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Association between Social Integration and Health among Internal Migrants in ZhongShan China

机译:中山市内来移民的社会融合与健康关系

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摘要

Internal migrants are the individuals who migrate between regions in one country. The number of internal migrants were estimated at 245 million in China in 2013. Results were inconsistent in the literature about the relationship between their health statuses and social integration. The main difference exists on how to measure the social integration and whether health statuses of internal migrants improve with years of residence. To complement the existing literature, this study measured social integration more comprehensively and estimated the internal migrants’ health statuses with varying years of residence, and explored the associations between the migrants’ social integration and health. We used the data from 2014 Internal Migrant Dynamic Monitoring Survey of Health and Family Planning in ZhongShan, China. Health status was measured from four aspects: self-reported health, subjective well-being, perception of stress, mental health. We measured social integration through four dimensions: economy, social communication, acculturation, and self-identity. The analyses used multiple linear regressions to examine the associations between self-reported health, subjective well-being, and perception of stress, mental health and social integration. The analytical sample included 1,999 households of the internal migrants and 1,997 local registered households, who were permanent residents in ZhongShan. Among the internal migrants, Adults in the labor force, who were aged 25 to 44 years old, accounted for 91.2% of the internal migrant population, while 74.6% of the registered population were in that age group. Median residential time among migrants was 2.8 (1.3–6.2) years, and 20.2% of them were migrating in the same Guangdong province. Except for mental health, other health statuses among migrants had significant differences compared with local registered population, e.g. self-reported health was better, but subjective well-being was worse. However, these health measurements were improved with more years of residence. Moreover, our results show that two aspects of social integration, economic integration and self-identity, were significantly associated with health status. Subjective feeling of relative social status levels were more associated with health, which prompted the attention to social fairness and the creation of a fair and respectful culture. More interventions could be experimented, such as encouraging internal migrants to participate in community activities more actively, educating local registered residents to treat internal migrants more equally, and developing self-identity among internal migrants. Better social, economic, and cultural environment can benefit internal migrants’ health statuses.
机译:内部移民是在一个国家的不同地区之间迁移的个人。 2013年,中国的内部移民人数估计为2.45亿。关于健康状况与社会融合之间关系的文献研究结果不一致。主要差异在于如何衡量社会融合程度以及内部移民的健康状况是否随着居住年限的提高而改善。为了补充现有文献,本研究更全面地测量了社会融合程度,并估计了不同居留年限的内部移民的健康状况,并探讨了移民的社会融合与健康之间的联系。我们使用了2014年中国中山卫生与计划生育内部流动人口动态监测调查的数据。从四个方面对健康状况进行了测量:自我报告的健康状况,主观幸福感,压力感,心理健康状况。我们通过四个方面来衡量社会融合:经济,社会沟通,适应和自我认同。分析使用多元线性回归来检验自我报告的健康,主观幸福感以及对压力,心理健康和社会融合的感知之间的关联。分析样本包括1,999户内部移民家庭和1,997户在中山的永久居民。在内部移民中,年龄在25至44岁之间的劳动力成年人占内部移民人口的91.2%,而该年龄段的登记人口占74.6%。移民的平均居住时间为2.8(1.3–6.2)年,其中20.2%的移民在同一广东省。除心理健康外,移民中的其他健康状况与当地注册人口相比有显着差异,例如自我报告的健康状况较好,但主观幸福感却较差。但是,随着居住时间的延长,这些健康指标得到了改善。此外,我们的结果表明,社会融合的两个方面,即经济融合和自我认同,与健康状况显着相关。相对社会地位水平的主观感觉与健康更加相关,这促使人们关注社会公平和建立公平和尊重的文化。可以尝试更多的干预措施,例如鼓励内部移民更积极地参加社区活动,教育当地注册居民更平等地对待内部移民,并在内部移民中发展自我认同。更好的社会,经济和文化环境可以使内部移民的健康状况受益。

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