Health Status and Access to Health Care of Migrant Workers in China

Therese M Hesketh · Jun Ye · Li Lü · Mei Wang

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Migration, Identity, and Health China's Socioeconomic Reforms and Governance Migration, Health and Trauma

Abstract

OBJECTIVES: We explored living and working conditions, health status, and health-care access in Chinese rural-to-urban migrants and compared them with permanent rural and urban residents. METHODS: A questionnaire was administered to 1,958 urban workers, 1,909 rural workers, and 4,452 migrant workers in Zhejiang Province, Eastern China, in 2004. Blood samples for human immunodeficiency virus (HIV) and syphilis were taken from the migrant and urban workers. RESULTS: Migrants were young, worked very long hours, and their living conditions were very basic. Nineteen percent had some form of health insurance and 26% were entitled to limited sick pay compared with 68% and 66%, respectively, for urban workers. Migrants had the best self-rated health and reported the least acute illness, chronic disease, and disability, after controlling for age and education. There were no HIV infections detected in either the migrant or urban workers. However, 15 urban workers (0.68%, 95% confidence interval [CI] 0.35, 1.02) and 20 migrants (0.48%, 95% CI 0.26, 0.66, p=0.06) tested positive for syphilis. The high cost of health care in the city was a barrier to health-care access in the last year for 15% of the migrants and 8% of the urban workers. Forty-seven percent of the migrants were unwilling to make contributions to health insurance. CONCLUSIONS: These migrants demonstrated the "healthy migrant effect." However, poor living conditions and inattention to health may make migrants vulnerable to poor long-term health. Because health insurance schemes will remain limited for the forseeable future, attention should focus on providing affordable health care to both uninsured migrants and the urban poor.

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References

1993Social Desirability Bias and the Validity of Indirect Questioning 1999TheHukouSystem and Rural-Urban Migration in China: Processes and Changes 2003Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalisation 2005Privatization and Its Discontents — The Evolving Chinese Health Care System 2001All-cause and cause-specific mortality of immigrants and native born in the United States 2000The ‘healthy migrant effect’–not merely a fallacy of inaccurate denominator figures 2005Surplus men, sex work, and the spread of HIV in China 2000The new rural-urban labor mobility in China: Causes and implications

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