Associations of Elements of Parental Social Integration with Migrant Children’s Vaccination: An Epidemiological Analysis of National Survey Data in China (original) (raw)
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Vaccine, 2012
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Heterogeneous Impact of Social Integration on the Health of Rural-to-Urban Migrants in China
International Journal of Environmental Research and Public Health
Background: While several studies have found that lower levels of social integration may lead to a deterioration in the health status of migrants, previous research on the nexus between social integration and health has generally ignored the potential endogeneity of social integration. This paper examines the heterogeneous impact of social integration on the health of rural-to-urban migrants in China by exploiting plausibly exogenous, long-term, geographic variation in dialectal diversity. Methods: Drawing on nationally representative data from the 2017 China Migrants Dynamic Survey (n = 117,446), we first regressed self-reported health on social integration using ordinary least squares estimation and then used an ordered probit model as a robustness check. Additionally, to rule out the potential endogeneity of social integration, we relied mainly on an instrumental variable approach and used dialectal diversity as a source of exogenous variation for social integration. Results: We ...
Electronic Journal of General Medicine
The COVID-19 public health crisis has increased the global burden of diseases and mortality. Hence, global vaccination becomes non-negotiable to support immunity to reduce morbidity and mortality burdens. The COVID-19 vaccine campaign hinges on health promotion and equitable distribution, especially among minority groups. Therefore, the current study investigated the determinants of perceived vaccine efficacy and willingness to pay among foreign migrants in China. Methods: The study appraised data from an online-based survey carried out among foreign migrants in mainland China through the WeChat platform. Data analysis was carried out through bivariate and multivariate logistic regression. Results: A total of 498 foreign migrants were recruited, with male 47.65%, female 45.2%, and other gender minority groups (7.15%). The study found that females, gender minorities, students, preference for alternative medicine, culture neutrality, belief against vaccination, and prefer free vaccination were less likely to pay for COVID-19 vaccination. Meanwhile, those whose families/relatives are opposed to vaccination and have good subjective health than others in their age group were less likely to believe in vaccine efficacy. Those who have received at least a dose of COVID-19 vaccine (AoR: 3.32, 95% CI: 1.94-5.58, p<0.001), believe vaccines are accessible (AoR: 2.40, 95% CI: 1.52-3.98, p<0.001) and have high perceived susceptibility to COVID-19 (AoR: 1.97, 95% CI: 1.18-3.28, p<0.01) were more likely to believe in vaccine efficacy. Conclusion: The research extends evidence on vaccination behavior among foreign migrant groups. Vaccination support among migrants should target indicators like culture, gender identity, psychological health, subjective health, and perceived severity to eradicate vaccine hesitancy and misinformation that can translate to increased vaccine participation among minority groups.
A meta-analysis of the impacts of internal migration on child health outcomes in China
Background: According to China's 2010 population census, 38.81 million children migrated from rural to urban areas in Mainland China, a phenomenon that has attracted much scholarly attention. Due to the lack of quantitative synthesis of migrant children's developmental outcomes, we undertook a meta-analysis to compare their developmental outcomes with those of their urban counterparts. Methods We searched Applied Social Sciences Index and Abstracts (ASSIA), Australian Education Index, British Education Index, ERIC, ProQuest Education Journals, PsycINFO, Social Services Abstracts, Family & Society Studies Worldwide, Medline, Women’s Studies International databases and the Chinese CNKI database to identify relevant studies. Studies reporting physical and mental health outcomes of migrant children as well as potential protective and risk factors of child developmental outcomes were included. We assessed study quality using a quality assessment checklist. Results We selected 25 studies from a total of 1,592. Our results reveal that migrant children in public schools present significantly greater mental health problems and lower well-being than their urban counterparts, while migrant children in migrant schools do not present significantly different outcomes. In addition, migrant children were found to be more likely to be exposed to physical health risks due to limited utilization of health services. The disadvantageous health outcomes of migrant children were found to be related to a series of individual and social factors, including academic performance, social relationships, and discrimination. Conclusions: Migrant children are disadvantaged by the sociocultural circumstances in urban areas. Government should target them and provide appropriate support in order to improve their developmental status, which will have a positive impact on the stability and development of society.
The Association Between Parental Migration and Childhood Illness in Rural China
European Journal of Population, 2015
Many studies have examined the relationship between parental migration and child well-being, but few have examined the influences of parental migration on children's illness and the changes over time in China's internal migration context. Using longitudinal data from the China Health and Nutrition Survey from 1997 to 2009, this study examines how parental out-migration is associated with left-behind children's health, by comparing those children with children of non-migrant parent families. Random-effect models show that fathers', but not mothers', migration is positively associated with the likelihood of being ill. The association between fathers' migration and childhood illness diminished over time: The influence of the fathers' migration on childhood illness lessened as migration rates rose. The study also found that having to do more household chores due to the father's absence partly accounts for the negative effect of fathers' migration on children's health.
Migration, Family Arrangement, and Children's Health in China
Child development, 2016
With unprecedented migration taking place in China, millions of children are profoundly affected. Using a sample of 916 children (aged 5-18) of migrants and the life course perspective, this article examines the impact of parental migration on children's health. Results show that migration has a complex impact on children's health. Although migrating to cities itself does not benefit children, poor housing conditions in cities have a negative impact on their health. The timing of parental migration is important, as preschoolers migrating with parents and teenagers left behind by parents have significantly worse health than others. Migration also has a gendered effect, as teenage boys benefit from migrating to cities but suffer from being left behind when compared to teenage girls.
Frontiers in Public Health
BackgroundTo date, numerous studies have examined the health status of Chinese left-behind children and migrant children. However, the impact of children's diverse migration/left-behind experiences on their health is still unclear.MethodsA cross-sectional survey was conducted in 2020 in Nanling country (Anhui province) and Kaihua country (Zhejiang province) in China. School children from grade 5 to 8 reported their socio-demographic, interpersonal relationships, self-rated health, suicidal ideation, and depression. Participants were divided into four groups based on their migrant patterns, namely rural left-behind children with previous migration experience (ME-LBC), rural children with previous migration experience (ME-NLBC), rural left-behind children without migration experience (LBC), and rural children without migration experience (NLBC).ResultsAmong 2,323 participants included in the present study, there were 336 ME-LBC (14.5%), 283 ME-NLBC (12.2%), 561 LBC (24.1%) and 1,1...
Vaccines
Access to vaccination information could influence public attitudes towards vaccination. This study investigated the number and types of vaccination-related information sources, and estimated their associations with vaccine confidence and hesitancy in China. In January 2019, we conducted a cross-sectional survey in China, and 2122 caregivers with children <6 years completed self-administered questionnaires. Logistic regressions were used to assess associations between caregivers’ primary information sources and vaccine confidence/hesitancy. A majority (72%) of caregivers had multiple sources of vaccination-related information. The proportions of caregivers reporting professional sources, media, and peers as primary information sources were 81%, 63%, and 26%. Internal migrants were less likely to get information from professional sources; more educated and wealthier caregivers reported more information sources and were more likely to get information from media and peers. Caregivers...
Parental Migration Decisions and Child Health Outcomes: Evidence from China
Research in Labor Economics, 2019
This study uses migrant household survey data from 2008 and 2009 to examine how parental migration decisions are associated with the nutritional status of children in rural and urban China. Results from instrumental variables regressions show a substantial adverse effect of children’s exposure to parental migration on height-for-age Z-scores of left-behind children relative to children who migrate with their parents. Additional results from a standard Blinder-Oaxaca decomposition, a quantile decomposition, and a counterfactual distribution analysis all confirm that children who are left behind in rural villages – usually because of the oppressive hukou system – have poorer nutritional status than children who migrate with their parents, and the gaps are biggest at lower portions of the distribution.