ArticleInternational journal for equity in health2023
The association between social integration and utilization of primary health care among migrants in China: a nationwide cross-sectional study.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Understanding social integration and health outcomes among China's internal migrants: a systematic review.Frontiers in public health · 2025Pooled it
- Emergency Department utilization in Switzerland: Comparing Swiss natives with first- and second-generation immigrants.Journal of migration and health · 2026Article
- Utilization of public health services and health outcomes among China's migrant population: an equity analysis.Frontiers in health services · 2026Article
- Decomposition analysis of public health service utilization and health disparities among urban and rural older adult migrants in China.Frontiers in public health · 2025Article
- Strengthening primary health care service competency: a scoping review of challenges, influencing factors, and enhancement strategies.Frontiers in public health · 2025Article
- A study on the impact and mechanism of action of public health education on the health of the migrant population: evidence from the 2018 China migrants dynamic survey.Frontiers in public health · 2024Article
- Effectiveness of hierarchical medical system and economic growth: based on China's urban vs. rural health perspectives.Frontiers in public health · 2024Article
- Heterogeneity in public health service utilization and its relationship with social integration among older adult migrants in China: a latent class analysis.Frontiers in public health · 2024Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMigrants is a large population in China. To improve the health and wellbeing of migrants is a critical policy and social issue in China, and to enhance the utilization of primary health care by migrants is one of the most important approaches in promoting equity in health. However, there exists little research about the association between social integration and the utilization of primary health care. To address the research gap, this research aims at exploring the relation between social integration and the utilization of primary health care among migrants in China.
methodsUsing the national data from China Migrants Dynamic Survey (CMDS) in 2017, 169,989 migrants were included in this study. Social integration was measured by social communication, acculturation and self-identity, with 8 indicators. The utilization of primary health care was measured by the receiving of health education on infectious diseases (ID) and noncommunicable diseases (NCD) as well as the first visit institution when migrants were sick. After the descriptive statistical analysis, binary logistic regression was employed to evaluate the association between social integration and the utilization of primary health care.
results65.99% of the migrants received health education on infectious diseases (ID), 40.11% of the migrants received health education on noncommunicable diseases (NCD) and 8.48% of the migrants chose to go to Community Health Center (CHC) seeking for health services. There was a positive effect of social organization participation, the influence of hometown customs, differences of hygiene habits between migrants and local people, integration willingness and evaluation of identity on the receiving of health education on ID and NCD, as well as a positive effect of civil activities engagement and differences of hygiene habits between migrants and local people on the utilization of CHC after getting sick.
conclusionsSocial integration was associated with the utilization of primary health care among migrants in China. Generally speaking, greater social integration was associated with higher possibility of receiving health education on ID and NCD. However, the effect of social integration on the utilization of CHC was more complex among different indicators. There should be more policy interventions to improve the social integration of migrant which help them to get familiar with the health resource available, as well as improve the capacity of CHC.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.