The Impact of Urban Health Care on Migrants’ Settlement Intention: Evidence from China

Round 1

Reviewer 1 Report

The article is relevant, scientifically and practically relevant, and contains references to information in the current scientific literature. The article is written in a good scientific language, easy to read, with a scholarly style, specificity and persuasiveness.

The literature review presented captures the essence of the issue of extending health policy as an institution and infrastructure to attract migrants, as this is one of the first issues to be addressed in the current post-cavoidance context. The authors summarise the body of literature in recent years covering migration and migrants' attitudes towards this issue. In this respect, the article is relevant and demonstrates the need for a more detailed study of migrants' attitudes towards infrastructure and the institution of health.

The plausibility of the findings of the study relies on the author's use of recent literature data, with an examination of the models used to identify dependent and independent variables in determining the factors underlying the role of the state in health care attitudes towards migrants.

The pandemic has highlighted the inequalities that already exist in access to and use of health services. Refugees and migrants have also been affected by the negative economic consequences of the regime of self-isolation and restrictions on passenger traffic. Labour migrants have been particularly affected by loss of livelihood and health care. They may also have faced legal and social insecurity due to delays in the recognition of their migration status or cuts in employment, legal and administrative services.

The authors would greatly benefit from complementing their study by exploring the development of a culture of health.

This means that compliance with the basic rights in the system of social and economic protection of migrant workers should not allow subjectivity in employment regarding their personal labour potential characteristics - level of health, intelligence, education, qualifications and psychological qualities. Another thing is when migrant workers themselves, due to their low level of health culture and obvious value deformations dominated by the material factor, are willing to work illegally in gross violation of labour laws. This readiness is mostly characteristic of migrants from countries with bad living conditions and almost no employment opportunities. Temporary prolongation of the low quality of life forces such persons to work under conditions that do not meet the regulated labour organization standards. This phenomenon is a powerful deformer of people's values and leads to abuses by employers, for whom this situation is economically advantageous in terms of saving personnel costs.

The health culture of migrant workers should be promoted through the growth of their health culture. Thus, if the authors expand the information coverage aspect of the article, it is important to consider the possibility of a health culture among migrants AND what will be the information channel for them. It is through medical public organizations and representative structures of state authorities abroad that close cooperation should be established with labour migrants in order to prevent them from violating their rights in employment according to all characteristics of the work organization

Thus, if the authors broaden the thematic scope of the article, it is important to consider the possibility of developing a culture of health among migrants And what will be the information channel for them

Author Response

Response to Reviewer 1 Comments

Dear Reviewer:

Thank you for your comments concerning our manuscript entitled “The Impact of Urban Health Concern on Migrants’ Settlement Intention: Evidence from China” (Manuscript Number: sustainability-1981067). These comments are all valuable and very helpful for revising and improving our paper, as well as the important guiding significance to our research. We have studied the comments carefully and have made corrections that we hope meet with approval. The revised portions are marked in red in the revised manuscript. The main corrections in the paper and the responses to the reviewer’s comments are as follows:

Reviewer’s comments:

The article is relevant, scientifically and practically relevant, and contains references to information in the current scientific literature. The article is written in a good scientific language, easy to read, with a scholarly style, specificity and persuasiveness.

The literature review presented captures the essence of the issue of extending health policy as an institution and infrastructure to attract migrants, as this is one of the first issues to be addressed in the current post-cavoidance context. The authors summarise the body of literature in recent years covering migration and migrants' attitudes towards this issue. In this respect, the article is relevant and demonstrates the need for a more detailed study of migrants' attitudes towards infrastructure and the institution of health.

The plausibility of the findings of the study relies on the author's use of recent literature data, with an examination of the models used to identify dependent and independent variables in determining the factors underlying the role of the state in health care attitudes towards migrants.

The pandemic has highlighted the inequalities that already exist in access to and use of health services. Refugees and migrants have also been affected by the negative economic consequences of the regime of self-isolation and restrictions on passenger traffic. Labour migrants have been particularly affected by loss of livelihood and health care. They may also have faced legal and social insecurity due to delays in the recognition of their migration status or cuts in employment, legal and administrative services.

The authors would greatly benefit from complementing their study by exploring the development of a culture of health.

This means that compliance with the basic rights in the system of social and economic protection of migrant workers should not allow subjectivity in employment regarding their personal labour potential characteristics - level of health, intelligence, education, qualifications and psychological qualities. Another thing is when migrant workers themselves, due to their low level of health culture and obvious value deformations dominated by the material factor, are willing to work illegally in gross violation of labour laws. This readiness is mostly characteristic of migrants from countries with bad living conditions and almost no employment opportunities. Temporary prolongation of the low quality of life forces such persons to work under conditions that do not meet the regulated labour organization standards. This phenomenon is a powerful deformer of people's values and leads to abuses by employers, for whom this situation is economically advantageous in terms of saving personnel costs.

The health culture of migrant workers should be promoted through the growth of their health culture. Thus, if the authors expand the information coverage aspect of the article, it is important to consider the possibility of a health culture among migrants AND what will be the information channel for them. It is through medical public organizations and representative structures of state authorities abroad that close cooperation should be established with labour migrants in order to prevent them from violating their rights in employment according to all characteristics of the work organization.

Thus, if the authors broaden the thematic scope of the article, it is important to consider the possibility of developing a culture of health among migrants And what will be the information channel for them.

Author’s reply:

Thank you very much for your appreciation of the theme and content of this article. We get a lot of inspiration from your comments and feel that you have your own unique views on the health promotion mechanism of the migrants. We totally agree with your constructive comments, and integrate your thinking with our revision. The construction and promotion of the health culture of the migrants really help to promote and protect their own rights. It is also an important research hotspot to study the development and transmission mechanism of migrants’ health culture. However, due to the limitations of data and limited pages, this study is unable to conduct in-depth research you raised in this article. In addition, in the revision, we have tried our best to emphasize the importance of the growth of migrants’ health culture. Besides, it is proposed again in the future research direction that in-depth research can be carried out along this theme. The specific revisions are as follows:

Lines 39-45.

In recent years, under the pandemic of COVID-19, the health service management problems of China’s migrants have been exposed. The pandemic has highlighted the inequalities that already exist in access to and use of health services. Migrants have also been affected by the negative economic consequences of self-isolation and restrictions on passenger traffic. Labor migrants have been particularly affected by loss of livelihood and health care. They may also have faced health and economic inequality due to delays in the recognition of their migration status or cuts in employment.

Lines 49-53.

For some migrants, the importance of health and livability has surpassed economic factors when making settlement decisions[8]. It means that the status of urban healthy culture development in the minds of contemporary migrants is constantly improving.

Lines 70-73.

These undesirable phenomena can be changed by cultivating and improving the health culture of cities and residents. This means that compliance with the basic rights in the system of social and economic protection of migrant workers should not allow subjectivity in employment regarding their personal labor potential characteristics - level of health, intelligence, education, qualifications and psychological qualities.

Lines 567-571.

Improving the health culture of the migrants is also an effective way to improve the urban health concern. It is important to consider the possibility of a health culture among migrants and what will be the information channel for them. In the future research, scholars can conduct relevant research on the impact of migrants’ settlement intention from the perspective of improving migrants’ health culture.

Once again, thank you very much for your comments and suggestions. If there are any questions in the revision, please feel free to contact us.

Best regards

Authors

Author Response File: Author Response.pdf

Reviewer 2 Report

Paper 1981067 review to Sustainability – The Impact of Urban Health Concern on Migrants’ Settlement Intention: Evidence from China

All issues raised in this review can be considered to be minor reviews.

General considerations

The subject of the article is very relevant and current. The issues are explained very clearly and the concepts and ideas are very well articulated between themselves. The data collection method is explained clearly and objectively. The qualitative and quantitative analyzes are presented in a perceptible way. All issues raised in this review can be considered to be minor reviews. However, a better adaptation of some parts of the text to the issue of sustainability (focus of the journal) would be something to improve on the authors' part.

1.   Structure

The structure of the article is well elaborated, but it is possible that the type and font size of equation 1 are not in accordance with the template of the Sustainability Journal articles. So, the authors should check this aspect.

2.   Title, Abstract and Keywords

·         The title is appealing to readers.

·         The abstract is well constructed. The main research question, the objectives and the development of the theme are clearly pointed out. But, in the abstract, the full part must not appear together with the correspondent acronym, only one of the parts must appear. On the other hand, authors should not write in the first person, but in the impersonal.

·         The keywords are adequate.

3.      Figures, tables and equations

The figures, tables and equations are all well numbered, and the tables and equations have good visual quality.

4.      Grammar, spelling and syntax issues

The whole article it's well written in terms of grammar and spelling. But there were identified some aspects that should be improved/corrected, namely:

·         In line 236, the first letters of each word of the full meaning of the acronym MSI, must be capitalized;

·         In line 239,  the first letters of each word of the full meaning of the acronym UHC, must be capitalized;

·         In line 241, only the acronym UHC should appear, after all, the full part must appear together with the acronym only the first time it appears in the article;

·         In line 253 the legend of Table 1 should move to the next page and not be alone and separated from the table;

·         In line 302,  the first letters of each word of the full meaning of the acronym MUA, must be capitalized;

·         In line 313, the full meaning of the acronym PSM must appear too, instead of appearing later (in line 343);

·         In line 407,  the first letters of each word of the full meaning of the acronym 2SLS, must be capitalized;

·         In line 466, the acronym GDP does not appear together with its full meaning;

·         The acronym CMDS appears with its full meaning many times in the article, and should only appear the first time it appears in the article (line 133);

·

5.      Semantic and technical issues

The entire article is very well explained. The issues are explained very clearly and the concepts and ideas are very well articulated between themselves. The data collection method is explained clearly and objectively. The qualitative and quantitative analyzes are presented in a perceptible way. However, authors should adapt some sentences at the beginning and/or at the end of the sections of the article, for a better adaptation of the topic addressed in the article to the issue of sustainability - focus of the journal.

6.      References

The number of references of the list presented is appropriate to the depth of the theme's approach in the article. The references are strong in the scope of this investigation. But in the list, most of the references are not prepared in a standardized way, namely:

·         The authors' names contain the first name and surname, and must be the surname followed by a comma with a space and the initial of the first name followed by a period;

·         it seems that many pages are not separated by a dash (e.g. 103622, right in the first reference)

·         The pages must be preceded by two p's and not by the character ":" (e.g. pp 147-176 instead of : 147-176, right in the second reference);

·         The term "et al." appears, instead of the names of all the authors in question;

·         The number, volume or pages often do not appear;

·         Often, the year does not always appear in the same place for the same type of work, and/or sometimes it is in parentheses and other times it is not.

Therefore, authors should make an exhaustive check of the reference list to correct all these aspects.

Comments for author File: Comments.pdf

Author Response

Response to Reviewer 2 Comments

Dear Reviewer:

Thank you for your comments concerning our manuscript entitled “The Impact of Urban Health Concern on Migrants’ Settlement Intention: Evidence from China” (Manuscript Number: sustainability-1981067). These comments are all valuable and very helpful for revising and improving our paper, as well as the important guiding significance to our research. We have studied the comments carefully and have made corrections that we hope meet with approval. The revised portions are marked in red in the revised manuscript. The main corrections in the paper and the responses to the reviewer’s comments are as follows:

Reviewer’s comments:

The subject of the article is very relevant and current. The issues are explained very clearly and the concepts and ideas are very well articulated between themselves. The data collection method is explained clearly and objectively. The qualitative and quantitative analyzes are presented in a perceptible way. All issues raised in this review can be considered to be minor reviews. However, a better adaptation of some parts of the text to the issue of sustainability (focus of the journal) would be something to improve on the authors’ part.

Reply: Thank you very much for your approval of the article. The following problems have been corrected according to your suggestions.

Q1：The structure of the article is well elaborated, but it is possible that the type and font size of equation 1 are not in accordance with the template of the Sustainability Journal articles. So, the authors should check this aspect.

Reply: Thank you very much for your suggestions. We feel so sorry that we did not modify the format of the formula according to the requirements of the journal due to our negligence. We have revised it as follows.

Lines 280.

Q2：The abstract is well constructed. The main research question, the objectives and the development of the theme are clearly pointed out. But, in the abstract, the full part must not appear together with the correspondent acronym, only one of the parts must appear. On the other hand, authors should not write in the first person, but in the impersonal.

Reply: Thank you very much for your detailed questions in the abstract. In the revision, we have carefully revised the abstract according to your suggestions. The specific revisions are as follows.

Lines 3-21.

Improving migrants’ settlement intention is of great importance in the process of China's new urbanization. By exploiting the data from the China Migrants Dynamic Survey conducted by the National Health and Family Planning Commission of China, this study empirically explores the effects of urban health concern on the migrants’ settlement intention. The urban health concern is measured by the establishment of migrants’ health records in this article. Besides, marginal effect analysis, propensity score matching, random sampling method, placebo test, two-stage least squares method are adopted to tackle down the potential selection bias and endogeneity concerns. As indicated by the empirical results, urban health concern could significantly improve the migrants’ settlement intention. After controlling the influence of individual characteristics, household characteristics and migration characteristics, urban health concern still plays a significant role in promoting settlement intention. As revealed by the heterogeneity analysis, the urban health concern effects are significantly larger for migrants with agricultural hukou registration, spouse, younger age, higher income level and flowing into the first and second tier cities. Meanwhile, considering the impact of housing pressure on migrants’ settlement intentions, this study uses household housing expenditure as a moderator to further analyze the relationship between urban health concern and settlement intention. It is found that the housing pressure can weaken the positive effect of urban health concern on migrants’ settlement intention. The research conclusions contribute to a comprehensive understanding of the migrants’ settlement decision and provide rich implications for city managers and policymakers.

Q3：The whole article it's well written in terms of grammar and spelling. But there were identified some aspects that should be improved/corrected, namely:

• In line 236, the first letters of each word of the full meaning of the acronym MSI, must be capitalized;
• In line 239,  the first letters of each word of the full meaning of the acronym UHC, must be capitalized;
• In line 241, only the acronym UHC should appear, after all, the full part must appear together with the acronym only the first time it appears in the article;
• In line 253 the legend of Table 1 should move to the next page and not be alone and separated from the table;
• In line 302,  the first letters of each word of the full meaning of the acronym MUA, must be capitalized;
• In line 313, the full meaning of the acronym PSM must appear too, instead of appearing later (in line 343);
• In line 407,  the first letters of each word of the full meaning of the acronym 2SLS, must be capitalized;
• In line 466, the acronym GDP does not appear together with its full meaning;
• The acronym CMDS appears with its full meaning many times in the article, and should only appear the first time it appears in the article (line 133);

Reply: Thank you very much for your detailed questions in the article. We have carefully considered and revised them. Regarding the use of capitalization and abbreviations, we checked the full text and marked it in red with the revision mode.  Please refer to our revised manuscript.

Q4：The entire article is very well explained. The issues are explained very clearly and the concepts and ideas are very well articulated between themselves. The data collection method is explained clearly and objectively. The qualitative and quantitative analyzes are presented in a perceptible way. However, authors should adapt some sentences at the beginning and/or at the end of the sections of the article, for a better adaptation of the topic addressed in the article to the issue of sustainability - focus of the journal.

Reply: Thank you very much for your suggestions and kindly reminder, we have also realized that we should highlight the theme of the journal. Therefore, we have added some content at the end of the article. The specific revisions are as follows.

Lines 558-560.

In order to have an all-round understanding of the urban health and sustainable development of national economy and society in China, this study tries to explain the influence of urban health concern on settlement intention of the migrants.

Q5：The number of references of the list presented is appropriate to the depth of the theme's approach in the article. The references are strong in the scope of this investigation. But in the list, most of the references are not prepared in a standardized way, namely:

• The authors' names contain the first name and surname, and must be the surname followed by a comma with a space and the initial of the first name followed by a period;
• it seems that many pages are not separated by a dash (e.g. 103622, right in the first reference)
• The pages must be preceded by two p's and not by the character ":" (e.g. pp 147-176 instead of : 147-176, right in the second reference);
• The term "et al." appears, instead of the names of all the authors in question;
• The number, volume or pages often do not appear;
• Often, the year does not always appear in the same place for the same type of work, and/or sometimes it is in parentheses and other times it is not.

Therefore, authors should make an exhaustive check of the reference list to correct all these aspects.

Reply: Thank you very much for raising some detailed questions about the references. We have checked that all references are relevant to the topic of the article. In addition, we have carefully and rigorously revised the format of references according to your suggestions. The revised references are as follows.

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3. Xie, S.; Wang, J. et al., The effect of health on urban-settlement intention of rural-urban migrants in China. Health & Place 2017,47, pp. 1-11.
4. Zhang, J.; Ye, Y.; Wang, J., Social exclusion and psychopathologies of Chinese floating populations. Journal of Affective Disorders Reports 2021,6, 100263.
5. Xiao, Y.; Chen, X. et al., Towards healthy China 2030: Modeling health care accessibility with patient referral. Social Science & Medicine 2021,276, 113834.
6. Chen, J., Internal migration and health: Re-examining the healthy migrant phenomenon in China. Social Science & Medicine 2011,72, pp.   1294-1301.
7. Guo, J.; Guan, L. et al., Depression among Chinese older adults: A perspective from Hukou and health inequities. Journal of Affective Disorders 2017,223, pp. 115-120.
8. Lu, Y.; Qin, L., Healthy migrant and salmon bias hypotheses: A study of health and internal migration in China. Social Science & Medicine 2014,102, pp. 41-48.
9. Lu, Y.; Hu, P.; Treiman, D. J., Migration and depressive symptoms in migrant-sending areas: findings from the survey of internal migration and health in China. International Journal of Public Health 2012,57, pp. 691-698.
10. Boardman, J. J. M. H.; Inclusion, S., Social exclusion and mental health – how people with mental health problems are disadvantaged: an overview. 2011,15, pp. 112-121.
11. Meng, X. J. I. J. o. E. R.; Health, P., Does a different household registration affect migrants’ access to basic public health services in China? International Journal of Environmental Research and Public Health. 2019,16, pp. 4615.
12. Gu, H.; Liu, Z.; Shen, T., Spatial pattern and determinants of migrant workers' interprovincial hukou transfer intention in China: Evidence from a National Migrant Population Dynamic Monitoring Survey in 2016. Population Space and Place 2019,26.
13. Liu, Y.; Deng, W.; Song, X., Influence factor analysis of migrants' settlement intention: Considering the characteristic of city. Applied Geography 2018,96, pp. 130-140.
14. Huang, Y.; Guo, F.; Cheng, Z., Market mechanisms and migrant settlement intentions in urban China. Asian Population Studies 2018,14, pp. 22-42.
15. Wu, W.; Wang, G., Together but Unequal: Citizenship rights for migrants and locals in urban China. Urban Affairs Review 2014,50, pp. 781-805.
16. Chen, F.; Zheng, M. et al., Impact of migration status on incidence of depression in the middle-aged and elderly population in China: Exploring healthy migrant and salmon bias hypotheses from a mental health perspective. Journal of Affective Disorders 2022,315, pp. 182-189.
17. Tian, M.; Tian, Z.; Sun, W., The impacts of city-specific factors on social integration of Chinese migrant workers: A study using multilevel modeling. Journal of Urban Affairs 2019, 41, pp. 1-14.
18. Toruńczyk-Ruiz, S.; Brunarska, Z., Through attachment to settlement: social and psychological determinants of migrants’ intentions to stay. Journal of Ethnic and Migration Studies 2020,46, pp. 3191-3209.
19. Wang, C.; Shen, J., Settlement intention of migrants in urban China: The effects of labor-market performance, employment status, and social integration. Applied Geography 2022,147, 102773.
20. Hao, P.; Tang, S., Floating or settling down: The effect of rural landholdings on the settlement intention of rural migrants in urban China. Environment and Planning A 2015,47, pp. 1979-1999.
21. Qin, Y.; Zhu, H., Run away? Air pollution and emigration interests in China. Journal of Population Economics 2018,31, pp. 235-266.
22. Wang, C.; Shen, J.; Liu, Y., Administrative level, city tier, and air quality: contextual determinants of hukou conversion for migrants in China. Computational Urban Science 2021,1, 6.
23. Mengkai, C.; Wu, Y. et al., City economic development, housing availability, and migrants' settlement intentions: Evidence from China. Growth and Change 2020,51, pp. 1239-1258.
24. Huang, X.; Liu, Y. et al., The effects of social ties on rural-urban migrants' intention to settle in cities in China. Cities 2018,83, pp. 203-212.
25. Xie, S.; Chen, J., Beyond homeownership: Housing conditions, housing support and rural migrant urban settlement intentions in China. Cities 2018,78, pp. 76-86.
26. Hu, Z.; Zhang, Y. et al., Longing for the Blue Sky: Urban air quality and the individual decision to immigrate. Journal of Asian Economics 2022,79, 101437.
27. Liu, T.; Wang, J., Bringing city size in understanding the permanent settlement intention of rural–urban migrants in China. Population, Space and Place 2019,26.
28. Zang, B.; Lv, P.; Warren, C. M. J., Housing prices, rural–urban migrants' settlement decisions and their regional differences in China. Habitat International 2015,50, pp. 149-159.
29. Chen, S.; Liu, Z., What determines the settlement intention of rural migrants in China? Economic incentives versus sociocultural conditions. Habitat International 2016,58, pp.42-50.
30. Zhu, Y., China's floating population and their settlement intention in the cities: Beyond the Hukou reform. Habitat International 2007,31, pp. 65-76.
31. Yang, S.; Guo, F., Breaking the barriers: How urban housing ownership has changed migrants’ settlement intentions in China. Urban Studies 2018,55, pp. 3689-3707.
32. Gu, H., Understanding the migration of highly and less-educated labourers in post-reform China. Applied Geography 2021,137, 102605.
33. Hao, Y.; Hao, X. et al., How does air quality affect the willingness of graduate students to stay? Evidence from Beijing city, China. Journal of Cleaner Production 2020,259, 120759.
34. Liu, Y.; Zhang, F. et al., The subjective wellbeing of migrants in Guangzhou, China: The impacts of the social and physical environment. Cities 2017,60, pp. 333-342.
35. Zhang, C.; Du, M. et al., The effect of air pollution on migrants’ permanent settlement intention: Evidence from China. Journal of Cleaner Production 2022,373, 133832.
36. Cheung, N. W. T., Social stress, locality of social ties and mental well-being: The case of rural migrant adolescents in urban China. Health & Place 2014,27, pp. 142-154.
37. Chen, S.; Oliva, P.; Zhang, P., The effect of air pollution on migration: Evidence from China. Journal of Development Economics 2022,156, 102833.
38. Du, H.; Li, S.-m., Is It Really Just a Rational Choice? The contribution of emotional attachment to temporary migrants' intention to stay in the host city in Guangzhou. China Review 2012,12, pp. 73-94.
39. Liu, Y.; Pan, Z. et al., Where your heart belongs to shapes how you feel about yourself: Migration, social comparison and subjective well‐being in China. Population, Space and Place 2020,26.
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41. Zhu, Y.; Chen, W., The settlement intention of China's floating population in the cities: Recent changes and multifaceted individual-level determinants. Population, Space and Place 2009,16, pp. 253-267.
42. Zou, J.; Chen, J.; Chen, Y., Hometown landholdings and rural migrants’ integration intention: The case of urban China. Land Use Policy 2022,121, 106307.
43. You, Z.; Yang, H.; Fu, M., Settlement intention characteristics and determinants in floating populations in Chinese border cities. Sustainable Cities and Society 2018,39, pp. 476-486.
44. Cui, C.; Geertman, S.; Hooimeijer, P., Residential mobility of skilled migrants in Nanjing, China. Environment and Planning A 2015,47, pp.  625 – 642.
45. Hou, B.; Nazroo, J. et al., Impacts of migration on health and well-being in later life in China: Evidence from the China Health and Retirement Longitudinal Study (CHARLS). Health & Place 2019,58, 102073.
46. Zhang, B.; Druijven, P.; Strijker, D., Does ethnic identity influence migrants' settlement intentions? Evidence from three cities in Gansu Province, Northwest China. Habitat International 2017,69, pp. 94-103.
47. Cao, G.; Li, M.; Ma, Y.; Tao, R., Self-employment and intention of permanent urban settlement: Evidence from a survey of migrants in China's four major urbanising areas. Urban Studies 2014,52, pp. 639-664.
48. Li, X.; Chen, H.; Li, Y., The effect of air pollution on children’s migration with parents: evidence from China. Environmental Science and Pollution Research 2020,27, pp. 12499-12513.
49. Gu, P.; Ma, X., Investigation and analysis of a floating population's settlement intention and environmental concerns: A case study in the Shawan River Basin in Shenzhen, China. Habitat International 2013,39, pp. 170-178.
50. Liu, Z.; Yu, L., Stay or leave? The role of air pollution in urban migration choices. Ecological Economics 2020,177, 106780.
51. Li, Y.; Huang, L.; Xiang, L.; Dou, D., The influence of medical insurance and social security cards on the floating population's settlement intention. 2020.
52. Lee, E. S., A theory of migration. Demography 1966,3, pp. 47-57.
53. Lao, X.; Zhao, Z.; Gu, H., Revisiting hukou transfer intentions among floating population in Chinese cities: Spatial differences and multi-level determinants. SAGE Open 2022,12, pp. 1-16.
54. Wang, X.-R.; Hui, E. C.-M.; Sun, J.-X., Population migration, urbanization and housing prices: Evidence from the cities in China. Habitat International 2017,66, pp. 49-56.
55. Liu, Z.; Wang, Y.; Chen, S., Does formal housing encourage settlement intention of rural migrants in Chinese cities? A structural equation model analysis. Urban Studies 2016,54, pp. 1834-1850.
56. Yunxiao, D.; Chen, Y.; Dong, G., Settlement intention of migrants in the Yangtze River Delta, China: The importance of city‐scale contextual effects. Population, Space and Place 2019,25.
57. Rabe, B.; Taylor, M., Differences in opportunities? Wage, employment and house‐price effects on migration. Oxford Bulletin of Economics and Statistics 2012,74, pp. 831-855.
58. Jin, C.; Li, B. et al., What attracts young talents? Understanding the migration intention of university students to first-tier cities in China. Cities 2022,128, 103802.
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Once again, thank you very much for your comments and suggestions. If there are any questions in the revision, please feel free to contact us.

Best regards

Authors

Author Response File: Author Response.pdf

Reviewer 3 Report

The presented research is relevant, built on the basis of a correct scientific methodology. The work is characterized by clear logic and argumentation, contains interesting and important results. As a recommendation, it can be indicated that it is advisable to disclose in more detail the limitations of the study, the degree of universality of the results, and the future directions of the study of the problem posed.

Author Response

Response to Reviewer 3 Comments

Dear Reviewer:

Thank you for your comments concerning our manuscript entitled “The Impact of Urban Health Concern on Migrants’ Settlement Intention: Evidence from China” (Manuscript Number: sustainability-1981067). These comments are all valuable and very helpful for revising and improving our paper, as well as the important guiding significance to our research. We have studied the comments carefully and have made corrections that we hope meet with approval. The revised portions are marked in red in the revised manuscript. The main corrections in the paper and the responses to the reviewer’s comments are as follows:

Reviewer’s comments:

The presented research is relevant, built on the basis of a correct scientific methodology. The work is characterized by clear logic and argumentation, contains interesting and important results. As a recommendation, it can be indicated that it is advisable to disclose in more detail the limitations of the study, the degree of universality of the results, and the future directions of the study of the problem posed.

Reply:

Thank you very much for your recognition and approval of the content, method, logic and conclusion of this article and your valuable and meaningful suggestions. In the original manuscript, we feel so sorry that due to our mistakes, we did not point out the limitations of this study, the degree of universality of the results, and the future directions of the study of the problem posed. After adopting the suggestions you proposed, we carefully revised this article and added this part to the end of the article. The details are as follows:

Lines 847-908.

 6.2 Limitations and Further Research

This study also has some limitations. First, sample limitation. The data used in this paper comes from 2018 wave of China Migrations Dynamic Survey The sample time is limited to 2018, and the scope of the survey is limited to China's migrants. Therefore, the conclusions and policy recommendations are not generalizable. Second, measuring deviation. The indicator measurement of UHC is only replaced by individual questions of the 2018 questionnaire, which may lead to measurement deviation. Third, the influence mechanism in this paper needs to be further improved. The model constructed in this paper only analyzes the impact of urban health concerns on migrant population's settlement intention, and the impact path has not been verified by empirical analysis, which needs further improvement. Fourth, this paper uses secondary survey data, which does not allow for quality control of the data generation process. In further research, using objective data rather than self-reported data to measure identity, income, and expenditure may increase the accuracy of conclusions.

In order to have an all-round understanding of the urban health and sustainable development of national economy and society in China, this study tries to explain the influence of urban health concern on settlement intention of the migrants. The findings of this work not only help to solve the problem of health improvement among the migrants in China but also help to promote the economic and psychological integration of the migrants in the destination cities. In the process of urban integration of the migrants, policy makers and city managers should not only liberalize household registration, alleviate employment inequality and increase the supply of public services, but also implement more urban health care for the migrants so that they can complete their identity transformation. Improving the health culture of the migrants is also an effective way to improve the urban health concern. It is important to consider the possibility of a health culture among migrants and what will be the information channel for them. In the future research, scholars can conduct relevant research on the impact of migrants’ settlement intention from the perspective of improving migrants’ health culture.

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Authors

Author Response File: Author Response.pdf