了解中国国内流动人口的社会融合与健康状况：一项系统综述。
Understanding social integration and health outcomes among China's internal migrants: a systematic review.
作者信息
Yang Xiao, Li Yuxuan, Tang Kun
机构信息
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Vanke School of Public Health, Tsinghua University, Beijing, China.
出版信息
Front Public Health. 2025 Mar 5;13:1536526. doi: 10.3389/fpubh.2025.1536526. eCollection 2025.
BACKGROUND
The internal migrant populations in China have contributed significantly to the country's social and economic landscape, yet health disparities among migrants remain a pressing concern. Social integration is considered a critical factor influencing health outcomes, but evidence on this relationship is fragmented. This systematic review aims to synthesize existing studies to explore the association between social integration and health outcomes, including healthcare service utilization, self-reported health (SRH), and non-communicable disease (NCD), among internal migrants in China.
METHODS
A systematic search was conducted across three databases (PubMed, EMBASE, PsycINFO) to identify studies published from January 2014 to November 2024 according to the protocol (INPLASY2024110085). The JBI assessment tool was used to assess the quality of the included studies.
RESULTS
A total of 16 eligible cross-sectional studies were identified, focusing on the multidimensional aspects of social integration, including economic integration, acculturation, social networks and self-identity and their influence on health outcomes. Eleven papers focused on health service utilization, four concentrated on SRH and one discussed both NCDs and SRH. The majority of included studies indicated a significantly positive association between social integration and health outcomes of internal migrants.
CONCLUSION
Social integration plays a crucial role in addressing health disparities among internal migrants in China. This review emphasizes the need for initiatives at all levels to enhance economic inclusion, cultural adaptation, and social networks to foster better social integration for the migrant community. Addressing these gaps will promote equitable healthcare access and improve the wellbeing of internal migrants in China.
SYSTEMATIC REVIEW REGISTRATION
Identifier INPLASY2024110085, https://inplasy.com/inplasy-2024-11-0085/.
背景
中国的内部流动人口对国家的社会和经济格局做出了重大贡献，但流动人口之间的健康差异仍然是一个紧迫问题。社会融合被认为是影响健康结果的关键因素，但关于这种关系的证据并不完整。本系统评价旨在综合现有研究，探讨中国内部流动人口的社会融合与健康结果之间的关联，包括医疗服务利用、自我报告健康状况（SRH）和非传染性疾病（NCD）。
方法
根据方案（INPLASY2024110085），在三个数据库（PubMed、EMBASE、PsycINFO）中进行系统检索，以识别2014年1月至2024年11月发表的研究。使用JBI评估工具评估纳入研究的质量。
结果
共确定了16项符合条件的横断面研究，重点关注社会融合的多维度方面，包括经济融合、文化适应、社会网络和自我认同及其对健康结果的影响。11篇论文关注医疗服务利用，4篇集中于自我报告健康状况，1篇同时讨论了非传染性疾病和自我报告健康状况。大多数纳入研究表明，社会融合与内部流动人口的健康结果之间存在显著正相关。
结论
社会融合在中国解决内部流动人口的健康差异方面发挥着关键作用。本综述强调各级需要采取举措，加强经济包容、文化适应和社会网络，以促进移民社区更好地实现社会融合。解决这些差距将促进公平获得医疗服务，并改善中国内部流动人口的福祉。
系统评价注册
标识符INPLASY2024110085，https://inplasy.com/inplasy-2024-11-0085/ 。
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