Community integration enhances migrants’ satisfaction with primary care across districts with varying economic levels: survey evidence from Guangzhou, China

BackgroundThis study investigated the satisfaction of migrant populations in Guangzhou with primary care and explored how community integration and economic development at the district level influenced this satisfaction. This study aimed to provide empirical evidence and recommendations for improvin...

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Main Authors: Yao Xiao, Sisi Zhong, Lingshan Chen, Diwen Xiao, Wenhao Huang, Shangjian Wu, Luwen Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1604736/full
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author Yao Xiao
Sisi Zhong
Lingshan Chen
Lingshan Chen
Diwen Xiao
Wenhao Huang
Shangjian Wu
Luwen Zhang
Luwen Zhang
author_facet Yao Xiao
Sisi Zhong
Lingshan Chen
Lingshan Chen
Diwen Xiao
Wenhao Huang
Shangjian Wu
Luwen Zhang
Luwen Zhang
author_sort Yao Xiao
collection DOAJ
description BackgroundThis study investigated the satisfaction of migrant populations in Guangzhou with primary care and explored how community integration and economic development at the district level influenced this satisfaction. This study aimed to provide empirical evidence and recommendations for improving primary care utilization and community integration among migrant populations.MethodsWe conducted a stratified random sampling of 1,996 migrant individuals from seven districts in Guangzhou. A custom-designed questionnaire was used to collect data on demographic characteristics, satisfaction with primary care, and community integration, including willingness to seek help, neighborhood interactions, and participation in community activities. Multi-variate linear regression analysis was used to identify factors associated with satisfaction with primary care.ResultsThe mean satisfaction score for primary care was 3.29 ± 0.76. Participation in community activities was positively associated with satisfaction, with participants often reporting higher scores (increases of 0.08 and 0.28 points, respectively; p < 0.05). Greater neighborhood interaction and willingness to seek assistance from local authorities also increased satisfaction (0.11 and 0.37 points, respectively; p < 0.05). Residing in districts with moderate or good economic conditions further enhanced satisfaction (0.37 and 0.10 points, respectively; p < 0.05).ConclusionAlthough migrant populations in Guangzhou generally report high satisfaction with primary care, their level of community integration remains limited. Enhancing community public services and fostering a stronger sense of community belonging are promising strategies for improving primary care management and services for migrant populations.
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spelling doaj-art-d397150eb57945a1a8b8a75539dc7d182025-08-20T03:10:02ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-06-011310.3389/fpubh.2025.16047361604736Community integration enhances migrants’ satisfaction with primary care across districts with varying economic levels: survey evidence from Guangzhou, ChinaYao Xiao0Sisi Zhong1Lingshan Chen2Lingshan Chen3Diwen Xiao4Wenhao Huang5Shangjian Wu6Luwen Zhang7Luwen Zhang8School of Health Management, Guangzhou Medical University, Guangzhou, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaCenter for Health Policy and Governance of Guangdong Provincial Social Science Research Base, Southern Medical University, Guangzhou, ChinaInstitute of Public Administration, Party School of the Guangdong Provincial Committee of CPC, Guangzhou, ChinaSchool of Pharmaceutical Sciences, Guangzhou Medical University, Guangzhou, ChinaSchool of Health Management, Guangzhou Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaCenter for Health Policy and Governance of Guangdong Provincial Social Science Research Base, Southern Medical University, Guangzhou, ChinaBackgroundThis study investigated the satisfaction of migrant populations in Guangzhou with primary care and explored how community integration and economic development at the district level influenced this satisfaction. This study aimed to provide empirical evidence and recommendations for improving primary care utilization and community integration among migrant populations.MethodsWe conducted a stratified random sampling of 1,996 migrant individuals from seven districts in Guangzhou. A custom-designed questionnaire was used to collect data on demographic characteristics, satisfaction with primary care, and community integration, including willingness to seek help, neighborhood interactions, and participation in community activities. Multi-variate linear regression analysis was used to identify factors associated with satisfaction with primary care.ResultsThe mean satisfaction score for primary care was 3.29 ± 0.76. Participation in community activities was positively associated with satisfaction, with participants often reporting higher scores (increases of 0.08 and 0.28 points, respectively; p < 0.05). Greater neighborhood interaction and willingness to seek assistance from local authorities also increased satisfaction (0.11 and 0.37 points, respectively; p < 0.05). Residing in districts with moderate or good economic conditions further enhanced satisfaction (0.37 and 0.10 points, respectively; p < 0.05).ConclusionAlthough migrant populations in Guangzhou generally report high satisfaction with primary care, their level of community integration remains limited. Enhancing community public services and fostering a stronger sense of community belonging are promising strategies for improving primary care management and services for migrant populations.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1604736/fullmigrant populationprimary caresatisfactionsocial integrationeconomic level
spellingShingle Yao Xiao
Sisi Zhong
Lingshan Chen
Lingshan Chen
Diwen Xiao
Wenhao Huang
Shangjian Wu
Luwen Zhang
Luwen Zhang
Community integration enhances migrants’ satisfaction with primary care across districts with varying economic levels: survey evidence from Guangzhou, China
Frontiers in Public Health
migrant population
primary care
satisfaction
social integration
economic level
title Community integration enhances migrants’ satisfaction with primary care across districts with varying economic levels: survey evidence from Guangzhou, China
title_full Community integration enhances migrants’ satisfaction with primary care across districts with varying economic levels: survey evidence from Guangzhou, China
title_fullStr Community integration enhances migrants’ satisfaction with primary care across districts with varying economic levels: survey evidence from Guangzhou, China
title_full_unstemmed Community integration enhances migrants’ satisfaction with primary care across districts with varying economic levels: survey evidence from Guangzhou, China
title_short Community integration enhances migrants’ satisfaction with primary care across districts with varying economic levels: survey evidence from Guangzhou, China
title_sort community integration enhances migrants satisfaction with primary care across districts with varying economic levels survey evidence from guangzhou china
topic migrant population
primary care
satisfaction
social integration
economic level
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1604736/full
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