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From Health Advantage to Health Disadvantage:The Epidemiological Paradox in Rural Migrants
Li Jianmin, Wang Ting and Sun Zhishuai
Population Research
2018, 42 (6):
46-60.
Using the data from CLDS, this paper analyzes the changing trend of health gap between rural migrants and urban residents as well as the mechanisms causing this trend in the process of rural-urban migration. By applying the Logit model and Fairlie non-linear decomposition method, we find that: (1) There is a health loss mechanism during the rural-urban migration process in according with the “epidemiological paradox”. A transition is observed from health advantage into health disadvantage for rural migrants comparing to urban residents, suggesting that rural-urban migration has a negative impact on the health conditions of rural migrants; (2) The health maintenance factor and the health loss factor are important reasons for the health gap between rural migrants and urban residents, while the health loss factor is more important. Variables such as living environment, individual income deprivation, workload, and living with spouse have great contribution to the health gap; (3) The changing trend of health conditions of male and female rural migrants is consistent with the whole sample. The relationship of the health conditions between male and female rural migrants is in line with the “gender paradox of health”, with differing factors affecting the health conditions of male and female rural migrants.
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