154 Does social integration modify the association between migration range and healthcare services: evidence from Chinese migrant workers

Abstract PTH 6: Health Policy and Health Services 1, B307 (FCSH), September 4, 2025, 16:30 - 17:30 Aims Migrant workers make up a great proportion of total Chinese population and face more obstacles than citizens in getting access to essential healthcare services. To achieve Universal Health Coverage (UHC) and close the equity gap in health, it’s crucial to promote equitable access to healthcare services. Migration range has been proved to be associated with migration health. However, few studies have investigated how migration range influenced access to healthcare services. The roles of health records in China align with UHC objectives, which make it an effective indicator for evaluating the accessibility to healthcare services. This study aimed to explore the association between migration range and establishing health records. It is unclear whether the association varies across different levels of social integration. This study also aimed at exploring the moderating role of social integration in the association between migration range and establishing health records. Methods We used national data from China Migrants Dynamic Survey. Logistic regression was applied to examine the association between migration range, social integration and establishing health records. The effect modification by patterns in social integration was also investigated by logistic regression. Results Our results revealed that migrant workers with long-distance migration were less likely to establish health records (OR 0.85 [95%CI 0.84-0.87]). They were also less likely to achieve good social integration (own a property in the destination city OR 0.40 [95%CI 0.37-0.42]). Notably, the association between migration range and establishing health records was modified by certain dimensions of social integration. Conclusions This study concluded that the association between migration range and establishing health records was modified by different levels of social integration. More attention should be given to migrant workers with long-distance migration who experienced poor social integration, to improve their utilization of healthcare services in the destination city, thereby closing equity gap in health.