Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
School of Public Health, Fudan University, Shanghai, 200032, China.
BMC Health Serv Res. 2020 Oct 7;20(1):918. doi: 10.1186/s12913-020-05783-5.
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.
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.
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.
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.
社会融合与移民的医疗保健利用有关，但很少有研究关注移民孕妇。本研究旨在探讨中国国内移民孕妇的社会融合与在家乡分娩（返乡分娩）之间的关系。
本研究使用 2014 年“中国流动人口监测数据”，共纳入 3412 名国内移民孕妇。社会融合通过经济融合、文化适应和认同来衡量。将国内移民孕妇的分娩地点分为现居地和孕妇原籍地。采用单因素逻辑回归和两因素多变量逻辑回归模型评估社会融合与国内移民孕妇返乡分娩之间的关系。
研究发现，24.56%的移民孕妇选择返乡分娩。在社会融合方面，在现居地拥有自有住房（OR=0.351；95%CI 0.207-0.595）、在现居地居住至少 5 年（OR=0.449；95%CI 0.322-0.626）、愿意长期留在现居地（OR=0.731；95%CI 0.537-0.995）的孕妇更不可能选择返乡分娩。除社会融合外，研究结果还显示，年龄较大、受教育程度较高、现居地至少有两名家庭成员、迁移原因是工作和经商、在现居地建立健康记录且未参加医疗保险的孕妇更不可能选择返乡分娩。
社会融合与中国国内移民孕妇的返乡分娩呈负相关。为了提高移民孕妇在现居地的孕产妇保健服务利用率，应制定有针对性的政策，改善移民孕妇的社会融合状况。
