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Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China.
Int J Environ Res Public Health. 2020 02 04; 17(3)IJ

Abstract

Background:

China's older rural-to-urban migrant workers (age 50 and above) are growing old, but comparative health research on older rural-to-urban migrants in China is still in its infancy. The aim is to explore the health status of older rural-to-urban migrant workers in China; as well as to identify health disparity between older rural-to-urban migrant workers and older rural dwellers.

Methods:

This study employed self-assessed health status (SAH) and chronic disease condition to explore the health status. Coarsened exact matching (CEM) was employed to improve estimation of causal effects. Fairlie's decomposition analysis was conducted to find the health disparity.

Results:

Older rural-to-urban migrant workers were more prone to suffer from chronic diseases, but they had higher SAH when comparing older rural dwellers. Fairlie's decomposition analysis indicated 10.44% of SAH disparities between two older groups can be traced to bath facility; 31.34% of chronic diseases disparities can be traced to educational attainment, sleeping time and medical scheme.

Conclusions:

This is the first comparative study examining health disparity focusing on older rural-to-urban migrant workers. Our study highlighted substantial health disparities between older rural-to-urban migrant workers and their older rural dwellers. Based on the contributing factors, government should take the drivers of health disparities into consideration in policy setting.

Authors+Show Affiliations

School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China.School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China. Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China.School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China.Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32033086

Citation

Li, Dan, et al. "Health Disparity Between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China." International Journal of Environmental Research and Public Health, vol. 17, no. 3, 2020.
Li D, Zhou Z, Shen C, et al. Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China. Int J Environ Res Public Health. 2020;17(3).
Li, D., Zhou, Z., Shen, C., Zhang, J., Yang, W., & Nawaz, R. (2020). Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China. International Journal of Environmental Research and Public Health, 17(3). https://doi.org/10.3390/ijerph17030955
Li D, et al. Health Disparity Between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China. Int J Environ Res Public Health. 2020 02 4;17(3) PubMed PMID: 32033086.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China. AU - Li,Dan, AU - Zhou,Zhongliang, AU - Shen,Chi, AU - Zhang,Jian, AU - Yang,Wei, AU - Nawaz,Rashed, Y1 - 2020/02/04/ PY - 2019/12/30/received PY - 2020/01/31/revised PY - 2020/02/01/accepted PY - 2020/2/9/entrez PY - 2020/2/9/pubmed PY - 2020/8/28/medline KW - CEM KW - health disparity KW - older rural dwellers KW - older rural-to-urban migrant workers JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 17 IS - 3 N2 - Background: China's older rural-to-urban migrant workers (age 50 and above) are growing old, but comparative health research on older rural-to-urban migrants in China is still in its infancy. The aim is to explore the health status of older rural-to-urban migrant workers in China; as well as to identify health disparity between older rural-to-urban migrant workers and older rural dwellers. Methods: This study employed self-assessed health status (SAH) and chronic disease condition to explore the health status. Coarsened exact matching (CEM) was employed to improve estimation of causal effects. Fairlie's decomposition analysis was conducted to find the health disparity. Results: Older rural-to-urban migrant workers were more prone to suffer from chronic diseases, but they had higher SAH when comparing older rural dwellers. Fairlie's decomposition analysis indicated 10.44% of SAH disparities between two older groups can be traced to bath facility; 31.34% of chronic diseases disparities can be traced to educational attainment, sleeping time and medical scheme. Conclusions: This is the first comparative study examining health disparity focusing on older rural-to-urban migrant workers. Our study highlighted substantial health disparities between older rural-to-urban migrant workers and their older rural dwellers. Based on the contributing factors, government should take the drivers of health disparities into consideration in policy setting. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/32033086/Health_Disparity_between_the_Older_Rural_to_Urban_Migrant_Workers_and_Their_Rural_Counterparts_in_China_ L2 - https://www.mdpi.com/resolver?pii=ijerph17030955 DB - PRIME DP - Unbound Medicine ER -