Young internal migrants’ major health issues and health seeking barriers in Shanghai, China: a qualitative study

作者：Chunyan Yu, Chaohua Lou, Yan Cheng, Yuanqi Cui, Qiguo Lian, Ziliang Wang, Ersheng Gao, Ling Wang · 发表于：BMC Public Health · 年份：2019 · DOI：10.1186/s12889-019-6661-0 · 被引用次数：49 · 研究领域：China's Socioeconomic Reforms and Governance、Healthcare Systems and Reforms、Migration, Health and Trauma

BACKGROUND: China is experiencing a sizeable rural-urban flow, which may influence the health of internal migrant youth deeply. Disadvantages in the city are highly likely to contribute to health issues among the young internal migrant population. The current qualitative study is to explore how internal migrant young people view the health issues they face, and the services and opportunities they could seek in their host community. METHODS: Data were collected from 90 internal migrant youth aged between 15 and 19 years old and 20 adult service providers who worked with them in a community of Shanghai, where the population of internal migrants was relatively large. Four types of qualitative research methods were used, including key informant interviews with adults, in-depth interviews with adolescents, a photovoice activity with adolescents and community mapping & focus group discussions with adolescents. Guided by the ecological systems framework and the acculturation theory, thematic analysis was conducted using ATLAS.Ti 7.0 software. RESULTS: While younger migrants had a limited understanding of health, elder migrant youths were more sensitive to societal and political factors related to their health. Mental health and health risk behaviors such as smoking, violence and premarital unsafe sex were thought as major health issues. Internal migrant youths rarely seek health information and services initiatively from formal sources. They believed their health concerns weren't as...