Family Migration and Social Integration of Migrants: Evidence from Wuhan Metropolitan Area, China
Abstract
:1. Introduction
2. Literature Review
2.1. Family Migration of China’s Migrants
2.2. Migrants’ Social Integration and Its Dimensions in China
3. Data and Method
3.1. Study Area
3.2. Data Source
3.3. Variable Selection and Measurement
3.3.1. Social Integration (Dependent Variable)
- Dimensions
- Assessment method
3.3.2. Influencing Factors (Independent Variables)
- Family migration type (core explanatory variable)
- Other explanatory variables
3.4. Model
4. Empirical Analysis
4.1. Comparison for Social Integration
4.1.1. Wuhan and Non-Central Cities
4.1.2. Wuhan (2013 Year and 2017 Year)
4.2. Correlation Analysis
4.3. Regression Analysis
4.3.1. Multicollinearity Test
4.3.2. Heteroscedasticity Test
4.3.3. Results of Regression
4.4. Robustness Check
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
City Attribute | Non-Family Migration | Semi-Family Migration | Whole-Family Migration | Total |
---|---|---|---|---|
Non_central | 85 | 145 | 370 | 600 |
Wuhan | 239 | 220 | 1541 | 2000 |
Total | 324 | 365 | 1911 | 2600 |
Appendix B
Variables | Group | Mean ± sd | t | sig |
---|---|---|---|---|
score | Non_central | 39.21 ± 14.79 | −8.58 | 0.00 |
Wuhan | 45.16 ± 14.92 | |||
score_eco | Non_central | 38.31 ± 4.99 | 2.10 | 0.04 |
Wuhan | 37.84 ± 4.38 | |||
score_pub | Non_central | 43.33 ± 23.12 | −9.20 | 0.00 |
Wuhan | 53.15 ± 22.88 | |||
score_soc | Non_central | 27.75 ± 19.73 | −0.83 | 0.41 |
Wuhan | 28.51 ± 19.11 | |||
score_psy | Non_central | 58.39 ± 23.32 | −11.29 | 0.00 |
Wuhan | 70.12 ± 21.99 |
Appendix C
Variables | Group | Mean ± sd | t | sig |
---|---|---|---|---|
score | 2013 | 32.98 ± 15.11 | −25.56 | 0.00 |
2017 | 45.16 ± 14.92 | |||
score_eco | 2013 | 33.06 ± 4.55 | −33.78 | 0.00 |
2017 | 37.84 ± 4.38 | |||
score_pub | 2013 | 36.46 ± 23.86 | −22.58 | 0.00 |
2017 | 53.15 ± 22.88 | |||
score_soc | 2013 | 22.07 ± 15.64 | −11.66 | 0.00 |
2017 | 28.51 ± 19.11 | |||
score_psy | 2013 | 68.66 ± 29.14 | −1.78 | 0.08 |
2017 | 70.12 ± 21.99 |
Appendix D
Variables | SocialIntegration | Gender | Age | Age Square | Marital Status | Education Level | Political Status | Family Scale | Health Status | Household Registration Attribute | FamilyMigration | Duration of Migration | Range of Migration | Destination City | Employment Status | Working Hours | Renting | Self-Purchased House | Other Housing Type |
Social integration | 1 | ||||||||||||||||||
Gender | 0.006 | 1 | |||||||||||||||||
Age | 0.012 | 0.158 *** | 1 | ||||||||||||||||
Age square | −0.067 *** | 0.004 | 0.509 *** | 1 | |||||||||||||||
Marital status | 0.022 | −0.014 | 0.250 *** | −0.180 *** | 1 | ||||||||||||||
Education level | 0.209 *** | 0.055 *** | −0.359 *** | −0.183 *** | −0.114 *** | 1 | |||||||||||||
Political status | 0.017 | −0.024 | −0.204 *** | 0.084 *** | −0.192 *** | 0.289 *** | 1 | ||||||||||||
Family scale | 0.008 | 0.01 | 0.01 | −0.267 *** | 0.311 *** | −0.139 *** | −0.153 *** | 1 | |||||||||||
Health status | 0.051 *** | 0.02 | −0.303 *** | −0.192 *** | −0.074 *** | 0.171 *** | 0.046 ** | −0.025 | 1 | ||||||||||
Household registrationattribute | 0.123 *** | 0.005 | 0.002 | −0.012 | −0.01 | 0.315 *** | 0.109 *** | −0.073 *** | 0.043 ** | 1 | |||||||||
Family migration | 0.081 *** | 0.046 ** | 0.047 ** | 0.011 | 0.207 *** | −0.072 *** | −0.043 ** | 0.226 *** | −0.022 | −0.077 *** | 1 | ||||||||
Duration of migration | 0.124 *** | 0.064 *** | 0.372 *** | 0.143 *** | 0.013 | −0.157 *** | −0.069 *** | 0.083 *** | −0.139 *** | −0.007 | 0.100 *** | 1 | |||||||
Range of migration | 0.046 ** | −0.006 | −0.034 * | −0.014 | 0.022 | −0.085 *** | −0.059 *** | 0.070 *** | 0.029 | 0.003 | 0.009 | −0.057 *** | 1 | ||||||
Destination city | 0.166 *** | −0.039 ** | −0.058 *** | −0.062 *** | 0.032 * | 0.041 ** | −0.023 | −0.051 *** | 0.036 * | −0.079 *** | 0.106 *** | −0.019 | 0.144 *** | 1 | |||||
Employment status | 0.119 *** | 0.083 *** | −0.095 *** | −0.055 *** | −0.138 *** | 0.211 *** | 0.100 *** | −0.170 *** | 0.053 *** | 0.049 ** | −0.152 *** | −0.105 *** | −0.144 *** | −0.003 | 1 | ||||
Working hours | −0.057 *** | 0.273 *** | 0.177 *** | −0.082 *** | 0.046 ** | −0.191 *** | −0.103 *** | 0.086 *** | 0.006 | −0.072 *** | 0.011 | 0.126 *** | 0.071 *** | −0.063 *** | 0.007 | 1 | |||
Renting | −0.116 *** | 0.027 | 0.011 | 0.012 | −0.035 * | −0.194 *** | −0.084 *** | 0.031 | 0.003 | −0.144 *** | 0.130 *** | −0.053 *** | 0.121 *** | 0.022 | −0.104 *** | 0.092 *** | 1 | ||
Self-purchased house | 0.208 *** | −0.023 | 0.004 | −0.013 | 0.076 *** | 0.242 *** | 0.070 *** | 0.004 | −0.006 | 0.165 *** | 0.011 | 0.101 *** | −0.166 *** | −0.013 | 0.088 *** | −0.190 *** | −0.767 *** | 1 | |
Other housing type | −0.121 *** | −0.008 | −0.022 | 0.001 | −0.055 *** | −0.051 *** | 0.026 | −0.053 *** | 0.003 | −0.019 | −0.211 *** | −0.064 *** | 0.055 *** | −0.015 | 0.03 | 0.130 *** | −0.413 *** | −0.268 *** | 1 |
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Dimension | Indicator |
---|---|
Economic integration (20%) | Per capita monthly income (33.33%) |
Per capita monthly expenditures (33.33%) | |
Rent/mortgage-to-income ratio (33.33%) | |
Public service integration (30%) | Medical insurance (25%) |
Personal social insurance card (25%) | |
Temporary residential permit/residential permit (25%) | |
Healthcare record (25%) | |
Social participation (20%) | Participate in political activities (33.33%) |
Participate in activities of social organizations (33.33%) | |
Social circle (33.33%) | |
Psychological adaption (30%) | Willingness to integrate into local society (25%) |
Willingness to settle down (25%) | |
Willingness to stay in the future (25%) | |
Estimated time to stay (25%) |
Explanatory Variables | Definition | Sample Size | Sample Size | Mean | Minimum | Maximum |
---|---|---|---|---|---|---|
Individual characteristics | ||||||
Gender | Male = 1; Female = 0 | 2600 | 1264 | 0.5 | 0.0 | 1.0 |
Age | 2600 | 2600 | 35.2 | 15.0 | 75.0 | |
Age square | Age * Age/100 | 2600 | 2600 | 1336.1 | 225.0 | 5625.0 |
Marital status | Married = 1; Unmarried = 0 | 2600 | 2374 | 0.9 | 0.0 | 1.0 |
Education level | No schooling = 1 | 2600 | 26 | 3.6 | 1.0 | 7.0 |
Primary school = 2 | 211 | |||||
Middle school = 3 | 1176 | |||||
High school = 4 | 713 | |||||
College degree = 5 | 315 | |||||
Bachelor degree = 6 | 142 | |||||
Postgraduate degree = 7 | 17 | |||||
Political status | Communist party member/League member = 1; Others = 0 | 2600 | 249 | 0.1 | 0.0 | 1.0 |
Family scale | 2600 | 2600 | 3.2 | 1.0 | 7.0 | |
Health status | Cannot take care of themselves = 1 | 2600 | 3 | 3.8 | 1.0 | 4.0 |
Unhealthy = 2 | 56 | |||||
Basically healthy = 3 | 516 | |||||
Healthy = 4 | 2025 | |||||
Institutional characteristic | ||||||
Household registration attribute (hukou) | Agricultural hukou = 0; Others = 1 | 2600 | 495 | 0.2 | 0.0 | 1.0 |
Household characteristic | ||||||
Family migration | Non-family migration = 1 | 2600 | 324 | 2.6 | 1.0 | 3.0 |
Semi-family migration = 2 | 365 | |||||
Whole-family migration = 3 | 1911 | |||||
Mobility characteristics | ||||||
Duration of migration (month) | 2600 | 2600 | 77.8 | 2.0 | 444.0 | |
Range of migration | Cross-county migration = 1 | 2600 | 532 | 2.1 | 1.0 | 3.0 |
Cross-city migration = 2 | 1372 | |||||
Cross-province migration = 3 | 696 | |||||
Destination city | Wuhan = 1; non-central cities = 0 | 2600 | 2000 | 0.8 | 0.0 | 1.0 |
Employment characteristics | ||||||
Employment status | Employee = 1; Others = 0 | 2600 | 809 | 0.3 | 0.0 | 1.0 |
Working hours (per week) | 2600 | 2600 | 49.4 | 0.0 | 99.0 | |
Housing characteristics | ||||||
Renting | Renting = 1; Others = 0 | 2600 | 1408 | 0.5 | 0.0 | 1.0 |
Self-purchased house | Self-purchase = 1; Others = 0 | 2600 | 864 | 0.3 | 0.0 | 1.0 |
Other housing type | Non-renting & Non-self-purchase = 1; Others = 0 | 2600 | 328 | 0.1 | 0.0 | 1.0 |
VIF | 1/VIF | |
---|---|---|
Gender | 1.245 | 0.803 |
Age | 2.367 | 0.422 |
Age square | 1.883 | 0.531 |
Marital status | 1.439 | 0.695 |
Education level | 1.607 | 0.622 |
Political status | 1.206 | 0.829 |
Family scale | 1.302 | 0.768 |
Health status | 1.132 | 0.883 |
Household registration attribute | 1.176 | 0.851 |
Family migration | 1.202 | 0.832 |
Duration of migration | 1.266 | 0.79 |
Range of migration | 1.114 | 0.898 |
Destination country | 1.099 | 0.91 |
Employment status | 1.68 | 0.595 |
Working hours | 3.649 | 0.274 |
Self-purchased house | 1.259 | 0.795 |
Other housing type | 1.244 | 0.804 |
Mean VIF | 1.749 |
Model | Test | Breusch-Pagan Test | White’s Test |
---|---|---|---|
Model 1 | chibar2 | 65.42 | 535.53 |
Prob. | 0.0019 | 0.0002 | |
Model 2 (Economic integration) | chibar2 | 91.41 | 776.27 |
Prob. | 0.0000 | 0.0000 | |
Model 3 (Public service integration) | chibar2 | 62.24 | 497.46 |
Prob. | 0.0043 | 0.0095 | |
Model 4 (Social participation) | chibar2 | 62.15 | 542.97 |
Prob. | 0.0044 | 0.0001 | |
Model 5 (Psychological adaption) | chibar2 | 84.87 | 505.18 |
Prob. | 0.0000 | 0.0049 |
Variables | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 |
---|---|---|---|---|---|
Overall Social Integration | Economic Integration | Public Service Integration | Social Participation | Psychological Adaption | |
Individual characteristics | |||||
Gender | −1.0289 * | 0.0382 | −2.2044 ** | 1.4305 * | −1.2129 |
[−1.690] | [0.214] | [−2.318] | [1.784] | [−1.307] | |
Age | 0.1619 *** | 0.0064 | 0.2929 *** | −0.0752 | 0.0049 |
[3.842] | [0.426] | [4.431] | [−1.288] | [0.073] | |
Age square | −0.0083 *** | −0.0014 | −0.0139 *** | 0.0017 | −0.0051 |
[−2.890] | [−1.313] | [−3.180] | [0.432] | [−1.195] | |
Marital status | −0.8258 | −1.1742 ** | −0.8943 | −0.2719 | 4.8780 *** |
[−0.731] | [−2.393] | [−0.515] | [−0.163] | [2.650] | |
Education level | 2.2902 *** | 0.5300 *** | 2.5194 *** | 3.3632 *** | 2.5187 *** |
[7.030] | [4.804] | [4.834] | [7.738] | [5.154] | |
Political status | −0.9308 | 0.3979 | −2.3275 | 1.9306 | −1.1244 |
[−0.921] | [1.130] | [−1.459] | [1.379] | [−0.739] | |
Family scale | 0.2938 | −1.1140 *** | 0.6549 | 0.6180 | 0.3820 |
[0.733] | [−7.918] | [1.037] | [1.148] | [0.609] | |
Health status | 1.1951 ** | 0.4440** | 2.0940 ** | −0.7508 | 0.4637 |
[1.968] | [2.320] | [2.194] | [−0.973] | [0.501] | |
Institutional characteristic | |||||
Household registration attribute | 2.0236 *** | −0.0916 | 3.4231 *** | −0.0596 | 3.5642 *** |
[2.620] | [−0.388] | [2.807] | [−0.060] | [3.233] | |
Household characteristic | |||||
Family migration | 1.3862 *** | −0.2696 * | 2.2612 *** | 0.4171 | 0.9698 |
[3.355] | [−1.802] | [3.499] | [0.731] | [1.546] | |
Mobility characteristics | |||||
Duration of migration | 0.0262 *** | 0.0002 | 0.0376 *** | 0.0177 *** | 0.0328 *** |
[5.770] | [0.174] | [5.292] | [3.041] | [4.895] | |
Range of migration | 2.0747 *** | 0.4263 *** | 3.5015 *** | −0.5573 | −2.9874 *** |
[4.967] | [3.150] | [5.273] | [−1.003] | [−4.705] | |
Destination city | 5.0684 *** | −0.6533 *** | 8.4185 *** | 0.7400 | 11.6876 *** |
[7.264] | [−2.880] | [7.614] | [0.822] | [11.705] | |
Employment characteristics | |||||
Employment status | 2.0724 *** | −1.0480 *** | 4.1689 *** | −1.0967 | 0.8905 |
[2.706] | [−4.246] | [3.473] | [−1.084] | [0.810] | |
Working hours | −0.0691 *** | −0.0054 | −0.0876 *** | −0.0772 *** | −0.0670 ** |
[−3.796] | [−0.911] | [−3.130] | [−3.088] | [−2.473] | |
Housing characteristics | |||||
Self-purchased house | 4.1847 *** | 1.5605 *** | 4.9622 *** | 4.4764 *** | 9.3468 *** |
[6.257] | [8.092] | [4.697] | [5.260] | [9.947] | |
Other housing type | −2.0531 ** | 0.8933 *** | −3.3904 ** | −0.9877 | 0.6309 |
[−2.330] | [3.459] | [−2.439] | [−0.868] | [0.445] | |
Industry | Controlled | ||||
Constant | 14.9455 *** | 38.6176 *** | 8.4259 | 10.8319 ** | 41.1099 *** |
[4.604] | [33.907] | [1.615] | [2.547] | [8.033] | |
Observations | 2600 | 2600 | 2600 | 2600 | 2600 |
R-squared | 0.164 | 0.129 | 0.140 | 0.103 | 0.183 |
Variables | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 |
---|---|---|---|---|---|
Overall Social Integration | Economic Integration | Public Service Integration | Social Participation | Psychological Adaption | |
Individual characteristics | |||||
Gender | −1.385 * | 0.021 | −2.647 ** | 0.995 | −2.125 * |
(−1.70) | (0.09) | (−2.08) | (0.91) | (−1.72) | |
Age | 0.136 *** | 0.006 | 0.229 *** | −0.016 | −0.120 |
(2.61) | (0.37) | (2.79) | (−0.23) | (−1.51) | |
Age square | −0.007 ** | −0.002 ** | −0.012 ** | 0.001 | 0.001 |
(−2.16) | (−2.10) | (−2.23) | (0.31) | (0.11) | |
Marital status | −0.157 | −0.596 | 0.425 | −1.463 | 7.441 *** |
(−0.12) | (−1.48) | (0.21) | (−0.76) | (3.47) | |
Education level | 2.696 *** | 0.444 *** | 3.189 *** | 3.470 *** | 2.644 *** |
(6.95) | (3.62) | (5.06) | (6.74) | (4.51) | |
Political status | −1.495 | 0.383 | −2.914 | 0.887 | −0.426 |
(−1.30) | (1.10) | (−1.58) | (0.57) | (−0.25) | |
Family scale | 0.190 | −0.858 *** | 0.412 | 0.573 | 0.590 |
(0.39) | (−5.70) | (0.53) | (0.89) | (0.77) | |
Health status | 1.193 * | 0.430 * | 2.137 * | −0.874 | −0.236 |
(1.69) | (1.89) | (1.91) | (−0.94) | (−0.21) | |
Institutional characteristic | |||||
Household registration attribute | 1.626 * | −0.103 | 2.751 * | −0.021 | 3.452 ** |
(1.71) | (−0.38) | (1.82) | (−0.02) | (2.56) | |
Household characteristic | |||||
Family migration | 1.352 *** | −0.048 | 2.157 *** | 0.337 | 0.262 |
(2.83) | (−0.33) | (2.84) | (0.51) | (0.36) | |
Mobility characteristics | |||||
Duration of migration | 0.036 *** | 0.000 | 0.053 *** | 0.022 *** | 0.047 *** |
(6.16) | (0.03) | (5.67) | (3.00) | (5.73) | |
Range of migration | 1.817 *** | 0.343 ** | 3.071 *** | −0.473 | −2.849 *** |
(3.61) | (2.26) | (3.80) | (−0.69) | (−3.65) | |
Destination city | 4.545 *** | −0.704 *** | 7.437 *** | 1.120 | 11.672 *** |
(5.41) | (−2.63) | (5.54) | (1.03) | (9.91) | |
Employment characteristics | |||||
Employment status | 1.924 ** | −0.747 *** | 3.778 ** | −0.968 | −0.017 |
(1.97) | (−2.66) | (2.45) | (−0.75) | (−0.01) | |
Working hours | −0.085 *** | −0.008 | −0.118 *** | −0.065 ** | −0.083 ** |
(−3.69) | (−1.07) | (−3.32) | (−1.97) | (−2.39) | |
Housing characteristics | |||||
Self-purchased house | 3.910 *** | 1.491 *** | 4.605 *** | 4.241 *** | 9.879 *** |
(4.78) | (6.35) | (3.55) | (4.16) | (8.69) | |
Other housing type | −2.080 ** | 1.231 *** | −3.431 ** | −1.336 | −1.071 |
(−1.98) | (4.15) | (−2.04) | (−0.95) | (−0.63) | |
Industry | Controlled | ||||
Constant | 13.453 *** | 37.476 *** | 6.161 | 11.305 ** | 39.760 *** |
(3.48) | (28.46) | (0.98) | (2.21) | (6.54) | |
Observations | 1755 | 1755 | 1755 | 1755 | 1755 |
R-squared | 0.187 | 0.123 | 0.156 | 0.111 | 0.211 |
Variables | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 |
---|---|---|---|---|---|
Overall Social Integration | Economic Integration | Public Service Integration | Social Participation | Psychological Adaption | |
Individual characteristics | |||||
Gender | −1.289 | 0.194 | −2.905 * | 2.073 | −0.848 |
(−1.33) | (0.61) | (−1.93) | (1.53) | (−0.56) | |
Age | 0.134 ** | 0.007 | 0.261 *** | −0.123 | 0.011 |
(2.03) | (0.26) | (2.60) | (−1.30) | (0.10) | |
Age square | −0.003 | −0.001 | −0.009 | 0.011 * | −0.007 |
(−0.83) | (−0.61) | (−1.42) | (1.88) | (−1.04) | |
Marital status | −0.426 | −1.520 ** | −0.349 | 0.439 | 4.189 ** |
(−0.32) | (−2.44) | (−0.17) | (0.22) | (1.99) | |
Education level | 2.936 *** | 0.344 ** | 3.676 *** | 3.308 *** | 2.083 *** |
(6.33) | (1.96) | (4.91) | (5.03) | (2.80) | |
Political status | −0.274 | 0.823 * | −1.529 | 2.393 | 0.502 |
(−0.23) | (1.94) | (−0.85) | (1.38) | (0.29) | |
Family scale | 0.250 | −1.132 *** | 0.401 | 1.180 | 0.466 |
(0.42) | (−4.61) | (0.43) | (1.42) | (0.51) | |
Health status | 0.452 | 0.835* | 0.464 | 0.033 | 1.808 |
(0.44) | (1.96) | (0.29) | (0.03) | (1.11) | |
Institutional characteristic | |||||
Household registration attribute | 2.816 ** | −0.110 | 5.039 *** | −0.925 | 4.330 ** |
(2.47) | (−0.27) | (2.81) | (−0.59) | (2.56) | |
Household characteristic | |||||
Family migration | 0.830 | −0.458 * | 1.620 * | −0.250 | −0.641 |
(1.34) | (−1.79) | (1.66) | (−0.28) | (−0.67) | |
Mobility characteristics | |||||
Duration of migration | 0.020 *** | −0.001 | 0.030 *** | 0.010 | 0.045 *** |
(2.90) | (−0.25) | (2.85) | (0.94) | (4.36) | |
Range of migration | 2.251 *** | 0.563 ** | 3.589 *** | −0.076 | −3.951 *** |
(3.48) | (2.32) | (3.44) | (−0.08) | (−3.83) | |
Destination city | 5.432 *** | −0.442 | 8.763 *** | 1.315 | 13.267 *** |
(5.04) | (−1.02) | (5.15) | (0.91) | (8.35) | |
Employment characteristics | |||||
Employment status | 2.414 * | −1.164 ** | 4.525 ** | −0.342 | 1.606 |
(1.94) | (−2.38) | (2.35) | (−0.19) | (0.88) | |
Working hours | −0.059* | 0.012 | −0.087 * | −0.045 | −0.105 ** |
(−1.92) | (1.11) | (−1.88) | (−0.97) | (−2.32) | |
Housing characteristics | |||||
Self-purchased house | 3.808 *** | 1.526 *** | 3.764 ** | 6.220 *** | 9.905 *** |
(3.60) | (4.20) | (2.28) | (4.44) | (6.44) | |
Other housing type | −1.704 | 0.740 | −3.132 | 0.138 | 0.520 |
(−1.23) | (1.56) | (−1.43) | (0.07) | (0.24) | |
Industry | Controlled | ||||
Constant | 14.457 *** | 38.023 *** | 10.538 | 2.648 | 42.301 *** |
(2.88) | (17.84) | (1.32) | (0.40) | (5.34) | |
Observations | 1089 | 1089 | 1089 | 1089 | 1089 |
R-squared | 0.192 | 0.125 | 0.162 | 0.124 | 0.217 |
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Li, Y.; Xiong, C.; Zhu, Z.; Lin, Q. Family Migration and Social Integration of Migrants: Evidence from Wuhan Metropolitan Area, China. Int. J. Environ. Res. Public Health 2021, 18, 12983. https://doi.org/10.3390/ijerph182412983
Li Y, Xiong C, Zhu Z, Lin Q. Family Migration and Social Integration of Migrants: Evidence from Wuhan Metropolitan Area, China. International Journal of Environmental Research and Public Health. 2021; 18(24):12983. https://doi.org/10.3390/ijerph182412983
Chicago/Turabian StyleLi, Yanan, Chan Xiong, Zhe Zhu, and Qiaowen Lin. 2021. "Family Migration and Social Integration of Migrants: Evidence from Wuhan Metropolitan Area, China" International Journal of Environmental Research and Public Health 18, no. 24: 12983. https://doi.org/10.3390/ijerph182412983