College of Management, Sichuan Agricultural University, Chengdu 611130, China.
Int J Environ Res Public Health. 2022 May 11;19(10):5868. doi: 10.3390/ijerph19105868.
Rural-to-urban migrant workers are at high risk of health inequalities in cities. Since labor is a central social determinant of health, this paper provided evidence on the health consequences of self-employment among mobile populations in developing countries. The cross-sectional data from the 2017 data of the China Migrants Dynamic Survey (CMDS) and the IV-Oprobit model are used to examine the effects of self-employment on health. The results showed that: (1) Self-employment was positively related to health; (2) among the self-employed, the health effects of opportunity self-employed are larger than those of necessity self-employed; (3) in the subsample analysis, the health effect of self-employment was greater for male and Han nationality migrant workers; (4) self-employment promotes health primarily through reducing manual labor, increasing flexibility time, job stability, financial rewards, and social integration directly or indirectly. Thus, focusing on improving the social security system, granting entrepreneurial subsidies, and optimizing the business environment mean boosting the positive effect of self-employment on economic development.
农民工在城市中面临着健康不平等的高风险。由于劳动是健康的一个核心社会决定因素，本文提供了关于发展中国家流动人口自雇对健康影响的证据。本文使用 2017 年中国流动人口动态调查（CMDS）的数据和 IV-Oprobit 模型的横截面数据来检验自雇对健康的影响。结果表明：（1）自雇与健康呈正相关；（2）在自雇人群中，机会型自雇对健康的影响大于生存型自雇；（3）在子样本分析中，自雇对男性和汉族农民工的健康影响更大；（4）自雇主要通过减少体力劳动、增加灵活工作时间、工作稳定性、经济回报和社会融合来促进健康，直接或间接地影响健康。因此，关注改善社会保障体系、给予创业补贴和优化营商环境，意味着提高自雇对经济发展的积极影响。
