilevel Logistic Analysis.
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DOI:
10.3390/ijerph17186524
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发表时间:
2020-09-08
影响因子:
--
通讯作者:
Wang P
Wang P
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Liang J;Shi Y;Osman M;Shrestha B;Wang P

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本研究调查了国内移徙者的社会融合与利用基本公共卫生服务之间的关系。数据来自2017年中国移民动态调查。社会整合通过四个维度来衡量:经济整合、结构整合、社会文化适应和自我认同。考虑到区域发展水平的异质性,采用了多水平logistic回归。健康档案和健康教育的使用率低于40%,各地区差异很大。社会融合与较高的利用健康记录和健康教育的可能性有关。此外,社会文化适应对健康档案利用的影响在发达地区强于发展中地区,结构整合与健康教育利用呈显著正相关。因此,社会一体化的某些方面与基本公共卫生服务的利用之间的关系似乎因经济发展水平而有所缓和。促进结构一体化和社会文化适应可以大大提高发达地区基本公共卫生服务的利用率。
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.
中国境内 65 岁以上人口流动的社会支持和健康服务使用情况:一项横断面研究
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