2023-09-28 14:46:10 +00:00
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abstract: 'Background: The rampant urbanization and medical marketization in China
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have resulted in increased vulnerabilities to health and socioeconomic
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disparities among the rural migrant workers in urban China. In the
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Chinese context, the socioeconomic characteristics of rural migrant
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workers have attracted considerable research attention in the recent
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past years. However, to date, no previous studies have explored the
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association between the socioeconomic factors and social security among
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the rural migrant workers in urban China. This study aims to explore the
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association between socioeconomic inequity and social security inequity
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and the subsequent associations with medical inequity and reimbursement
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rejection.
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Methods: Data from a regionally representative sample of 2009 Survey of
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Migrant Workers in Pearl River Delta in China were used for analyses.
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Multiple logistic regressions were used to analyze the impacts of
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socioeconomic factors on the eight dimensions of social security (sick
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pay, paid leave, maternity pay, medical insurance, pension insurance,
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occupational injury insurance, unemployment insurance, and maternity
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insurance) and the impacts of social security on medical reimbursement
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rejection. The zero-inflated negative binomial regression model (ZINB
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regression) was adopted to explore the relationship between
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socioeconomic factors and hospital visits among the rural migrant
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workers with social security.
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Results: The study population consisted of 848 rural migrant workers
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with high income who were young and middle-aged, low-educated, and
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covered by social security. Reimbursement rejection and abusive
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supervision for the rural migrant workers were observed. Logistic
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regression analysis showed that there were significant associations
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between socioeconomic factors and social security. ZINB regression
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showed that there were significant associations between socioeconomic
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factors and hospital visits among the rural migrant workers. Also,
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several dimensions of social security had significant associations with
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reimbursement rejections.
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Conclusions: This study showed that social security inequity, medical
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inequity, and reimbursement inequity happened to the rural migrant
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workers simultaneously. Future policy should strengthen health justice
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and enterprises'' medical responsibilities to the employed rural migrant
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workers.'
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affiliation: 'Guan, M (Corresponding Author), Xuchang Univ, Family Issues Ctr, Rd
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Bayi 88, Xuchang, Henan, Peoples R China.
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Guan, M (Corresponding Author), Xuchang Univ, Sch Business, Rd Bayi 88, Xuchang,
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Henan, Peoples R China.
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Guan, Ming, Xuchang Univ, Family Issues Ctr, Rd Bayi 88, Xuchang, Henan, Peoples
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R China.
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Guan, Ming, Xuchang Univ, Sch Business, Rd Bayi 88, Xuchang, Henan, Peoples R China.'
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article-number: '193'
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author: Guan, Ming
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author-email: gming0604@163.com
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author_list:
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- family: Guan
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given: Ming
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da: '2023-09-28'
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doi: 10.1186/s12939-017-0692-x
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files: []
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issn: 1475-9276
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: 'Social class; Rural migrant workers; Social security inequity; Medical
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inequity; Reimbursement rejection'
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keywords-plus: 'QUALITY-OF-LIFE; HEALTH-CARE; WORKING-CLASS; INSURANCE; POPULATION;
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ACCESS; PREVALENCE; INEQUALITY; MIGRATION; EQUITY'
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language: English
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month: NOV 7
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number-of-cited-references: '68'
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orcid-numbers: Guan, Ming/0000-0002-8861-1281
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papis_id: a736bf3ba1107c7aa77e67ea69110b27
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ref: Guan2017shouldpoor
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researcherid-numbers: Guan, Ming/AGL-7074-2022
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times-cited: '9'
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title: Should the poor have no medicines to cure? A study on the association between
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social class and social security among the rural migrant workers in urban China
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000414914900001
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usage-count-last-180-days: '4'
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usage-count-since-2013: '54'
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volume: '16'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2017'
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