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Better Choice, Better Health? Social Integration and Health Inequality among International Migrants in Hangzhou, China

by Xiaoguang Fan 1, Fei Yan 2,* and Wei Yan 3
1
Department of Sociology, Zhejiang University, Hangzhou 310058, China
2
Department of Sociology, Tsinghua University, Beijing 100084, China
3
Department of Psychology, Tsinghua University, Beijing 100084, China
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(13), 4787; https://doi.org/10.3390/ijerph17134787
Received: 27 May 2020 / Revised: 29 June 2020 / Accepted: 1 July 2020 / Published: 3 July 2020
The aim of this study is to investigate the impact of social integration and socioeconomic status on immigrant health in China. Taking the framework of social determinants of health (SDH) as the theoretical starting point, this paper uses the Hangzhou sample of the 2018 Survey of Foreigners in China (SFRC2018) to explore two core factors affecting the health inequality of international migrants in China: the level of social integration following settlement, and socioeconomic status before and after coming to China. The results show that having a formal educational experience in China helped improve both the self-rated health status and self-assessed change in health of international migrants; that the socioeconomic status of an emigrant’s home country affected self-rated health; and that the self-assessed change in health of immigrants from developing countries was significantly higher than those from developed countries. This study concludes that the health inequalities of immigrant populations in China must be understood in the context of China’s specific healthcare system and treatment structure. View Full-Text
Keywords: self-rated health; self-assessed change in health; immigrant; China; social integration self-rated health; self-assessed change in health; immigrant; China; social integration
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Fan, X.; Yan, F.; Yan, W. Better Choice, Better Health? Social Integration and Health Inequality among International Migrants in Hangzhou, China. Int. J. Environ. Res. Public Health 2020, 17, 4787.

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