The interaction of migration range, regional economic development level on social capital and public health services of internal migrants: evidence from the China Migrant Dynamic Survey in 2017
Year: 2021
Type: preprint
Abstract: Objectives Studies have confirmed that both migration range (MR) and regional economic development level (REDL) have significant impacts on the accessibility of National Essential Public Health Services (NEPHS) for the internal migrants (IMs), but no studies have explored the interaction between MR and REDL, nor discussed the mechanism behind their influence.Method A sample of 115412 respondents from the China Migrant Dynamic Survey in 2017 was adopted, aged 18-59 years and residence duration more than one year. Beijing, Tianjin and Shanghai were excluded. The MR was divided into inter-provincial and intra-provincial migration. Social capital (SC) was divided into cognitive social capital (CSC) and structural social capital (SSC). The REDL was divided into high income provinces (HIPs) and low-middle income provinces (LMIPs). Cross-table, chi-square test, logistic regression and other statistical methods were used to analyze impacts of MR and REDL on IMs' SC, awareness of NEPHS and establishment of health records (EHR).Results (1) The SC of inter-provincial IMs is always lower than that of intra-provincial IMs. The CSC of IMs in HIPs is lower but their SSC is not the same. The MR difference of IMs' SC is greater in HIPs. (2) The IMs' level of NEPHS utilization in the inter-provincial group and the HIPs group is lower, and the MR difference of IMs' level of NEPHS utilization is greater in the HIPs. (3) The IMs' SC can significantly promote their NEPHS utilization level, but this relationship is affected by the dimensions of SC, MR and REDL.Conclusions MR and REDL may affect the IMs' SC through cultural exclusion and institutional exclusion, and further affect the IMs' NEPHS utilization. When promoting equalization of NEPHS in HIPs, it is necessary for HIPs to expand more primary health facilities to increase the NEPHS supply, and take measures to stimulate the inter-provincial IMs' sense of identity and social participation.
Source: Research Square
Authors: Zhen Yang, Chenghua Jiang
Institution: Tongji University
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W3163844729