Globalization and Health
Volume 15, Issue 1, 2019

Assessment of the health status and health service perceptions of international migrants coming to Guangzhou, China, from high-, middle- and low-income countries (Article) (Open Access)

Maimaitijiang R. , He Q. , Wu Y. , Bouey J.Z.H. , Koné A. , Liang Y. , Hao C. , Tu J. , Gu J.* , Hao Y.
  • a Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, School of Public Health, No. 74 Zhongshan Road 2, Guangzhou, Guangdong, 510080, China
  • b Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, School of Public Health, No. 74 Zhongshan Road 2, Guangzhou, Guangdong, 510080, China
  • c Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, School of Public Health, No. 74 Zhongshan Road 2, Guangzhou, Guangdong, 510080, China
  • d Department of International Health, Georgetown University, St. Mary' S Hall, 3700 Reservoir Road, N.W., Washington, DC 20057, United States
  • e Department of Global Health, University of Washington, Seattle, WA, Health Alliance International, 1107 NE 45th Street, Seattle, WA 98105, United States
  • f Department of Sociology and Center for Social Survey, Sun Yat-sen University, No. 135 Xingang Xi Road, Guangzhou, 510275, China
  • g Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, School of Public Health, No. 74 Zhongshan Road 2, Guangzhou, Guangdong, 510080, China, Sun Yat-sen Global Health Institute, Institute of State Governance, Sun Yat-sen University, No. 135 Xingang Xi Road, Guangzhou, 510275, China
  • h Department of Sociology and Center for Social Survey, Sun Yat-sen University, No. 135 Xingang Xi Road, Guangzhou, 510275, China
  • i Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, School of Public Health, No. 74 Zhongshan Road 2, Guangzhou, Guangdong, 510080, China, Sun Yat-sen Global Health Institute, Institute of State Governance, Sun Yat-sen University, No. 135 Xingang Xi Road, Guangzhou, 510275, China
  • j Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, School of Public Health, No. 74 Zhongshan Road 2, Guangzhou, Guangdong, 510080, China, Sun Yat-sen Global Health Institute, Institute of State Governance, Sun Yat-sen University, No. 135 Xingang Xi Road, Guangzhou, 510275, China

Abstract

Background: China, which used to be an export country for migrants, has become a new destination for international migrants due to its rapid economic growth. However, little empirical data is available on the health status of and health service access barriers faced by these international migrants. Methods: Foreigners who visited the Guangzhou Municipal Exit-Entry Administration Office to extend their visas were invited to participate in the study. Quantitative data were collected using electronic questionnaire in 13 languages. The participants were characterised by the income level of their country of origin (high-, middle- and low-income countries (HICs, MICs and LICs, respectively)), and the key factors associated with their health status, medical insurance coverage and perceptions of health services in China were examined. Results: Overall, 1146 participants from 119 countries participated in the study, 57.1, 25.1 and 17.8% of whom were from MICs, HICs and LICs, respectively. Over one fifth of the participants experienced health problems while staying in China, and about half had no health insurance. Although the participants from HICs were more likely than those from MICs and LICs to have medical insurance, they were also more likely to have health problems. Furthermore, 43.0, 45.0 and 12.0% of the participants thought that the health services in China were good, fair and poor, respectively. Among the participants, those from HICs were less likely to have positive feedback. Conclusions: Our study is the first to report a quantitative survey of the health status, health insurance coverage, and health service perceptions of a diverse and surging population of international migrants in China. The findings call for more in-depth studies on the challenges presented by the increasing global migration to the health system. © 2019 The Author(s).

Author Keywords

International migrants China Health status Perceptions of health services

Index Keywords

perception China developing country health insurance Developing Countries human middle aged statistics and numerical data controlled study Developed Countries health status language Insurance, Health Surveys and Questionnaires Humans migrant psychology male female questionnaire Article positive feedback major clinical study adult human experiment migration low income country Transients and Migrants attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060513589&doi=10.1186%2fs12992-019-0449-y&partnerID=40&md5=ed47d0081c39f703f03abb493aaf60b4
DOI: 10.1186/s12992-019-0449-y
ISSN: 17448603
Original Language: English