Dataset Information

Health Service Seeking Behavior among Migrant Workers in Small and Medium-Sized Enterprises in Guangdong, China: Does Family Migration Matter?

ABSTRACT:

Objective

This study aims to understand the health service seeking behavior of migrant workers and explore its association with their living status (i.e., living with family members or not), in Guangdong, China.

Methods

This was a cross-sectional survey conducted with 912 migrant workers in 2012 using a structured questionnaire adapted from the National Health Service Survey. Data were analyzed using the multivariable logistic regression.

Results

Of all migrant workers, 58% lived with at least one family member in the host city. Most of the respondents rated their health status being "very good or good" (58%). Fifty-four percent of the respondents reported having at least one disease in the past 12 months. Sixty-two percent of those who reported at least one disease visited doctors in the past 12 months. Of these, 22% returned to their hometown for medical treatment. Logistic regression showed that migrant workers living with families rated themselves as having better health status (P<0.05) but had more diseases (P>0.05) and had higher doctor visitation rate than those living with alone (58% vs. 66%, P<0.05).

Conclusion

The Andersen health service utilization model helps to understand the health seeking behavior of the migrant workers in the host cities. Migrant workers living with family members were positively associated with self-rated health status and health service seeking behavior in small and medium-sized enterprises. Our findings suggest the importance of the assistance programs and social support to improve seeking of healthcare services among migrant groups, especially those who live alone in the host cities.

SUBMITTER: Dang Y

PROVIDER: S-EPMC6288583 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Health Service Seeking Behavior among Migrant Workers in Small and Medium-Sized Enterprises in Guangdong, China: Does Family Migration Matter?

Dang Yuewen Y Zou Guanyang G Peng Boli B Ling Li L

BioMed research international 20181121

<h4>Objective</h4>This study aims to understand the health service seeking behavior of migrant workers and explore its association with their living status (i.e., living with family members or not), in Guangdong, China.<h4>Methods</h4>This was a cross-sectional survey conducted with 912 migrant workers in 2012 using a structured questionnaire adapted from the National Health Service Survey. Data were analyzed using the multivariable logistic regression.<h4>Results</h4>Of all migrant workers, 58% ...[more]

PMID: 30598993

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Project description:Background: Existing evidence shows an urgent need to improve respiratory protective equipment (RPE) use, and more so among migrant workers in small and medium-sized enterprises (SMEs). The study aimed to assess the effectiveness of a behavioral intervention in promoting the appropriate use of RPE among internal migrant workers (IMWs) exposed to organic solvents in SMEs. Methods: A cluster randomized controlled trial was conducted among 1211 IMWs from 60 SMEs in Baiyun district in Guangzhou, China. SMEs were deemed eligible if organic solvents were constantly used in the production process and provided workers with RPE. There were 60 SMEs randomized to three interventions on a 1:1:1 ratio, namely a top-down intervention (TDI), a comprehensive intervention, and a control group which did not receive any intervention. IMWs in the comprehensive intervention received a module encompassing three intervention activities: An occupational health education and training component (lectures and leaflets/posters), an mHealth component in the form of messages illustrative pictures and short videos, and a peer education component. The TDI incorporated two intervention activities, namely the mHealth and occupational health education and training components. The primary outcome was the self-reported appropriate RPE use among IMWs, defined as using an appropriate RPE against organic solvents at all times during the last week before measurement. Secondary outcomes included IMWs' occupational health knowledge, attitude towards RPE use, and participation in occupational health check-ups. Data were collected and assessed at baseline, and three and six months of the intervention. Generalized linear mixed models were performed to evaluate the effectiveness of the trial. Results: Between 3 August 2015 and 29 January 2016, 20 SMEs with 368 IMWs, 20 SMEs with 390 IMWs, and 20 SMEs with 453 IMWs were assigned to the comprehensive intervention, the TDI, and the control group, respectively. At three months, there were no significant differences in the primary and secondary outcomes among the three groups. At six months, IMWs in both intervention groups were more likely to appropriately use RPE than the control group (comprehensive intervention: Adjusted odds ratio: 2.99, 95% CI: 1.75-5.10, p < 0.001; TDI: 1.91, 95% CI: 1.17-3.11, and p = 0.009). Additionally, compared with the control group, the comprehensive intervention also improved all three secondary outcomes. Conclusions: Both comprehensive and top-down interventions were effective in promoting the appropriate use of RPE among IMWs in SMEs. The comprehensive intervention also enhanced IMWs' occupational health knowledge, attitude, and practice. Trial registration: ChiCTR-IOR-15006929. Registered on 15 August 2015.

Project description:BackgroundWhile the effectiveness of several occupational healthcare interventions has been demonstrated, successful implementation of such programs among internal migrant workers (IMWs) in small and medium-sized enterprises (SMEs) has been limited. This study aimed to evaluate the implementation of a three-arm cluster randomized controlled trial promoting respiratory protective equipment (RPE) use among IMWs exposed to organic solvents in SMEs and to assess the association between participants' compliance and effectiveness of intervention.MethodsA total of 60 SMEs were randomly allocated to a low- or high-intensive intervention group, or a control group that did not receive any intervention. The low-intensive intervention group was subjected to both traditional and mHealth occupational health education. The high-intensive intervention group was subjected to the low-intensive group activities and peer education. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used to guide implementation evaluation of this 6-months intervention. Generalized linear mixed models (GLMMs) were used to evaluate the effects of participants' compliance with the intervention on the primary outcomes, regarding the appropriate use of RPE.ResultsOf 4,527 potentially eligible participants, 1,211 individuals were enrolled, with a reach rate of 26.8%. Sixty of the 66 SMEs approached (90.9%) SMEs adopted the intervention. Fidelity to traditional education (100.0%) and mHealth intervention (97.5%) was higher than fidelity to peer education (20.0%). Peer leaders cited inconvenient time and unfamiliarity with peers as two major barriers to delivering peer education. Compared with the control group, IMWs who complied with the interventions in both groups were more likely to wear RPE appropriately [low-intensive group: adjusted odds ratio (aOR) = 2.58, 95% confidence interval (CI): 1.56-4.28; high-intensive group: aOR = 7.52, 95% CI: 3.72-15.23]. Most participants (95.8%) were satisfied with the program and 93.1% stated that they would maintain the use of RPE in the future.ConclusionsA multi-component occupational health intervention to promote the use of RPE among IMWs in SMEs was feasible and acceptable. Peer education had great potential to enhance the occupational health behavior of IMWs, and thus strategies to improve participants' adherence to this component warrant further investigation.Clinical trial registrationhttp://www.chictr.org.cn, identifier: ChiCTR-IOR-15006929.

Dataset Information

Health Service Seeking Behavior among Migrant Workers in Small and Medium-Sized Enterprises in Guangdong, China: Does Family Migration Matter?

Objective

Methods

Results

Conclusion

Publications

Health Service Seeking Behavior among Migrant Workers in Small and Medium-Sized Enterprises in Guangdong, China: Does Family Migration Matter?

Similar Datasets

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