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Self-rated health differences among different workers in China with an agricultural hukou: the chain mediation effect of income satisfaction and medical service quality

Author

Listed:
  • Li He

    (Zhongnan University of Economics and Law
    Nankai University)

  • Jiangyin Wang

    (Zhongnan University of Economics and Law)

  • Yang Yang

    (Central China Normal University)

  • Yue Yu

    (Zhongnan University of Economics and Law)

  • Zihan Feng

    (Zhongnan University of Economics and Law)

  • Zhixiong Yang

    (Nankai University
    Ocean University of China)

Abstract

Workers with agricultural hukou (WAH) in China, due to the prevalence of their group and their vulnerability in terms of health, have long been the focal point of research. This study utilizes data from the 2016, 2018, and 2020 China Family Panel Studies (CFPS) to analyze the self-rated health status and influencing factors of different subgroups of WAH, including subsistence farmers, agricultural laborers, and non-agricultural workers. This study employed the two-way fixed-effects model, treatment effects model, double machine learning (DML), and structural equation modeling (SEM). The results show that, within the WAH population, subsistence farmers have the lowest self-rated health levels. In contrast, no statistically significant health differences were found between agricultural laborers and non-agricultural workers. Drawing upon public service accessibility theory, this study further confirms the chain mediation effect of income satisfaction and medical service quality on these health disparities. The findings provide important insights for the government to formulate more targeted and practical health promotion policies.

Suggested Citation

  • Li He & Jiangyin Wang & Yang Yang & Yue Yu & Zihan Feng & Zhixiong Yang, 2025. "Self-rated health differences among different workers in China with an agricultural hukou: the chain mediation effect of income satisfaction and medical service quality," Palgrave Communications, Palgrave Macmillan, vol. 12(1), pages 1-15, December.
    • Handle: RePEc:pal:palcom:v:12:y:2025:i:1:d:10.1057_s41599-025-04859-z
    DOI: 10.1057/s41599-025-04859-z
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    1. Conchita D’Ambrosio & Joachim Frick, 2007. "Income Satisfaction and Relative Deprivation: An Empirical Link," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 81(3), pages 497-519, May.
    2. Jingjing Zhou & Junwei Zhang & Meidi Chi & Wei Guo, 2023. "Does migrant workers’ subjective social status affect their mental health? Job satisfaction as a longitudinal mediator," International Journal of Social Psychiatry, , vol. 69(6), pages 1420-1431, September.
    3. Chao Yu & Xinyi Zhang & Junbo Gao, 2022. "Multi-Dimensional Comparison of the Impact Mechanism of the Self-Rated Health Status of Urban and Rural Residents in Chinese Social Environments," IJERPH, MDPI, vol. 19(17), pages 1-16, August.
    4. Mindi Schneider, 2015. "What, then, is a Chinese peasant? Nongmin discourses and agroindustrialization in contemporary China," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 32(2), pages 331-346, June.
    5. Xinyu Zhang & Lin Zhao & Zhuang Cui & Yaogang Wang, 2015. "Study on Equity and Efficiency of Health Resources and Services Based on Key Indicators in China," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-15, December.
    6. Kaplan, Giora & Baron-Epel, Orna, 2003. "What lies behind the subjective evaluation of health status?," Social Science & Medicine, Elsevier, vol. 56(8), pages 1669-1676, April.
    7. Terasa Younker & Heidi Liss Radunovich, 2021. "Farmer Mental Health Interventions: A Systematic Review," IJERPH, MDPI, vol. 19(1), pages 1-30, December.
    8. Ye Li & Qunhong Wu & Chaojie Liu & Zheng Kang & Xin Xie & Hui Yin & Mingli Jiao & Guoxiang Liu & Yanhua Hao & Ning Ning, 2014. "Catastrophic Health Expenditure and Rural Household Impoverishment in China: What Role Does the New Cooperative Health Insurance Scheme Play?," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-9, April.
    9. Prus, Steven G., 2011. "Comparing social determinants of self-rated health across the United States and Canada," Social Science & Medicine, Elsevier, vol. 73(1), pages 50-59, July.
    10. Gashaw Tadesse ABATE & Gian Nicola FRANCESCONI & Kindie GETNET, 2014. "Impact Of Agricultural Cooperatives On Smallholders’ Technical Efficiency: Empirical Evidence From Ethiopia," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 85(2), pages 257-286, June.
    11. Pornpimol Kongtip & Noppanun Nankongnab & Mathuros Tipayamongkholgul & Ariya Bunngamchairat & Jutharak Yimsabai & Aranya Pataitiemthong & Susan Woskie, 2018. "A Cross-Sectional Investigation of Cardiovascular and Metabolic Biomarkers among Conventional and Organic Farmers in Thailand," IJERPH, MDPI, vol. 15(11), pages 1-12, November.
    12. Q. Forrest Zhang & John A. Donaldson, 2010. "From Peasants to Farmers: Peasant Differentiation, Labor Regimes, and Land-Rights Institutions in China’s Agrarian Transition," Politics & Society, , vol. 38(4), pages 458-489, December.
    13. Strauss, John & Lei, Xiaoyan & Park, Albert & Shen, Yan & Smith, James P. & Yang, Zhe & Zhao, Yaohui, 2010. "Health Outcomes and Socio-Economic Status among the Elderly in China: Evidence from the CHARLS Pilot," IZA Discussion Papers 5152, Institute of Labor Economics (IZA).
    14. Diep Ngoc Nguyen & Long Hoang Nguyen & Cuong Tat Nguyen & Hai Quang Pham & Jongnam Hwang & Giang Thu Vu & Bach Xuan Tran & Carl A. Latkin & Cyrus S. H. Ho & Roger C. M. Ho, 2019. "Health Status and Health Service Utilization among Vietnamese Farmers in a Mountainous Province," IJERPH, MDPI, vol. 16(23), pages 1-12, November.
    15. repec:ran:wpaper:774 is not listed on IDEAS
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