Inequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients

Background: Inequality in health between migrant and local hypertensive patients is an important public health concern. This study aims to examine the associations of registration status with structural social capital and health of hypertensive patients, as well as how structural social capital oper...

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Autores principales:	Wu Zhu, Haitao Li, Hui Xia, Xuejun Wang, Chen Mao
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/5d54c3b2355c45c9bb8f24319d21084e
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spelling	oai:doaj.org-article:5d54c3b2355c45c9bb8f24319d21084e2021-12-02T06:50:14ZInequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients2214-999610.5334/aogh.2398https://doaj.org/article/5d54c3b2355c45c9bb8f24319d21084e2019-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2398https://doaj.org/toc/2214-9996Background: Inequality in health between migrant and local hypertensive patients is an important public health concern. This study aims to examine the associations of registration status with structural social capital and health of hypertensive patients, as well as how structural social capital operates in the relationship between registration status and health. Methods: We conducted an on-site based cross-sectional study in Shenzhen, China. A total of 1046 participants completed the survey. Information with respect to structural social capital, subjective and objective health outcomes was collected. Multiple logistic or linear regression models were used to test the associations across registration status, structural social capital and health outcomes. Results: The findings show that migrant hypertensive patients have lower structural social capital in terms of social contacts (10.87 vs. 10.41; β = –0.457, 95% CI: –0.866, –0.048) and poorer health outcomes, i.e., blood pressure control (56.4 vs. 43.6%; OR = 0.557, 95% CI: 0.364, 0.852) when compared to the local individuals. Meanwhile, individuals with lower structural social capital report poorer self-rated health. However, the differences in structural social capital between migrant and local hypertensives explain only a small proportion of the large inequalities in blood pressure control. Conclusions: Inequalities exist between migrant and local hypertensives in objective but not subjective health outcomes. Structural social capital associates with subjective health outcomes of hypertensive patients only. A modest extent of medication is found by structural social capital of registration health inequalities. Our study suggests that growing contacts providing support for migrant hypertensive patients should be an important goal of future strategies and policies. It also highlights the need for more research on mediating and moderating mechanisms in order to understand the relationship between registration status and health outcomes among hypertensive patients.Wu ZhuHaitao LiHui XiaXuejun WangChen MaoUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Wu Zhu Haitao Li Hui Xia Xuejun Wang Chen Mao Inequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients
description	Background: Inequality in health between migrant and local hypertensive patients is an important public health concern. This study aims to examine the associations of registration status with structural social capital and health of hypertensive patients, as well as how structural social capital operates in the relationship between registration status and health. Methods: We conducted an on-site based cross-sectional study in Shenzhen, China. A total of 1046 participants completed the survey. Information with respect to structural social capital, subjective and objective health outcomes was collected. Multiple logistic or linear regression models were used to test the associations across registration status, structural social capital and health outcomes. Results: The findings show that migrant hypertensive patients have lower structural social capital in terms of social contacts (10.87 vs. 10.41; β = –0.457, 95% CI: –0.866, –0.048) and poorer health outcomes, i.e., blood pressure control (56.4 vs. 43.6%; OR = 0.557, 95% CI: 0.364, 0.852) when compared to the local individuals. Meanwhile, individuals with lower structural social capital report poorer self-rated health. However, the differences in structural social capital between migrant and local hypertensives explain only a small proportion of the large inequalities in blood pressure control. Conclusions: Inequalities exist between migrant and local hypertensives in objective but not subjective health outcomes. Structural social capital associates with subjective health outcomes of hypertensive patients only. A modest extent of medication is found by structural social capital of registration health inequalities. Our study suggests that growing contacts providing support for migrant hypertensive patients should be an important goal of future strategies and policies. It also highlights the need for more research on mediating and moderating mechanisms in order to understand the relationship between registration status and health outcomes among hypertensive patients.
format	article
author	Wu Zhu Haitao Li Hui Xia Xuejun Wang Chen Mao
author_facet	Wu Zhu Haitao Li Hui Xia Xuejun Wang Chen Mao
author_sort	Wu Zhu
title	Inequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients
title_short	Inequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients
title_full	Inequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients
title_fullStr	Inequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients
title_full_unstemmed	Inequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients
title_sort	inequalities in structural social capital and health between migrant and local hypertensive patients
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/5d54c3b2355c45c9bb8f24319d21084e
work_keys_str_mv	AT wuzhu inequalitiesinstructuralsocialcapitalandhealthbetweenmigrantandlocalhypertensivepatients AT haitaoli inequalitiesinstructuralsocialcapitalandhealthbetweenmigrantandlocalhypertensivepatients AT huixia inequalitiesinstructuralsocialcapitalandhealthbetweenmigrantandlocalhypertensivepatients AT xuejunwang inequalitiesinstructuralsocialcapitalandhealthbetweenmigrantandlocalhypertensivepatients AT chenmao inequalitiesinstructuralsocialcapitalandhealthbetweenmigrantandlocalhypertensivepatients
_version_	1718399692726861824

Inequalities in Structural Social Capital and Health between Migrant and Local Hypertensive Patients

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