wow-inequalities/02-data/intermediate/wos_sample/c25a968fb794ae3b006828d83fa05cc6-guan-ming/info.yaml

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