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Social integration and utilization of national basic public health services among China's internal migrants with chronic diseases: A structural equation modelling approach.
Wang, Leixia; Chao, Jianqian; Wu, Yanqian; Zhang, Na; Bao, Min.
Afiliación
  • Wang L; Health Management Research Center, School of Public Health, Southeast University, Nanjing, Jiangsu, 210096, China.
  • Chao J; Health Management Research Center, School of Public Health, Southeast University, Nanjing, Jiangsu, 210096, China.
  • Wu Y; Health Management Research Center, School of Public Health, Southeast University, Nanjing, Jiangsu, 210096, China.
  • Zhang N; Health Management Research Center, School of Public Health, Southeast University, Nanjing, Jiangsu, 210096, China.
  • Bao M; Health Management Research Center, School of Public Health, Southeast University, Nanjing, Jiangsu, 210096, China.
Heliyon ; 10(3): e25797, 2024 Feb 15.
Article en En | MEDLINE | ID: mdl-38352800
ABSTRACT
Internal migrants with chronic diseases (IMCDs) are a specific subgroup of the internal migrants, but few studies have focused on health service utilization among this group. Social integration is an essential element in the maintenance of health and well-being in migrants. However, the measurement of social integration remains inconsistent. This study aimed to measure social integration more comprehensively and evaluate the association between social integration and National Basic Public Health Services (NBPHS) utilization among IMCDs in China, thereby providing theoretical support for health promotion among IMCDs. The data of this study were obtained from the China Migrants Dynamic Survey (CMDS) in 2017. A total of 9272 internal migrants who self-reported hypertension and/or type 2 diabetes were included in the analysis. Four factors were extracted through exploratory factor analysis to measure the social integration of IMCDs psychological identity, community involvement, social security, and sociocultural adaptation. The results show the IMCDs underutilized NBPHS, with 26.80 % stating that they have not used any of the services in the NBPHS. We confirmed the positive association between social integration and NBPHS use among IMCDs. The social integration of IMCDs in developed regions was relatively worse than in developing regions, further exacerbating the underutilization of NBPHS in developed regions. Therefore, targeted government measures and supportive policies are necessary, especially in developed regions, to encourage IMCDs to participate in social organizations and community activities and stimulate their active participation in the NBPHS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Aspecto: Implementation_research Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Aspecto: Implementation_research Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido