International Health Policy Program, Ministry of Public Health, Tiwanon Rd., Nonthaburi 11000, Thailand.
Department of Disease Control, Division of Epidemiology, Ministry of Public Health, Tiwanon Rd., Nonthaburi 11000, Thailand.
Int J Environ Res Public Health. 2021 Dec 24;19(1):181. doi: 10.3390/ijerph19010181.
Thailand has a large flow of migrants from neighbouring countries; however, the relationship between economic status at the provincial level and the insured status of migrants is still vague. This study aimed to examine the association between provincial economy and the coverage of the Social Security Scheme (SSS) for migrants.
Time-series data were analysed. The units of analysis were 77 provinces during 2015-2018. Data were obtained from the Social Security Office (SSO). Spatiotemporal regression (Spatial Durbin model (SDM)) was applied.
Migrant workers were mostly concentrated in Greater Bangkok, the capital city and areas surrounding it, but SSS coverage was less than 50%. However, the ratio of insured migrants to all migrants seemed to have positive relationship with the provincial economy in SDM. The ratio of insured migrants to all migrants was enlarged in all regions outside Greater Bangkok with statistical significance.
Low enforcement on employment law in some areas, particularly Greater Bangkok, can result in lesser SSS coverage. The provincial economic prosperity did not guarantee large SSS coverage. Interventions to ensure strict insurance enrolment are required.
泰国拥有大量来自邻国的移民,但省级经济状况与移民参保状况之间的关系仍不明确。本研究旨在探讨省级经济与社会保障计划(SSS)对移民参保的覆盖之间的关联。
本研究采用时间序列数据分析。分析单位为 2015-2018 年期间的 77 个省。数据来自社会保障办公室(SSO)。采用时空回归(空间杜宾模型(SDM))进行分析。
移民工人主要集中在首都曼谷及其周边地区,但 SSS 覆盖率低于 50%。然而,在 SDM 中,参保移民与所有移民的比例似乎与省级经济呈正相关。在曼谷以外的所有地区,参保移民与所有移民的比例均有显著扩大。
某些地区,特别是曼谷地区,就业法执行不力,导致 SSS 覆盖率较低。省级经济繁荣并不能保证大规模的 SSS 覆盖。需要采取干预措施,确保严格的保险登记。