Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China
Abstract Background Social integration has been demonstrated to be associated with the health care use among migrants, but few studies have focused on migrant pregnant women. This study aims to explore the association between social integration and childbirth at woman’s hometown (childbirth return)...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-020-05783-5 |
| _version_ | 1818239994746109952 |
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| author | Lulu Ding Xinying Li Xue Tang Yuejing Feng Yi Wang Jiejie Cheng Mei Sun Chengchao Zhou |
| author_facet | Lulu Ding Xinying Li Xue Tang Yuejing Feng Yi Wang Jiejie Cheng Mei Sun Chengchao Zhou |
| author_sort | Lulu Ding |
| collection | DOAJ |
| description | Abstract Background Social integration has been demonstrated to be associated with the health care use among migrants, but few studies have focused on migrant pregnant women. This study aims to explore the association between social integration and childbirth at woman’s hometown (childbirth return) of internal migrant pregnant women in China. Method Using the data of “Monitoring Data of Chinese Migrants” in 2014, a total of 3412 internal migrant pregnant women were included in this study. Social integration was measured by economic integration, acculturation, and identification. The childbirth locations of internal migrant pregnant women were divided into current residency and the woman’s hometown. Univariate logistic regression and two multivariable logistic regression models were employed to assess the association between social integration and childbirth return among internal migrant pregnant women. Result Our study finds that 24.56% of migrant pregnant women choose to have a childbirth return. As for social integration, those who have their own house (OR = 0.351 95% CI 0.207–0.595) in current residence, who have been staying in current residence for at least 5 years (OR = 0.449; 95% CI 0.322–0.626), and who are willing to stay in the current residence for a long time (OR = 0.731; 95% CI 0.537–0.995) are less likely to have a childbirth return. Apart from social integration, our results also show that those migrant pregnant women who are older, who have higher education level, who have at least two family members in current residence, with a migration reason of work and business, who have established health record in the current residency, and who were not covered by medical insurances, are less likely to have a childbirth return. Conclusion Social integration is negatively associated with childbirth return among internal migrant pregnant women in China. To improve the utilization of maternal care services for migrant pregnant women in current residence, targeted policies should be made to improve social integration status for migrant pregnant women. |
| first_indexed | 2024-12-12T13:06:24Z |
| format | Article |
| id | doaj.art-5b8dc9aba0244efca067d610c615df22 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-12T13:06:24Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-5b8dc9aba0244efca067d610c615df222022-12-22T00:23:38ZengBMCBMC Health Services Research1472-69632020-10-012011910.1186/s12913-020-05783-5Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in ChinaLulu Ding0Xinying Li1Xue Tang2Yuejing Feng3Yi Wang4Jiejie Cheng5Mei Sun6Chengchao Zhou7Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong UniversitySchool of Public Health, Fudan UniversityCentre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong UniversitySchool of Public Health, Fudan UniversitySchool of Public Health, Fudan UniversityCentre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong UniversityAbstract Background Social integration has been demonstrated to be associated with the health care use among migrants, but few studies have focused on migrant pregnant women. This study aims to explore the association between social integration and childbirth at woman’s hometown (childbirth return) of internal migrant pregnant women in China. Method Using the data of “Monitoring Data of Chinese Migrants” in 2014, a total of 3412 internal migrant pregnant women were included in this study. Social integration was measured by economic integration, acculturation, and identification. The childbirth locations of internal migrant pregnant women were divided into current residency and the woman’s hometown. Univariate logistic regression and two multivariable logistic regression models were employed to assess the association between social integration and childbirth return among internal migrant pregnant women. Result Our study finds that 24.56% of migrant pregnant women choose to have a childbirth return. As for social integration, those who have their own house (OR = 0.351 95% CI 0.207–0.595) in current residence, who have been staying in current residence for at least 5 years (OR = 0.449; 95% CI 0.322–0.626), and who are willing to stay in the current residence for a long time (OR = 0.731; 95% CI 0.537–0.995) are less likely to have a childbirth return. Apart from social integration, our results also show that those migrant pregnant women who are older, who have higher education level, who have at least two family members in current residence, with a migration reason of work and business, who have established health record in the current residency, and who were not covered by medical insurances, are less likely to have a childbirth return. Conclusion Social integration is negatively associated with childbirth return among internal migrant pregnant women in China. To improve the utilization of maternal care services for migrant pregnant women in current residence, targeted policies should be made to improve social integration status for migrant pregnant women.http://link.springer.com/article/10.1186/s12913-020-05783-5Internal migrant womenChildbirth returnSocial integration |
| spellingShingle | Lulu Ding Xinying Li Xue Tang Yuejing Feng Yi Wang Jiejie Cheng Mei Sun Chengchao Zhou Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China BMC Health Services Research Internal migrant women Childbirth return Social integration |
| title | Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China |
| title_full | Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China |
| title_fullStr | Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China |
| title_full_unstemmed | Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China |
| title_short | Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China |
| title_sort | effect of social integration on childbirth return among internal migrant pregnant women a nationally representative study in china |
| topic | Internal migrant women Childbirth return Social integration |
| url | http://link.springer.com/article/10.1186/s12913-020-05783-5 |
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