Self-employment and health inequality of migrant workers

Abstract Background Self-employment is one of the most common forms of employment for migrant workers in China. However, migrant workers’ lifestyle and behavior, as well as health disparities among them, would be impacted by self-employment. This research aims to explore the mechanism and group diff...

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Main Authors: Deshui Zhou, Xin Wen
Format: Article
Language:English
Published: BMC 2022-07-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-022-08340-4
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author Deshui Zhou
Xin Wen
author_facet Deshui Zhou
Xin Wen
author_sort Deshui Zhou
collection DOAJ
description Abstract Background Self-employment is one of the most common forms of employment for migrant workers in China. However, migrant workers’ lifestyle and behavior, as well as health disparities among them, would be impacted by self-employment. This research aims to explore the mechanism and group differences of the effect of self-employment on health inequality among Chinese migrant workers. Materials and methods To explore the effect of self-employment on health inequalities among migrant workers, this research uses the data from the 2018 China Migrant Workers Dynamic Monitoring Survey, and the RIF-I-OLS decomposition method. Results We find that self-employment will reduce the health inequality of Chinese migrant workers significantly, especially among migrant workers with low education, low income, and low social integration. A further examination reveals that self-employment can directly promote the self-rated health of migrant workers. Additionally, it indirectly alleviates the health inequality among migrant workers by mediating effect of expanding access to public welfare, such as by establishing health records and strengthening health education. Conclusion The government should permit and encourage migrant workers to engage in self-employment. It is necessary to provide public services such as health education, health records, and health rights for migrant workers, and focus on the employment of migrant workers in city, especially those with low income and low education. we believe that measures should be taken to enhance migrant workers’ sense of belonging in urban China Only on this basis can health inequality among migrant workers be truly reduced.
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spelling doaj.art-203d12d72bc24f52ae6044b5f4965e302022-12-22T03:04:46ZengBMCBMC Health Services Research1472-69632022-07-0122111310.1186/s12913-022-08340-4Self-employment and health inequality of migrant workersDeshui Zhou0Xin Wen1School of Finance and Public Management, Anhui University of Finance & EconomicsSchool of Public Administration, Dongbei University of Finance & EconomicsAbstract Background Self-employment is one of the most common forms of employment for migrant workers in China. However, migrant workers’ lifestyle and behavior, as well as health disparities among them, would be impacted by self-employment. This research aims to explore the mechanism and group differences of the effect of self-employment on health inequality among Chinese migrant workers. Materials and methods To explore the effect of self-employment on health inequalities among migrant workers, this research uses the data from the 2018 China Migrant Workers Dynamic Monitoring Survey, and the RIF-I-OLS decomposition method. Results We find that self-employment will reduce the health inequality of Chinese migrant workers significantly, especially among migrant workers with low education, low income, and low social integration. A further examination reveals that self-employment can directly promote the self-rated health of migrant workers. Additionally, it indirectly alleviates the health inequality among migrant workers by mediating effect of expanding access to public welfare, such as by establishing health records and strengthening health education. Conclusion The government should permit and encourage migrant workers to engage in self-employment. It is necessary to provide public services such as health education, health records, and health rights for migrant workers, and focus on the employment of migrant workers in city, especially those with low income and low education. we believe that measures should be taken to enhance migrant workers’ sense of belonging in urban China Only on this basis can health inequality among migrant workers be truly reduced.https://doi.org/10.1186/s12913-022-08340-4Self-employmentHealth inequalityMigrant workersPublic welfare
spellingShingle Deshui Zhou
Xin Wen
Self-employment and health inequality of migrant workers
BMC Health Services Research
Self-employment
Health inequality
Migrant workers
Public welfare
title Self-employment and health inequality of migrant workers
title_full Self-employment and health inequality of migrant workers
title_fullStr Self-employment and health inequality of migrant workers
title_full_unstemmed Self-employment and health inequality of migrant workers
title_short Self-employment and health inequality of migrant workers
title_sort self employment and health inequality of migrant workers
topic Self-employment
Health inequality
Migrant workers
Public welfare
url https://doi.org/10.1186/s12913-022-08340-4
work_keys_str_mv AT deshuizhou selfemploymentandhealthinequalityofmigrantworkers
AT xinwen selfemploymentandhealthinequalityofmigrantworkers