Experiences of discrimination and self-reported health in Chinese migrants: a structural equation model

Abstract Background Many migrants suffer from discrimination and poor health in China. We sought to examine the associations between experiences of discrimination and self-reported health among internal migrants in China, as well as the mediators of social integration and perceived stress. Methods T...

Full description

Bibliographic Details
Main Authors: Lian Tong, Ichiro Kawachi
Format: Article
Language:English
Published: BMC 2020-09-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-020-09588-3
_version_ 1819039116670533632
author Lian Tong
Ichiro Kawachi
author_facet Lian Tong
Ichiro Kawachi
author_sort Lian Tong
collection DOAJ
description Abstract Background Many migrants suffer from discrimination and poor health in China. We sought to examine the associations between experiences of discrimination and self-reported health among internal migrants in China, as well as the mediators of social integration and perceived stress. Methods The data was obtained from a specific survey of migrants, as a part of the National Health and Family Planning Dynamic Monitoring for Migrants conducted in 2014. A total of 15,999 migrants aged 15 to 59 years were recruited by a stratified, multistage clustered sampling procedure in eight Chinese cities. Structural Equation Modeling (SEM) was conducted. Results The results indicated that experiences of discrimination were associated with worse self-reported health (β = − 0.32, P < 0.001), less social integration (β = − 0.25, P < 0.001), as well as higher perceived stress (β = 0.21, P < 0.01). Both objectively measured socioeconomic status (β = 0.21, P < 0.001) and subjective social status (β = 0.21, P < 0.01) had significantly positive correlations with self-reported health. Conclusions The discrimination, social exclusion and perceived stress experienced by migrants have significant implications on their health.
first_indexed 2024-12-21T08:48:06Z
format Article
id doaj.art-0f10a710d0284ede8689ebb645980976
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-12-21T08:48:06Z
publishDate 2020-09-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-0f10a710d0284ede8689ebb6459809762022-12-21T19:09:45ZengBMCBMC Public Health1471-24582020-09-0120111010.1186/s12889-020-09588-3Experiences of discrimination and self-reported health in Chinese migrants: a structural equation modelLian Tong0Ichiro Kawachi1Department of Maternal and Child Health, School of Public Health, Fudan UniversityDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public HealthAbstract Background Many migrants suffer from discrimination and poor health in China. We sought to examine the associations between experiences of discrimination and self-reported health among internal migrants in China, as well as the mediators of social integration and perceived stress. Methods The data was obtained from a specific survey of migrants, as a part of the National Health and Family Planning Dynamic Monitoring for Migrants conducted in 2014. A total of 15,999 migrants aged 15 to 59 years were recruited by a stratified, multistage clustered sampling procedure in eight Chinese cities. Structural Equation Modeling (SEM) was conducted. Results The results indicated that experiences of discrimination were associated with worse self-reported health (β = − 0.32, P < 0.001), less social integration (β = − 0.25, P < 0.001), as well as higher perceived stress (β = 0.21, P < 0.01). Both objectively measured socioeconomic status (β = 0.21, P < 0.001) and subjective social status (β = 0.21, P < 0.01) had significantly positive correlations with self-reported health. Conclusions The discrimination, social exclusion and perceived stress experienced by migrants have significant implications on their health.http://link.springer.com/article/10.1186/s12889-020-09588-3MigrantsDiscriminationSocial integrationStressHealth
spellingShingle Lian Tong
Ichiro Kawachi
Experiences of discrimination and self-reported health in Chinese migrants: a structural equation model
BMC Public Health
Migrants
Discrimination
Social integration
Stress
Health
title Experiences of discrimination and self-reported health in Chinese migrants: a structural equation model
title_full Experiences of discrimination and self-reported health in Chinese migrants: a structural equation model
title_fullStr Experiences of discrimination and self-reported health in Chinese migrants: a structural equation model
title_full_unstemmed Experiences of discrimination and self-reported health in Chinese migrants: a structural equation model
title_short Experiences of discrimination and self-reported health in Chinese migrants: a structural equation model
title_sort experiences of discrimination and self reported health in chinese migrants a structural equation model
topic Migrants
Discrimination
Social integration
Stress
Health
url http://link.springer.com/article/10.1186/s12889-020-09588-3
work_keys_str_mv AT liantong experiencesofdiscriminationandselfreportedhealthinchinesemigrantsastructuralequationmodel
AT ichirokawachi experiencesofdiscriminationandselfreportedhealthinchinesemigrantsastructuralequationmodel