Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study
Abstract Background Accessing health rights is an integral component of people’s aspirations for a better life. Existing discussions and evaluations regarding the accessibility of health rights for minority rural migrants are insufficient. In comparison to objective health conditions, inequalities i...
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BMC
2024-03-01
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Online Access: | https://doi.org/10.1186/s12889-024-18294-3 |
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author | Qingjun Zhao Guosong Wu Hanrui Wang |
author_facet | Qingjun Zhao Guosong Wu Hanrui Wang |
author_sort | Qingjun Zhao |
collection | DOAJ |
description | Abstract Background Accessing health rights is an integral component of people’s aspirations for a better life. Existing discussions and evaluations regarding the accessibility of health rights for minority rural migrants are insufficient. In comparison to objective health conditions, inequalities in health rights lead to chronic and long-term depletion of human capital among minority rural migrants. This study aimed to assess the overall impact, heterogeneity effects, and mechanisms of health rights accessibility on the urban integration of minority rural migrants. Methods Based on the 2017 China Migrants Dynamic Survey Data (CMDS), this study employs OLS models, 2SLS models, conditional mixed process (CMP) methods, and omitted variable tests to estimate the impact of health rights accessibility on the urban integration of minority rural migrants. Additionally, from the perspectives of migration scope and illness experience, this study explored the heterogeneity in the relationship between health rights accessibility and urban integration. Finally, using the Karlson–Holm–Breen (KHB) model, this study dissects the mechanisms through which health rights accessibility influences the urban integration of minority rural migrants. Results Health rights accessibility significantly enhances the urban integration of minority rural migrants. Moreover, compared to minority rural migrants who move across provinces and who have no history of illness, those who migrate within the same province and who have experienced illness are more sensitive to the positive impact of health rights accessibility. However, the enhancing effect of health rights accessibility does not significantly differ between the new and old generations of minority rural migrants. Furthermore, health rights accessibility can indirectly improve the urban integration of minority rural migrants by elevating health levels, improving health habits, and reinforcing health behaviors. Among these, the indirect effects mediated by health habits are more pronounced. Conclusion The research conclusions underscore the issue of health accessibility and urban integration among minority rural migrants, providing a reexamination and clarification of the policy effects of health rights in promoting the urban integration of minority rural migrants. Relevant policy design should commence with improving the health rights of minority rural migrants, enhancing their health integration capabilities, and effectively boosting their ability to integrate into urban life. |
first_indexed | 2024-04-24T23:02:04Z |
format | Article |
id | doaj.art-eabdb453a2294adeb88abcdad1b0fe62 |
institution | Directory Open Access Journal |
issn | 1471-2458 |
language | English |
last_indexed | 2024-04-24T23:02:04Z |
publishDate | 2024-03-01 |
publisher | BMC |
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series | BMC Public Health |
spelling | doaj.art-eabdb453a2294adeb88abcdad1b0fe622024-03-17T12:41:29ZengBMCBMC Public Health1471-24582024-03-0124111510.1186/s12889-024-18294-3Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional studyQingjun Zhao0Guosong Wu1Hanrui Wang2College of Economics and Management, Huzhou CollegeSchool of Economics and Management, Huzhou UniversityCollege of Economics and Management, Nanjing Agricultural UniversityAbstract Background Accessing health rights is an integral component of people’s aspirations for a better life. Existing discussions and evaluations regarding the accessibility of health rights for minority rural migrants are insufficient. In comparison to objective health conditions, inequalities in health rights lead to chronic and long-term depletion of human capital among minority rural migrants. This study aimed to assess the overall impact, heterogeneity effects, and mechanisms of health rights accessibility on the urban integration of minority rural migrants. Methods Based on the 2017 China Migrants Dynamic Survey Data (CMDS), this study employs OLS models, 2SLS models, conditional mixed process (CMP) methods, and omitted variable tests to estimate the impact of health rights accessibility on the urban integration of minority rural migrants. Additionally, from the perspectives of migration scope and illness experience, this study explored the heterogeneity in the relationship between health rights accessibility and urban integration. Finally, using the Karlson–Holm–Breen (KHB) model, this study dissects the mechanisms through which health rights accessibility influences the urban integration of minority rural migrants. Results Health rights accessibility significantly enhances the urban integration of minority rural migrants. Moreover, compared to minority rural migrants who move across provinces and who have no history of illness, those who migrate within the same province and who have experienced illness are more sensitive to the positive impact of health rights accessibility. However, the enhancing effect of health rights accessibility does not significantly differ between the new and old generations of minority rural migrants. Furthermore, health rights accessibility can indirectly improve the urban integration of minority rural migrants by elevating health levels, improving health habits, and reinforcing health behaviors. Among these, the indirect effects mediated by health habits are more pronounced. Conclusion The research conclusions underscore the issue of health accessibility and urban integration among minority rural migrants, providing a reexamination and clarification of the policy effects of health rights in promoting the urban integration of minority rural migrants. Relevant policy design should commence with improving the health rights of minority rural migrants, enhancing their health integration capabilities, and effectively boosting their ability to integrate into urban life.https://doi.org/10.1186/s12889-024-18294-3Health rights accessibilityUrban integrationMinority rural migrantsChinaHealth integration |
spellingShingle | Qingjun Zhao Guosong Wu Hanrui Wang Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study BMC Public Health Health rights accessibility Urban integration Minority rural migrants China Health integration |
title | Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study |
title_full | Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study |
title_fullStr | Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study |
title_full_unstemmed | Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study |
title_short | Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study |
title_sort | effect of health rights accessibility on the urban integration of minority rural migrants in china a cross sectional study |
topic | Health rights accessibility Urban integration Minority rural migrants China Health integration |
url | https://doi.org/10.1186/s12889-024-18294-3 |
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