scholarly journals Migration and Health: Freedom of Movement and Social Benefits for Chinese Migrant Workers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 488-488
Author(s):  
Fengxian Qiu ◽  
Heying Zhan ◽  
Jing Liu
Keyword(s):  
Health Care Access ◽  
Migrant Workers ◽  
Work Experience ◽  
Urban Areas ◽  
Cumulative Effect ◽  
Policy Implications ◽  
Structural Barriers ◽  
Health Seeking ◽  
Freedom Of Movement ◽  
Self Rated Health

Abstract Nearly 30% of China’s workforce consists of China’s rural-to-urban migrant workers, accounting for nearly 300 million of China’s population. Even though they have gained freedom of movement since the 1980s, they still have no access to healthcare in urban areas where they work. This study utilizes a mixed method of a survey with a sample of migrant workers from three Chinese emigration provinces (n=817) in 2018 and follow-up interviews with 30 migrant workers in 2020 to examine factors of migration experience affecting migrant worker’s health and healthcare. Using binary logistic regression, we found that migrant workers’ longer work experience is correlated with poorer self-rated health, their better financial status and level of hopefulness towards the future are positively correlated to self-rated health. Qualitative findings shed light on the cumulative effect of the length of work experience and fear of medical cost on migrant workers’ declining health. The lack of portability in health insurance and different reimbursement rates in health care access are structural barriers in health-seeking behaviors among migrant workers. Policy implications are presented in the global context of social rights and freedom of movement.

scholarly journals Migration and Health—Freedom of Movement and Social Benefits for Chinese Migrant Workers

2021 ◽  
Vol 13 (22) ◽  
pp. 12371
Author(s):  
Fengxian Qiu ◽  
Jing Liu ◽  
Heying Jenny Zhan
Keyword(s):  
Health Insurance ◽  
Low Income ◽  
Migrant Workers ◽  
Work Experience ◽  
Cumulative Effect ◽  
Social Contexts ◽  
Structural Barriers ◽  
Health Seeking ◽  
Self Rated Health ◽  
Chinese Migrant Workers

This study utilized the concept of social right to understand factors affecting migrant workers’ health and healthcare in China. Using mixed methods, this study integrated findings from a survey of 817 migrant workers and a follow-up study of 30 intensive interviews to present an in-depth understanding of cumulative disadvantage of health and healthcare of rural-to-urban migrant workers. Our quantitative results indicated that migrant workers with no more than 5 years of working experience and having a good relationship with employers were 65% and 72.8% more likely to report good self-rated health as compared to their counterparts; those with work-related injury experience and low income were 41.6% and 53.6% less likely to report good self-rated health. Qualitative findings revealed the social contexts of the cumulative effect of the length of work experience and fear of medical cost on migrant workers’ declining health. Even though the participation rate for health insurance in China is reported to be over 99%, the lack of portability in health insurance and different reimbursement rates in health care access are structural barriers in health-seeking behaviors among Chinese migrant workers and in establishing sustainability in China’s healthcare system. This study adds to the literature by delineating the process of the unequal access to social rights in general, healthcare in particular as the major explanation for migrant workers’ poor health beyond the surface of China’s universal healthcare.

scholarly journals A cross sectional study on health seeking behavior of migrant workers: Bangalore city

2018 ◽  
Vol 5 (4) ◽  
pp. 1653
Author(s):  
Shwetha . ◽  
K. N. Prasad
Keyword(s):  
Migrant Workers ◽  
Urban Areas ◽  
Migrant Worker ◽  
Health Problems ◽  
Local Health ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Seeking Behavior

Background: Global migrant population is 214 million people, which accounts for approximately 3% of world population.As per 2001 census 307.2 million people, which is 30% population in India were migrants as reported by place of birth, of which 42.1 million were interstate migrants in India. Migrant populations as being a non-native population, are vulnerable and are exposed to many health problems. Most of the health problems of migrants are ascribed to their migration to urban areas, decreased awareness about local health facility, inability to cope with psychological stress, unhealthy sexual practices, and frequent travelling. The objective of the study was to assess the health seeking behavior of the migrant worker in Bengaluru.Methods: This is a cross sectional, exploratory and community based study. The study was conducted in the field practice area of department of Community Medicine of Dr. B. R. Ambedkar Medical College and Hospital, Bengaluru. Total study subjects were 295 were selected by convenient sampling method. The study was conducted between May 2017 to June 2017. Data regarding health seeking behaviour was collected using semi structured questionnaire.Results: Migrants were from different states of our country. 25.7% were from other districts of Karnataka, 58.3% of them belonged to high risk occupation and 41.7% to low risk. Around 85% of the migrants discussed their health problem, 59% of them preferred home remedy as a first priority for their illness & 41% preferred private hospitals for major illness. Around 52.9% of study subjects waited for more than 3days before seeking health care.Conclusions: The health seeking behaviour was poor and delay in seeking healthcare during their illness.

Love and Intimacy as Vulnerability to HIV Infection: A Case Study of MSM

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Archana Kaushik
Keyword(s):  
Hiv Infection ◽  
Cultural Values ◽  
Sexual Behaviors ◽  
Sex Workers ◽  
Sexual Minorities ◽  
Suicide Attempts ◽  
Service Providers ◽  
Structural Barriers ◽  
Health Seeking ◽  
Sex With Men

Sexual minorities are among the most marginalized groups in the society. Sero-positivity accentuates social exclusion among the sexual minorities. The paper aims to appraise the factors that make Men who have Sex with Men (MSM) vulnerable to HIV infection and influence their health seeking behaviors. It highlights two major domains socio-cultural and interpersonal variables. Qualitative in nature and based on ten in-depth case studies of HIV infected MSM, the study is located in Delhi, India. Factors such as age, marital status, child sexual abuse, multiple sex partners, are crucial in influencing their vulnerability. Socio-cultural milieu puts structural barriers restricting integration of MSM in the society. Cultural values do not allow talking about sex, which hampers healthy sexual behaviors. Exhibiting aggression, sexual violence, visiting sex-workers etc. are considered as important aspects to prove manhood. At the interpersonal level, possessiveness, betrayal, infidelity, heartbreak, strong emotional whirlpool when love-relations go incongruent, all takes a heavy toll of their mental and physical health. These variables socially exclude the sexual minorities from the mainstream life. Findings show positive (disclosing to family, abstinence, spiritual growth) and negative (suicide-attempts, drug-use) ways of coping among the MSM respondents. Critical areas of concern for service-providers while planning interventions for empowering people with sexual minority are delineated.

scholarly journals Equity in healthcare utilisation and cost of treatment in Western India

2021 ◽  
Author(s):  
Anil Gumber
Keyword(s):  
Urban Areas ◽  
Healthcare Utilisation ◽  
Morbidity Rate ◽  
Western India ◽  
Health Seeking ◽  
Public Provision ◽  
Cost Of Treatment ◽  
Public And Private ◽  
Burden Of Treatment ◽  
The Poor

AbstractThe paper compares the morbidity and healthcare utilisation scenario prevalent in Gujarat and Maharashtra as well as for all − India over the last 35 years by exploring the National Sample Surveys data for 1980–81, 1986–87, 1995–96, 2004, and 2014. The differentials and trends in morbidity rate, health seeking behaviour, use of public and private providers for inpatient and outpatient care and associated cost, and burden of treatment are analysed by population groups. Changes in people’s demand for health services are correlated with the supply factors i.e. expansion of public and private health infrastructure. Rising cost and burden of treatment on the poor are examined through receipt of free inpatient and outpatient services as well as the extent of financial protection under the health insurance schemes received by them. Overtime, morbidity rates have gone up, with several folds increase in select states; the reliance on public provision has gone down substantially despite being cheaper than the private sector; and cost of treatment at constant prices increased considerably even for the poor. Hospitalisation costs were higher among insured than the non-insured households in several states irrespective of whether resident in rural or urban areas (Haryana, Maharashtra, Himachal Pradesh, and Assam have reported that insured households ended-up paying almost double the hospitalisation expenses in 2014). Leaving aside Kerala (where insured households have paid just a half of the cost of the non-insured), this clearly reflects the widespread prevalence of moral hazard and insurance collusion in India.

scholarly journals Effect of Work–Family Conflict, Psychological Job Demand, and Job Control on the Health Status of Nurses

2021 ◽  
Vol 18 (7) ◽  
pp. 3540
Author(s):  
Li-Chung Pien ◽  
Wan‐Ju Cheng ◽  
Kuei-Ru Chou ◽  
Li-Chiu Lin
Keyword(s):  
Health Status ◽  
Educational Level ◽  
Work Experience ◽  
Work Conditions ◽  
Job Control ◽  
Healthcare Sector ◽  
Hospital Data ◽  
Self Rated Health ◽  
Work Shifts ◽  
Work Family

Work–family conflicts (WFCs) are common in the healthcare sector and pose significant health risks to healthcare workers. This study examined the effect of WFCs on the health status and nurses’ leaving intentions in Taiwan. A self-administered questionnaire was used to survey 200 female nurses’ experiences of WFC from a regional hospital. Data on psychosocial work conditions, including work shifts, job control, psychological job demands, and workplace justice, were collected. Health conditions were measured using the Beck Depression Inventory-II and self-rated health. Leaving intentions were measured using a self-developed questionnaire. The participants’ average work experience was 6.79 (Standard Deviation (SD) = 5.26) years, their highest educational level was university, and work shifts were mostly night and rotating shifts. Approximately 75.5% of nurses perceived high levels of WFCs. Leaving intentions were correlated with WFCs (r = 0.350, p < 0.01) and psychological work demands (r = 0.377, p < 0.01). After adjusting for age, educational level, and work characteristics, high levels of WFCs were associated with poor self-rated health, and depression, but not associated with high leaving intentions. Nurses’ experiences of high levels of WFCs greatly affected their health status.

scholarly journals Green and Blue Space Availability and Self-Rated Health among Seniors in China: Evidence from a National Survey

2021 ◽  
Vol 18 (2) ◽  
pp. 545
Author(s):  
Chensong Lin ◽  
Longfeng Wu
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Empirical Studies ◽  
National Level ◽  
The Elderly ◽  
Coverage Ratio ◽  
Self Rated Health ◽  
Health Promoting ◽  
Major River ◽  
Urban And Rural Areas

Many empirical studies have shown evidence of multiple health benefits provided by green and blue spaces. Despite the importance of these spaces, investigations are scarce in details for blue spaces rather than green. Moreover, most research has focused on developed regions. A limited number of studies on blue spaces can be found in China with a focus on the city level. Outcomes have been mixed due to varying research scales, methodologies, and definitions. This study relies on a national-level social survey to explore how the self-rated health (SRH) of senior individuals is associated with local green and blue space availability in urban and rural areas. Results indicate that the coverage ratio of overall green spaces and waterbodies around a resident’s home have marginal effects on SRH status in both urban and rural areas. In urban areas, living close to a park can is marginally beneficial for older people’s health. Regarding different types of blue spaces, the presence of a major river (within 0.3–0.5 km) or coastline (within 1 km and 1–5 km) in the vicinity of home negatively affects SRH among the elderly in urban areas. Close proximity to lakes and other types of waterbodies with a water surface larger than 6.25 ha did not significantly influence SRH. These findings not only evaluate general health impacts of green/blue space development on senior populations across the county but inform decision makers concerning the health-promoting qualities and features of different green/blue spaces to better accommodate an aging population in the era of urbanization.

RURAL–URBAN MIGRATION AND CHILD SURVIVAL IN URBAN BANGLADESH: ARE THE URBAN MIGRANTS AND POOR DISADVANTAGED?

2008 ◽  
Vol 40 (1) ◽  
pp. 83-96 ◽  
Author(s):  
M. MAZHARUL ISLAM ◽  
KAZI MD ABUL KALAM AZAD
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Urban Poor ◽  
Child Survival ◽  
Childhood Mortality ◽  
Policy Implications ◽  
Urban Migration ◽  
Under Five ◽  
Urban Migrants ◽  
Urban Rural

SummaryThis paper analyses the levels and trends of childhood mortality in urban Bangladesh, and examines whether children’s survival chances are poorer among the urban migrants and urban poor. It also examines the determinants of child survival in urban Bangladesh. Data come from the 1999–2000 Bangladesh Demographic and Health Survey. The results indicate that, although the indices of infant and child mortality are consistently better in urban areas, the urban–rural differentials in childhood mortality have diminished in recent years. The study identifies two distinct child morality regimes in urban Bangladesh: one for urban natives and one for rural–urban migrants. Under-five mortality is higher among children born to urban migrants compared with children born to life-long urban natives (102 and 62 per 1000 live births, respectively). The migrant–native mortality differentials more-or-less correspond with the differences in socioeconomic status. Like childhood mortality rates, rural–urban migrants seem to be moderately disadvantaged by economic status compared with their urban native counterparts. Within the urban areas, the child survival status is even worse among the migrant poor than among the average urban poor, especially recent migrants. This poor–non-poor differential in childhood mortality is higher in urban areas than in rural areas. The study findings indicate that rapid growth of the urban population in recent years due to rural-to-urban migration, coupled with higher risk of mortality among migrant’s children, may be considered as one of the major explanations for slower decline in under-five mortality in urban Bangladesh, thus diminishing urban–rural differentials in childhood mortality in Bangladesh. The study demonstrates that housing conditions and access to safe drinking water and hygienic toilet facilities are the most critical determinants of child survival in urban areas, even after controlling for migration status. The findings of the study may have important policy implications for urban planning, highlighting the need to target migrant groups and the urban poor within urban areas in the provision of health care services.

The State Connection in China's Rural-Urban Migration

2005 ◽  
Vol 39 (2) ◽  
pp. 354-380 ◽  
Author(s):  
Lei Guang
Keyword(s):  
Migrant Workers ◽  
Urban Areas ◽  
Special Kind ◽  
The State ◽  
Urban Migration ◽  
Migration Process ◽  
State Textile ◽  
Facilitative Role ◽  
Rural Urban Migration ◽  
Urban State

This study explores the role of China's rural local state-owned and urban state-owned units in its rural-urban migration process. Most studies on Chinese migration have focused on migrants moving from rural to urban areas through informal mechanisms outside of the state's control. They therefore treat the Chinese state as an obstructionist force and dismiss its facilitative role in the migration process. By documenting rural local states' “labor export” strategies and urban state units' employment of millions of peasants, this article provides a corrective to the existing literature. It highlights and explains the state connection in China's rural-urban migration. Labor is … a special kind of commodity. What we do is to fetch a good price for this special commodity. Labor bureau official from Laomei county, 1996 If we want efficiency, we have to hire migrant workers. Party secretary of a state textile factory in Shanghai, 1997

The Crisis and International Population Movement in Indonesia

2000 ◽  
Vol 9 (1) ◽  
pp. 93-129 ◽  
Author(s):  
Graeme Hugo
Keyword(s):  
Labor Market ◽  
Migrant Workers ◽  
Labor Migration ◽  
Asian Financial Crisis ◽  
Policy Implications ◽  
Undocumented Migrants ◽  
Population Movements ◽  
Potential Migrant ◽  
The Impact ◽  
Contract Labor

Indonesia is the country most affected by the Asian financial crisis which began in mid-1997 and has been the slowest to recover from it. In the present paper the effects of the first two and a half years of the crisis on international population movements influencing Indonesia are discussed. The crisis has increased economic pressures on potential migrant workers in Indonesia and the result has been increased out-movement. In both pre and post-crisis situations this was dominated by women, at least among official migrant workers. The crisis has tightened the labor market in some of Indonesia's main destination countries but the segmentation of the labor market in those countries has limited the impact of the crisis in reducing jobs in those countries. The crisis has created more pressure on undocumented migrants in destination countries but the extent of repatriation, while higher than in the pre-crisis situation, has been limited. The crisis has directly or indirectly affected other international movements influencing Indonesia including expatriate movement to Indonesia and longer-term, south-north migration out of the country. The policy implications of these changes are discussed including the fact that the crisis has led to an increased appreciation of the importance of contract labor migration by government and greater attention being paid to improving the system for migrants themselves and the country as a whole.

The Floating Village: Fostering Social Capital in Chinese Migrant Settlements through Mobile Architecture

2021 ◽  
Author(s):  
◽  
Vincent Woon
Keyword(s):  
Social Capital ◽  
Migrant Workers ◽  
Urban Areas ◽  
Informal Settlement ◽  
Floating Population ◽  
Construction Sites ◽  
Rural Migrants ◽  
Communal Area ◽  
Communal Space ◽  
Cultural Origins

<p>In the past two decades, China has realised one of the fastest and largest rural to urban migrations in the world. The country’s urban population has increased by 20% over the last 20 years due to rapid urbanisation and a drastic improvement in urban opportunities. It is projected that by the year 2020 China aims to house 60% of its population in urban areas, resulting in a population shift of over 100 million people. One of the major issues which is presented to rural migrants is the hukou system. Hukou acts as a domestic passport which prevents rural migrants from attaining social benefits within urban areas. This has created an underclass within China’s urban areas known as the “floating population”.  This thesis focuses on the architecture of the “floating villages” of China which accommodate this floating population. The floating village is an informal settlement of migrant workers which develops around construction sites. The village provides services such as food, entertainment, medical care and recycling to the construction workers., However, as a pseudo-urban typology accommodating many of the functions of a town, it lacks one important element: a focused communal area. The absence of deliberately designed a communal space has led to social tensions within the floating village due to the different cultural origins of the migrant workers. Migrant workers arrive in floating villages without knowledge of urban culture and with no communal support. Varying migrant accents, and traditions, alongside struggles with poverty, creates friction between workers.  This thesis proposes a temporary and portable architectural intervention within the floating village which fosters a positive community. The research of community design is explored through an architecturalisation of Dr Robert D. Putnam’s understanding of social capital.</p>

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