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Background: China is making efforts to promote the equalization of National Essential Public Health Services (NEPHS) for internal migrants. Studies have demonstrated that the impacts of social capital on health services are different among subgroups of people. Clarifying these differences will help China accurately promote the equalization of NEPHS for the internal migrants and provide reference for other countries.

Methods: Data from the China Migrant Dynamic Survey of 2017, involving 130,642 migrants in 31 provinces were used to clarify the complex relationship between social capital and the utilization of NEPHS. Social capital was divided into regional cognitive social capital (RCSC), regional structural social capital (RSSC), individual cognitive social capital (ICSC), and individual structural social capital (ISSC). Then, multi-level logistic regression was conducted to analyze their impacts on the utilization of NEPHS of the migrants, and whether such impacts are moderated by sex and education.

Results: (1) There are significant differences in the levels of CSC, SSC, and NEPHS utilization between different sexs and educational subgroups of the migrants, among which the educational difference is more prominent. (2) An interaction exists between the levels and dimensions of social capital and NEPHS projects. Also, the impact of SSC on NEPHS is always greater than that of CSC at the same level. (3) The effects of RCSC, RSSC, ICSC, and ISSC on NEPHS utilization by migrants are not moderated by sex. However, a high education could weaken the relationship between RCSC and health education, ISSC and health education, and RSSC and health records but strengthen the correlation between RSSC and health education.

Conclusion: Social capital plays an important role in the access of migrants to NEPHS. Governments should vigorously promote the construction of regional social capital, encourage migrants to actively participate in community activities, especially pay attention to the enhancement of the migrants with low SES to the destination identity.

Titel:	Impact of social capital, sex and education on the utilization of public health services: a cross sectional study based on the China migrant dynamic survey.
Autor/in / Beteiligte Person:	Yang, Z ; Jiang, CH
Link:	Full Text Finder (Volltext)
Zeitschrift:	BMC public health, Jg. 21 (2021-04-19), Heft 1, S. 751
Veröffentlichung:	London : BioMed Central, [2001-, 2021
Medientyp:	academicJournal
ISSN:	1471-2458 (electronic)
DOI:	10.1186/s12889-021-10803-y
Schlagwort:	China Cross-Sectional Studies Humans Surveys and Questionnaires Social Capital Transients and Migrants
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [BMC Public Health] 2021 Apr 19; Vol. 21 (1), pp. 751. <i>Date of Electronic Publication: </i>2021 Apr 19. MeSH Terms: Social Capital* ; Transients and Migrants* ; China ; Cross-Sectional Studies ; Humans ; Surveys and Questionnaires References: Soc Indic Res. 2018 Aug;139(1):327-346. (PMID: 30166770) ; PLoS One. 2013 Oct 17;8(10):e76554. (PMID: 24146888) ; PLoS One. 2018 Feb 28;13(2):e0191632. (PMID: 29489826) ; Int J Environ Res Public Health. 2017 Sep 01;14(9):. (PMID: 28862682) ; Soc Sci Med. 2020 Jul;257:113013. (PMID: 32418628) ; Soc Sci Med. 2020 Jul;257:112172. (PMID: 30803828) ; Int J Geriatr Psychiatry. 2020 Apr;35(4):365-375. (PMID: 31755134) ; J Epidemiol Community Health. 2017 May;71(5):513-517. (PMID: 28087811) ; Soc Networks. 2013 Jul 1;36(3):. (PMID: 24376290) ; Soc Sci Med. 2006 Jan;62(2):292-302. (PMID: 16024152) ; Anxiety Stress Coping. 2019 Jul;32(4):362-375. (PMID: 30894027) ; Med Care Res Rev. 2009 Jun;66(3):272-306. (PMID: 19174538) ; Soc Sci Med. 2013 Nov;97:112-23. (PMID: 24161096) ; Int J Ment Health Syst. 2016 May 04;10:37. (PMID: 27148401) ; Soc Sci Med. 2007 Jan;64(1):35-49. (PMID: 17029692) ; Soc Sci Med. 2009 Jan;68(1):133-42. (PMID: 18986744) ; Int J Equity Health. 2017 Aug 4;16(1):139. (PMID: 28778201) ; J Health Econ. 2008 Mar;27(2):265-86. (PMID: 18242742) ; Asian J Soc Psychol. 2015 Jun 1;18(2):176-181. (PMID: 25937806) ; Soc Sci Med. 2006 Mar;62(5):1291-303. (PMID: 16129534) ; Vulnerable Child Youth Stud. 2020;15(2):97-109. (PMID: 32863850) ; BMJ Open. 2017 Aug 18;7(8):e014224. (PMID: 28821507) ; J Health Econ. 2005 Nov;24(6):1076-107. (PMID: 16139910) ; Lancet. 2008 Nov 15;372(9651):1717-9. (PMID: 18930533) ; Int J Equity Health. 2013 Jul 19;12:54. (PMID: 23870068) Contributed Indexing: Keywords: Education; Migrants; Public health Services,Moderating effect; Sex; Social capital Entry Date(s): Date Created: 20210420 Date Completed: 20210524 Latest Revision: 20210524 Update Code: 20231215 PubMed Central ID: PMC8054364

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Impact of social capital, sex and education on the utilization of public health services: a cross sectional study based on the China migrant dynamic survey.