Lyu Juntao, Feng Baobin, Kim Hansoo, Marwah Gayatri
Cancer Health Services Research Unit, Centre for Health Policy, School of Population and Global Health, The University of Melbourne, Level 4, 207 Bouverie Street, Melbourne, VIC, 3010, Australia.
Ministry of Emergency Management of China, National Institute of Natural Hazards, Beijing, China.
J Public Health Policy. 2025 Sep;46(3):518-532. doi: 10.1057/s41271-025-00567-9. Epub 2025 May 3.
Chinese migrant workers often face significant health-related social inequalities, particularly in housing, in urban China. However, there is limited research investigating the health impacts of housing inequalities among migrant workers. We examined the accommodation types associated with the prevalence of diarrhea among migrant workers in urban China. We used a nationwide survey data to investigate the overall housing conditions and applied multilevel logistic regression models to analyze the association between diarrhea and housing types. The findings highlight that the prevalence of diarrhea among migrant workers is significantly associated with housing types rather than neighborhood or income levels. Compared with living in private rental properties, migrants living in government-subsidized properties have significantly increased odds of reporting diarrhea episodes (OR = 1.41; 95% CI 1.23-1.61; p < 0.001). This study indicated the need to address the quality and maintenance of housing infrastructure rather than ownership status alone.
在中国城市,农民工往往面临与健康相关的重大社会不平等,尤其是在住房方面。然而,调查农民工住房不平等对健康影响的研究有限。我们研究了中国城市农民工中与腹泻患病率相关的住宿类型。我们使用全国性调查数据来调查总体住房状况,并应用多层次逻辑回归模型分析腹泻与住房类型之间的关联。研究结果表明,农民工腹泻患病率与住房类型显著相关,而非与社区或收入水平相关。与居住在私人租赁住房相比,居住在政府补贴住房中的农民工报告腹泻发作的几率显著增加(比值比=1.41;95%置信区间1.23-1.61;p<0.001)。这项研究表明,需要关注住房基础设施的质量和维护,而不仅仅是所有权状况。