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
type: article
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'