Wang Senhu
Department of Sociology, University of Cambridge, Free School Lane, Cambridge, UK.
Am J Health Behav. 2018 Sep 1;42(5):117-125. doi: 10.5993/AJHB.42.5.10.
Large-scale rural-to-urban migration in China has stimulated heated discussion about rural migrants' poor health status. This article reports the first study in China that compares the aggregate-level change in self-rated health of rural migrants between 2005 and 2015, and explores whether the difference, if any, can be explained by their different public health insurance enrollment status due to China's health reforms in the late 2000s. It also explores whether the aggregate-level change in migrants' self-rated health differs across different education levels. Logistic regression models using pooled repeated cross-sectional data of the 2005 and 2015 China General Social Survey from 2688 rural-to-urban migrants. Rural migrants' self-rated health has significantly improved from 2005 to 2015. This can be by explained by their different health insurance enrollment status. However, such improvement is particularly pronounced for migrants with higher education levels. Whereas China's recent health reforms have been overall effective in improving rural migrants' health, these policies might lead to health inequalities within rural migrants in favor of those with higher education levels.
中国大规模的农村人口向城市迁移引发了关于农村移民健康状况不佳的激烈讨论。本文报告了中国第一项比较2005年至2015年农村移民自评健康总体水平变化的研究，并探讨了这种差异（如果存在的话）是否可以通过他们因21世纪末中国医疗改革而不同的公共医疗保险参保状况来解释。它还探讨了移民自评健康的总体水平变化在不同教育水平之间是否存在差异。使用2005年和2015年中国综合社会调查中2688名农村到城市移民的汇总重复横截面数据构建逻辑回归模型。从2005年到2015年，农村移民的自评健康状况有了显著改善。这可以通过他们不同的医疗保险参保状况来解释。然而，这种改善在受教育程度较高的移民中尤为明显。尽管中国最近的医疗改革在总体上有效地改善了农村移民的健康状况，但这些政策可能会导致农村移民内部出现有利于受教育程度较高者的健康不平等。
