累积健康劣势：对中国第一代农民工健康和流动状况的实证研究。
Cumulative health disadvantages: an empirical study of the health and mobility of the first cohort of migrant workers in China.
机构信息
Department of Social Work, School of Law, Anhui Normal University, Wuhu, China.
School of Economics and Management, Anhui Normal University, Wuhu, China.
出版信息
Front Public Health. 2023 Jul 31;11:1221082. doi: 10.3389/fpubh.2023.1221082. eCollection 2023.
BACKGROUND
The study aimed to understand the factors affecting the health and healthcare of the first cohort of migrant workers in China using the concept of the cumulative disadvantage framework.
METHODS
Data from the China Migrants Dynamic Survey (2017) were used to analyze the process of cumulative disadvantage of health and healthcare among migrant workers. The study also analyzed the spatial lag problem between localized medical insurance policies and healthcare accessibility.
RESULTS
The results revealed a significant negative association between the mobility of the first cohort of migrant workers and their health status. Long-term exposure to hazardous work had a greater negative impact on their health. Chinese migrant workers faced significant obstacles in accessing healthcare due to the lack of portability in health insurance.
CONCLUSION
The study emphasizes the urgent need for addressing the structural barriers hindering healthcare access and outcomes for migrant workers. It is crucial to promote a more equitable and sustainable healthcare system in China to ensure migrant workers' health and well-being.
背景
本研究旨在利用累积劣势框架的概念，了解中国第一代农民工的健康和医疗保健的影响因素。
方法
使用中国流动人口动态监测调查（2017 年）的数据，分析了农民工健康和医疗保健方面累积劣势的过程。本研究还分析了本地化医疗保险政策与医疗可及性之间的空间滞后问题。
结果
结果表明，第一代农民工的流动性与其健康状况呈显著负相关。长期接触危险工作对他们的健康有更大的负面影响。由于医疗保险的不可携带性，中国农民工在获得医疗保健方面面临重大障碍。
结论
本研究强调了迫切需要解决阻碍农民工获得医疗保健的结构性障碍。在中国促进一个更加公平和可持续的医疗保健体系至关重要，以确保农民工的健康和福祉。
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