IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i3p955-d316212.html
   My bibliography  Save this article

Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China

Author

Listed:
  • Dan Li

    (School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China)

  • Zhongliang Zhou

    (School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China
    Health Science Center, Xi’an Jiaotong University, Xi’an 710061, China)

  • Chi Shen

    (School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China)

  • Jian Zhang

    (School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China)

  • Wei Yang

    (Health Science Center, Xi’an Jiaotong University, Xi’an 710061, China)

  • Rashed Nawaz

    (School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China)

Abstract

Background: China’s older rural-to-urban migrant workers (age 50 and above) are growing old, but comparative health research on older rural-to-urban migrants in China is still in its infancy. The aim is to explore the health status of older rural-to-urban migrant workers in China; as well as to identify health disparity between older rural-to-urban migrant workers and older rural dwellers. Methods: This study employed self-assessed health status (SAH) and chronic disease condition to explore the health status. Coarsened exact matching (CEM) was employed to improve estimation of causal effects. Fairlie’s decomposition analysis was conducted to find the health disparity. Results: Older rural-to-urban migrant workers were more prone to suffer from chronic diseases, but they had higher SAH when comparing older rural dwellers. Fairlie’s decomposition analysis indicated 10.44% of SAH disparities between two older groups can be traced to bath facility; 31.34% of chronic diseases disparities can be traced to educational attainment, sleeping time and medical scheme. Conclusions: This is the first comparative study examining health disparity focusing on older rural-to-urban migrant workers. Our study highlighted substantial health disparities between older rural-to-urban migrant workers and their older rural dwellers. Based on the contributing factors, government should take the drivers of health disparities into consideration in policy setting.

Suggested Citation

  • Dan Li & Zhongliang Zhou & Chi Shen & Jian Zhang & Wei Yang & Rashed Nawaz, 2020. "Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:955-:d:316212
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/3/955/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/3/955/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Fairlie, Robert W, 1999. "The Absence of the African-American Owned Business: An Analysis of the Dynamics of Self-Employment," Journal of Labor Economics, University of Chicago Press, vol. 17(1), pages 80-108, January.
    2. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896.
    3. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    4. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2011. "Multivariate Matching Methods That Are Monotonic Imbalance Bounding," Journal of the American Statistical Association, American Statistical Association, vol. 106(493), pages 345-361.
    5. Rubalcava, L.N. & Teruel, G.M. & Thomas, D. & Goldman, N., 2008. "The healthy migrant effect: New findings from the Mexican Family Life Survey," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 78-84.
    6. Ho, Daniel E. & Imai, Kosuke & King, Gary & Stuart, Elizabeth A., 2007. "Matching as Nonparametric Preprocessing for Reducing Model Dependence in Parametric Causal Inference," Political Analysis, Cambridge University Press, vol. 15(3), pages 199-236, July.
    7. Strauss, John & Lei, Xiaoyan & Park, Albert & Shen, Yan & Smith, James P. & Yang, Zhe & Zhao, Yaohui, 2010. "Health Outcomes and Socio-Economic Status among the Elderly in China: Evidence from the CHARLS Pilot," IZA Discussion Papers 5152, Institute of Labor Economics (IZA).
    8. Fairlie, Robert, 1999. "The Absence of the African-American Owned Business: An Analysis of the Dynamics of Self-Employment," Santa Cruz Department of Economics, Working Paper Series qt84v8v0nr, Department of Economics, UC Santa Cruz.
    9. Oaxaca, Ronald L. & Ransom, Michael R., 1994. "On discrimination and the decomposition of wage differentials," Journal of Econometrics, Elsevier, vol. 61(1), pages 5-21, March.
    10. Pam Kumparatana & Francine Cournos & Assel Terlikbayeva & Yelena Rozental & Louisa Gilbert, 2017. "Factors associated with self-rated health among migrant workers: results from a population-based cross-sectional study in Almaty, Kazakhstan," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(5), pages 541-550, June.
    11. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2012. "Causal Inference without Balance Checking: Coarsened Exact Matching," Political Analysis, Cambridge University Press, vol. 20(1), pages 1-24, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Li Li & Jinjuan Yang & Shaoguo Zhai & Dan Li, 2022. "Determinants of Differences in Health Service Utilization between Older Rural-to-Urban Migrant Workers and Older Rural Residents: Evidence from a Decomposition Approach," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    2. Dan Li & Shaoguo Zhai & Jian Zhang & Jinjuan Yang & Xiao Wang, 2021. "Assessing Income-Related Inequality on Health Service Utilization among Chinese Rural Migrant Workers with New Co-Operative Medical Scheme: A Multilevel Approach," IJERPH, MDPI, vol. 18(20), pages 1-18, October.
    3. Jian Zhang & Dan Li & Jianmin Gao, 2021. "Health Disparities between the Rural and Urban Elderly in China: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
    4. Dan Li & Liang Zhu & Jian Zhang & Jinjuan Yang, 2021. "Decomposing Differences of Health Service Utilization among Chinese Rural Migrant Workers with New Cooperative Medical Scheme: A Comparative Study," IJERPH, MDPI, vol. 18(17), pages 1-14, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dan Li & Liang Zhu & Jian Zhang & Jinjuan Yang, 2021. "Decomposing Differences of Health Service Utilization among Chinese Rural Migrant Workers with New Cooperative Medical Scheme: A Comparative Study," IJERPH, MDPI, vol. 18(17), pages 1-14, September.
    2. Aizawa, Toshiaki, 2019. "Ex-ante Inequality of Opportunity in Child Malnutrition: New Evidence from Ten Developing Countries in Asia," Economics & Human Biology, Elsevier, vol. 35(C), pages 144-161.
    3. Marco Caliendo & Frank M. Fossen & Alexander Kritikos & Miriam Wetter, 2015. "The Gender Gap in Entrepreneurship: Not just a Matter of Personality," CESifo Economic Studies, CESifo Group, vol. 61(1), pages 202-238.
    4. Risa Hagiwara & Yang Liu, 2023. "Disparity in high school enrollment between native and immigrant children in Japan," Asian Economic Journal, East Asian Economic Association, vol. 37(1), pages 25-50, March.
    5. Thomas Bauer & Mathias Sinning, 2008. "An extension of the Blinder–Oaxaca decomposition to nonlinear models," AStA Advances in Statistical Analysis, Springer;German Statistical Society, vol. 92(2), pages 197-206, May.
    6. Fairlie, Robert W., 2003. "An Extension of the Blinder-Oaxaca Decomposition Technique to Logit and Probit Models," Center Discussion Papers 28425, Yale University, Economic Growth Center.
    7. Fairlie Robert & Woodruff Christopher M., 2010. "Mexican-American Entrepreneurship," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 10(1), pages 1-44, February.
    8. Paolo Nicola Barbieri, 2022. "Social distortion in weight perception: a decomposition of the obesity epidemic," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 39(2), pages 685-713, July.
    9. Frank M. Fossen, 2012. "Gender differences in entrepreneurial choice and risk aversion -- a decomposition based on a microeconometric model," Applied Economics, Taylor & Francis Journals, vol. 44(14), pages 1795-1812, May.
    10. Wolff, François-Charles, 2012. "Decomposition of non-linear models using simulated residuals," Economics Letters, Elsevier, vol. 116(3), pages 346-348.
    11. R. Mussa, 2014. "Extending the Oaxaca-Blinder Decomposition to the Independent Double Hurdle Model: With Application to Parental Spending on Education in Malawi," Studies in Economics and Econometrics, Taylor & Francis Journals, vol. 38(3), pages 39-54, December.
    12. Font, Joan Costa & Fabbri, Daniele & Gil, Joan, 2010. "Decomposing cross-country differences in levels of obesity and overweight: Does the social environment matter?," Social Science & Medicine, Elsevier, vol. 70(8), pages 1185-1193, April.
    13. Gintare Mazeikaite & Cathal O’Donoghue & Denisa M. Sologon, 2019. "The Great Recession, financial strain and self-assessed health in Ireland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(4), pages 579-596, June.
    14. Pavel Ciaian & Andrej Cupák & Ján Pokrivčák & Marian Rizov, 2018. "Food consumption and diet quality choices of Roma in Romania: a counterfactual analysis," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(2), pages 437-456, April.
    15. Broussard, Nzinga H., 2019. "What explains gender differences in food insecurity?," Food Policy, Elsevier, vol. 83(C), pages 180-194.
    16. ChangHwan Kim, 2010. "Decomposing the Change in the Wage Gap Between White and Black Men Over Time, 1980-2005: An Extension of the Blinder-Oaxaca Decomposition Method," Sociological Methods & Research, , vol. 38(4), pages 619-651, May.
    17. Laetitia Duval & François-Charles Wolff, 2016. "“I even met happy gypsies”," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 24(4), pages 727-764, October.
    18. Schwiebert, Jörg, 2012. "A Detailed Decomposition for Limited Dependent Variable Models," Hannover Economic Papers (HEP) dp-506, Leibniz Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
    19. Robert W. Fairlie & Alicia M. Robb, 2007. "Why Are Black-Owned Businesses Less Successful than White-Owned Businesses? The Role of Families, Inheritances, and Business Human Capital," Journal of Labor Economics, University of Chicago Press, vol. 25(2), pages 289-323.
    20. Mizunoya, Suguru & Mitra, Sophie, 2013. "Is There a Disability Gap in Employment Rates in Developing Countries?," World Development, Elsevier, vol. 42(C), pages 28-43.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:955-:d:316212. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.