Document Type

Article

Publication Date

2017

DOI

10.1186/s12939-017-0640-9

Publication Title

International Journal for Equity in Health

Volume

16

Issue

1

Pages

139 (1-11)

Abstract

Background: To examine the interaction between social income inequality, social integration, and health status among internal migrants (IMs) who migrate between regions in China.

Methods: We used the data from the 2014 Internal Migrant Dynamic Monitoring Survey in China, which sampled 15,999 IMs in eight cities in China. The Gini coefficient at the city level was calculated to measure social income inequality and was categorized into low (0.2 < Gini <= 0.3), medium (0.3 < Gini <= 0.4), high (0.4 < x < = 0.5), and very high (Gini > 0.5). Health status was measured based upon self-reported health, subjective well-being, and perceptions of stress and mental health. Social integration was measured from four perspectives (acculturation and integration willingness, social insurance, economy, social communication). Linear mixed models were used to examine the interaction effects between health statuses, social integration, and the Gini coefficient.

Results: Factors of social integration, such as economic integration and acculturation and integration willingness, were significantly related to health. Social income inequality had a negative relationship with the health status of IMs. For example, IMs in one city, Qingdao, with a medium income inequality level (Gini = 0.329), had the best health statuses and better social integration. On the other hand, IMs in another city, Shenzhen, who had a large income inequality (Gini = 0.447) were worst in health statues and had worse social integration.

Conclusion: Policies or programs targeting IMs should support integration willingness, promote a sense of belonging, and improve economic equality. In the meantime, social activities to facilitate employment and create social trust should also be promoted. At the societal level, structural and policy changes are necessary to promote income equity to promote IMs' general health status.

Comments

This article is open access under the terms of the Creative Commons Attribution 4.0 International License.

(http://creativecommons.org/licenses/by/4.0/)

Original Publication Citation

Lin, Y. W., Zhang, Q., Chen, W., & Ling, L. (2017). The social income inequality, social integration and health status of internal migrants in China. International Journal for Equity in Health, 16(1), 139. doi:10.1186/s12939-017-0640-9

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