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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Main Authors: Qingjun Zhao, Guosong Wu, Hanrui Wang
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Public Health
Subjects:
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.
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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
work_keys_str_mv AT qingjunzhao effectofhealthrightsaccessibilityontheurbanintegrationofminorityruralmigrantsinchinaacrosssectionalstudy
AT guosongwu effectofhealthrightsaccessibilityontheurbanintegrationofminorityruralmigrantsinchinaacrosssectionalstudy
AT hanruiwang effectofhealthrightsaccessibilityontheurbanintegrationofminorityruralmigrantsinchinaacrosssectionalstudy