Exploring the Effect of Health on Migrants' Social Integration in China

The impact of family urban integration on migrant worker mental health in China

Background

As China has undergone the processes of urbanization and economic development, a large migrant population has emerged, creating new family migration trends. Family migration brings about changes in urban integration costs and benefits, affecting health investment.

Objective

The primary objective of this research is to investigate the influence of urban integration of migrant workers' families on their mental wellbeing, with the aim of offering policy recommendations conducive to the realization of a comprehensive public health strategy in China.

Methods

This paper uses multi-dimensional indexes to measure family urban integration, covering economic, social and psychological dimensions, which may consider the complexity of integration. Utilizing a machine learning clustering algorithm, the research endeavors to assess the level of urban integration experienced by migrant workers and their respective families. The analysis discerns three distinct clusters denoting varying degrees of urban integration within these familial units, namely high-level, medium-level, and low-level urban integration. We applied binary logit regression models to analyze the influence of family urban integration on the mental health among migrant workers. Then we conducted a series of robustness tests.

Results

The results show that family urban integration decreases the probability of depressive symptoms by 14.6 percentage points. Further mechanism tests show that family economic integration enhances the psychological wellbeing of migrant workers by elevating their income status. Family social integration decreases depressive symptoms by increasing social status. Family psychological integration increases the psychological health of migrant workers by making them more satisfied with their lives. The heterogeneity test shows that family urban integration and its different dimensions have a strong impact on the depressive symptoms of women, first-generation, and less-educated groups.

Conclusions

This study finds that family urban integration and its economic, social, and psychological dimensions significantly reduced the depressive symptoms of migrant workers. The results of this study lead the authors to recommend formulating a family-centered policy for migrant workers to reside in urban areas, optimizing the allocation of medical resources and public services, and improving family urban integration among migrant workers in order to avoid mental health problems in the process of urban integration.

The Effect of Health Status on Urban Adaptation of the Rural Elderly after Migration

As urbanization accelerates in China, more and more rural elders are moving to cities to live with their children. However, they face challenges in overcoming cultural, social, and economic disparities and maintaining health in urban life, and health is important human capital that may have a significant impact on the urban adaptation of rural elderly migrants (REMs). Based on the 2018 China Health and Retirement Longitudinal Study (CHARLS), this paper constructs an indicator system to measure the level of urban adaptation of REMs. The health level and urban adaptation of REMs are studied in depth, and how to better help them adapt to urban life in order to provide a healthy living environment and a good lifestyle is explored. The empirical analysis finds the following: (1) good health helps REMs achieve a better level of urban adaptation. (2) REMs with good health status are more likely to go to community clubs for activities and do physical activities and thus improve their urban adaptation level. (3) There are significant differences in the effects of health status on urban adaptation among REMs with different characteristics. REMs with better health status in the central and western regions have significantly higher levels of urban adaptation than those in the eastern regions, and men have higher levels of urban adaptation than women. Therefore, the government should construct classification measures according to the differentiated characteristics of rural elderly migrants' urban adaptation, and guide and support their stratified and orderly adaptation to urban society.

Gender differences in social environmental changes associated with smoking: a cross-sectional study from Chinese internal migrants

OBJECTIVES

To identify clues for women's tobacco control, this study analyses the gender differences in social environmental changes associated with smoking and the interaction between the environment and individuals' social integration.

DESIGN, SETTING AND PARTICIPANTS

A cross-sectional design and secondary analysis were used among Chinese internal migrants. Data were from the 2012 Migrant Dynamics Monitoring Survey in China with participants aged 15-59 years old (75 416 women and 83 140 men) who resided in cities for more than 1 month.

PRIMARY AND SECONDARY OUTCOME MEASURES

Social environmental changes were measured by differences in smoking prevalence and women's empowerment between the migrant-receiving province (MRP) and migrant-sending province (MSP). Social participation and duration of stay (DOS) were adopted as indicators of social integration. Stratified analysis and binary logistic regression models were used to determine the dependent variable (smoking status) and environmental changes after controlling for age, education, income and happiness.

RESULTS

Differences in the smoking prevalence environment (lower in MRP, OR 0.70, 95% CI 0.60 to 0.83; higher rate in MRP, OR 1.79, 95% CI 1.35 to 2.37) and women's empowerment (lower rate in MRP, OR 0.80, 95% CI 0.68 to 0.97; higher rate in MRP, OR 1.15, 95% CI 1.00 to 1.33) between MRP and MSP were positively correlated with women's smoking. In men, however, migrating to an area with lower smoking prevalence could not reduce smoking risk, whereas moving to an area with higher women's empowerment could. A long DOS was an independent risk factor for smoking in women (ranged from 1.20 to 2.00 in various environmental changes scenarios) but a protective factor for men. An interaction between environmental changes and social integration could not be verified.

CONCLUSIONS

Tobacco control strategies should consider gender differences, especially women who are experiencing social environmental changes.

The Impact of the Integration of Urban and Rural Medical Insurance on Migrant Workers' Overwork: Evidence From China

In recent years, the problem of migrant workers' excessive labor has attracted much attention. The implementation of the integration policy of urban and rural medical insurance has broken the urban-rural dual division system. While improving migrant workers' health and sense of social integration, can they effectively alleviate their overwork? Based on the panel data of China Labor Dynamics Survey (CLDS) in 2016 and 2018, this paper empirically analyzes the impact of the integration of urban and rural medical insurance on migrant workers' overwork by using the differential difference model (DID). The research shows that the integration of urban and rural medical insurance can significantly alleviate the excessive labor of migrant workers; Heterogeneity analysis shows that, comparing with the new generation, the eastern region, the tertiary industry and low education level migrant workers, it is more obviously that the integration of urban and rural medical insurance alleviates the overwork of the older generation, the central and the western regions, the secondary industry and high education level migrant workers. Path analysis shows that the integration of urban and rural medical insurance will improve the social identity and health level of migrant workers, and then reduce the probability of migrant workers' overwork.

Empirical Analysis of Population Urbanization and Residents’ Life Satisfaction—Based on 2017 CGSS

As the greatest potential of domestic demand, new urbanization shoulders the important mission of improving the living standards of residents. Based on the theory of exploitation, this paper systematically established the theoretical relationships among population urbanization rate, human capital, family capital, and life satisfaction. Through the 2017 China Comprehensive Social Survey of 1940 micro-individuals for empirical analysis, the results show that: (1) the urbanization rate of the core explanatory variable has a significant and robust positive effect on individual life satisfaction and on human capital and family capital; (2) the urbanization rate of the core explanatory variable has a significant positive effect on human capital and family capital; (3) human capital and family capital have significant positive effects on life satisfaction; (4) in the heterogeneity discussion, the male capital accumulation is higher than the female, but life satisfaction is the opposite. With the increase in age, the individuals accumulated the highest human capital and family capital in 26–34 years old and reached the peak in life satisfaction after retirement in 60–83 years old. As far as regional differences are concerned, individual human capital, family capital, and life satisfaction are decreasing from the east to the west. The results of the study will help to establish a healthy and perfect regional urbanization and to enhance the mental health of residents by promoting talent development and advocating family-friendly construction.