Yi-Chen Chiang1†
Meijie Chu1†
Yuchen Zhao1
Xian Li1
An Li1
Chun-Yang Lee2*
Shao-Chieh Hsueh3*
Shuoxun Zhang4*- 1State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
- 2School of International Business, Xiamen University Tan Kah Kee College, Zhangzhou, China
- 3Institute of Economics, School of Economics and Wang Yanan Institute for Studies in Economics, Xiamen University, Xiamen, China
- 4Department of Finance at School of Economics and Wang Yanan Institute for Studies in Economics, Xiamen University, Xiamen, China
Young migrants have been the major migrant labor force in urban China. But they may be more vulnerable in quality of life and mental health than other groups, due to their personal characteristic and some social/community policies or management measures. It highlights the need to focus on psychological wellbeing and probe driving and reinforcing factors that influence their mental health. This study aimed to investigate the influence of subjective/objective status and possible pathways of young migrants’ life satisfaction and psychological distress. Data on 9838 young migrants in the China Migrants Dynamic Survey were analyzed by LISREL 8.8. A total of 94.03% migrated for jobs or business. Subjective status, including subjective socioeconomic status, social adaptation, and psychological integration, had positive effects on life satisfaction, whereas social adaptation and psychological integration negatively affected psychological distress. Objective status, including objective socioeconomic status and health insurance, had adverse effects on life satisfaction, whereas they positively affected psychological distress. Social participation and city belonging had only significant positive mediating roles on life satisfaction. It is essential to increase social adaptation and decrease integration stress according to younger internal migrants’ practical needs. It is also necessary to enhance community/social resources and activities in the context of developing sustainability in the community to assist in mental health promotion.
Introduction
Since the 1980s, rural workers have begun to migrate to cities on a great scale, driven by rapid economic development, socioeconomic transitions, and economic and market policies. Young rural residents move to cities accompanied by an improvement in occupational status, and they tend to migrate further away from home to seek better and more economic opportunities. Young migrants, also called new-generation migrants, born in 1980 or after, have been the major migrant labor force in urban China. Most of them have higher education degrees and more career opportunities than older internal migrants. They prefer to migrate to and have a desire to settle in middle and large cities. However, their income is lower and life expense is higher. The Hukou system is a mandatory household registration system in China that requires each Chinese citizen to register the permanent residence in one place (Tian et al., 2018; Luo et al., 2019). There are two classifications in the Hukou system: hukou type (urban or rural) and hukou locality (whether someone lives in the registered hukou place or not) (Chan, 1994). The educational and employment opportunities, health care, and other government-funded benefits of Chinese are closely related to Hukou, which is difficult to change (Li et al., 2014). Therefore, the Hukou system has become a boundary for the social integration of migrants (Tian et al., 2018). Without local urban Hukou status, the migrants are excluded from several health-related resources and social services, such as the barrier of housing, settlement, and minimum living allowance. In addition, some policies have proposed to provide free medical examinations for the elderly regardless of household registration status as a primary public health service (Zheng et al., 2020). There is rarely a focus on the younger generations of migrants. These circumstances may make the young migrants vulnerable in quality of life and health, and they may experience more stress, social exclusion and social discrimination. Young migrants are more likely to suffer from mental problems, such as anxiety disorders, depression, psychological distress and low self-esteem and subjective wellbeing (Leavey et al., 2004; Wong et al., 2008; Dai et al., 2015; Ma et al., 2020). Moreover, high level of psychological distress was associated with reports of suicide ideation and attempts (Eskin et al., 2016); a low level of life satisfaction has a long-term effect on the risk of suicide (Koivumaa-Honkanen et al., 2001). Young people have a high suicide rate, and suicide was the second-leading cause of death among 15- to 29-year-old people globally in 2016 (World Health Organization (WHO), 2016). Young migrants report a higher prevalence of suicide attempts than non-migrants (McMahon et al., 2017). Migrants’ significant influence on social development and stability highlights the need to focus on mental health status and probe driving and reinforcing factors that influence the mental health of young internal migrants.
Life satisfaction which is one type of subjective wellbeing (Steptoe et al., 2015), is an important indicator for measuring people’ quality of life and related to happiness (Diener et al., 1999; Gamble and Gärling, 2012). Young people have better skills to solve problems, tend to be more resistant to stress and enjoy higher life satisfaction (Lambert et al., 2014; Chui and Wong, 2016). Young adult migrants who move for work-related reasons display improved life satisfaction (Switek, 2016). Do satisfaction in life and work increase due to migration, and how is the mental health of young migrants? Previous studies revealed migrants have low life satisfaction (Hosseini et al., 2017). Life satisfaction not only influence the settlement intention and social participation of migrants but also effects social productivity (Oswald et al., 2015; Huang et al., 2017). Thus, it is necessary to explore influencing factors and develop effective measures to achieve higher life satisfaction. Many scholars have stated that socioeconomic factors (Appleton and Song, 2008; Huang et al., 2017), physical health, participation in politics and welfare (Appleton and Song, 2008), social relationships (Liu et al., 2017), local language proficiency (Beier and Kroneberg, 2013), a sense of integration and social identity all play vital roles in life satisfaction (Huang et al., 2017; Wei and Gao, 2017; Chen et al., 2020b). How do these factors affect life satisfaction? One study revealed that life satisfaction could be affected by community service participation, and identity integration served as a partial mediator in the relationship (Ji et al., 2020). As a manifestation of bad social relationships, social exclusion affects youths’ low life satisfaction by the mediation of resilience and self-esteem (Yıldız and Duy, 2014; Arslan, 2019). However, there is few research investigating the direct and indirect effects of social status, health care, social adaptation and integration on migrants’ life satisfaction.
Psychological distress, which is defined as symptoms of depression and anxiety, is a common psychological issue that requires attention. Extensive research has established that psychological distress is related to many diseases or consequences, such as poor sleep quality (Scott et al., 2014), obesity (Spinosa et al., 2019), emotional depression (Cairney et al., 2007), gastrointestinal symptoms (Clevers et al., 2019), substance use disorders (Lai et al., 2015), posttraumatic stress disorder (PTSD) (Liang et al., 2020), suicidal ideation and suicide attempts (Eskin et al., 2016; Hielscher et al., 2020), and an increased risk of mortality (Russ et al., 2012). Hence, it is crucial to explore and improve the factors that influence depression in migrants, thereby reducing distress. The relationship between socialization factors and psychological distress has been widely analyzed. Socioeconomic status is also associated with psychological distress (Honkaniemi et al., 2020). Lower socioeconomic status (SES) is associated with high psychological distress, and lower subjective social status is related to poor mental health. Poverty and unemployment play an important role in distress (Zechmann and Paul, 2019). Some studies have indicated that traditional SES variables, such as household income, can directly affect psychological distress. Further studies have demonstrated that health care, linguistic familiarity, job demands, job stability, job control, social support and prestige affect one’s psychological distress (Elovainio et al., 2015; Ota et al., 2020; Yang, 2020). A UK study found young migrants had more significant psychological distress, including emotional symptoms and peer problems than young non-migrants (Leavey et al., 2004). Psychological distress among young migrants is worth discussing. Studies examining psychological distress and its influential factors among young migrants in China are relatively scarce.
Social participation can be defined as participation and involvement in social or community activities that provide interactions with others in the community and a platform for fulfilling an individual’s needs for the social integration necessary for wellbeing (Levasseur et al., 2010; Dai et al., 2013; Achdut and Sarid, 2020). Social participation is beneficial for mental health (Sun and Lyu, 2020). Some previous studies demonstrated that social participation could increase life satisfaction (Yuan, 2016; Bai et al., 2017; Au et al., 2020), and reduce psychological distress symptoms (Croezen et al., 2015; Liu et al., 2019). One study found that social participation could explain approximately 11% of psychological health disparity among rural-urban migrants (Sun and Lyu, 2020). Previous studies revealed that social participation mediates the relationship between individual resources and mental health (Dai et al., 2013; Achdut and Sarid, 2020; Sun and Lyu, 2020). However, much evidence for the level of social participation and its association with mental health are in older adults (Kim, 2019; Wang et al., 2020). Few studies have focused on the social participation of young migrants, specifically, young Chinese migrants. But young migrants may have a lower rate of social participation and worse mental health, because of the disparity in community services, social welfare, education and work opportunities, and the structural barriers (Lin et al., 2011). Therefore, it is also important to consider health care services and socioeconomic status when discussing the relationship between social participation and mental health. Additionally, migrants’ city belonging has become an important issue due to their living and working conditions (Zhang et al., 2009). A sense of belonging to a place regarding their hometown and the host city is essential to migrants’ life satisfaction (Chen et al., 2020b). A sense of city belonging had a prominent on psychological distress among first-generation young adult migrants in Australia (Straiton et al., 2019). Moreover, the relationship between social integration and life satisfaction is significantly mediated by city belonging in general migrants (Chen et al., 2020b). However, due to the characteristics of the young migrants in China, whether city belonging mediates other individual and social factors on mental health among young migrants still needs to be addressed.
The stress process model proposed that the stressors produced in the migration process and individual stress vulnerability would affect the mental health of migrants (Pearlin, 1989; de Almeida Vieira Monteiro and Serra, 2011). These stressors include some objective indicators, such as social status and welfare (Pearlin et al., 1981; Pearlin, 1999; Lantz et al., 2005; Min et al., 2005). Besides, some migrants also face the challenge of social integration, such as social exclusion, discrimination experience, and the stressors of social adaptation (Deng and Law, 2020). One of our aims was: to examine the relationship between stressors and mental health among young migrants. So, we proposed two hypotheses: H1) Subjective status, including subjective socioeconomic status, social adaptation, and psychological integration, positively affects life satisfaction and negatively affects psychological distress, while social exclusion is negatively associated with life satisfaction and positively associated with psychological distress; H2) For objective status, objective socioeconomic status and health insurance are positively associated with life satisfaction and negatively affect psychological distress.
According to the self-determination theory, the psychosocial need for relatedness reflects a sense of belonging to the environment and establishes close and meaningful relationships with other people (Deng and Law, 2020). The satisfied psychosocial needs have an important role in protecting or enhancing mental health (Sapmaz et al., 2012). The satisfied needs can increase the individual’s level of life satisfaction, while those unsatisfied needs may cause psychological distress (Ryan et al., 1996; Sheldon and Bettencourt, 2002). According to the stress process model, stress vulnerability can be affected by social resources (Pearlin et al., 1981; Beiser and Hyman, 1997). As a community social resource, social capital includes social participation and city belonging (Lin, 1999; Uphoff et al., 2013). The second purpose of this study is to explore whether social participation and city belonging can serve as buffers between stressors produced in the migration process and mental health, and then improve life satisfaction and reduce psychological distress among young migrants. Based on this, we proposed another two hypotheses: H3 and H4) There are potential mediating roles of social participation and city belonging in the association between other factors and mental health.
This study is novel in that we used a structural equation model (SEM) to measure the complex influencing factors of mental health (life satisfaction and psychological distress) using multiple subjective/objective indicators through path analyses. The SEM enabled us to further examine the influencing factors of social participation and sense of city belonging and their associations with mental health through the structural model.
Materials and Methods
Participants
The data were derived from the 2014 China Migrants Dynamic Survey (CMDS), which was conducted by the National Health and Wellness Council of China. The research sample was composed of internal migrants with non-local (county, city) Hukou living in the inflow area for over one month. The survey has adopted a multistage stratified probability proportional to size (PPS) sampling method. The data access and detailed documents can be found at https://chinaldrk.org.cn/wjw/#/achievement/publication/310b8056-6bf2-4243-9062-c60adcab82ee. The available data for this study were derived from a special survey of CMDS in 2014, so-called “social integration and mental health” of migrants. It was designed according to the latest social concern and only conducted in eight cities. According to the comprehensive business index proposed by China Business News Weekly, the eight cities were divided into 3 groups: (1) first-tier city: the Chaoyang District of Beijing and Shenzhen, (2) new first-tier city: Xiamen, Qingdao and Chengdu, and (3) non- first-tier city: Jiaxing, Zhengzhou and Zhongshan. This above-mentioned business index covers total GDP, per capita income, number of colleges and universities, number of Fortune 500 companies, etc., and reflects the city’s overall competitiveness and production technology levels (Sina, 2013; CBNweekly, 2016). This study focused on young migrants born in 1980 and after, and 9838 participants were included in the analysis.
Measures
Economic Status
Subjective socioeconomic status (S_SES), which means one’s perception of their socioeconomic position or rank within a society (Tan et al., 2020), was assessed by the following question: “Compared with people in the whole society, where is your social status?” The scale was depicted as a ladder (rungs 1 to 10), and individual participants were asked to place an “X” on the rung of the ladder that they felt best reflected their social status.
The objective socioeconomic status (O_SES) of the participants, which refers to one’s status according to the absolute level of material resources that one possesses (Howell and Howell, 2008), was measured by their monthly household income and level of education. Considering the analysis using the structural equation model (SEM), monthly household income was divided into 3 levels (< 3500 CNY, 3501 CNY - 7000 CNY, and > 7000 CNY). Education level was also categorized into three groups: (1) junior high school or below, (2) high school, and (3) college degree or above.
Health Insurance (O_HI)
Health-related resources included social and medical insurance. The study used the following questions: (1) “Which of the following social insurance programs do you use?” and (2) “Do you currently have the following medical insurance?” The values ranged from 1 to 3 (1 = yes; 2 = no; and 3 = not clear). If respondents reported that they had insurance coverage, they were considered underinsured.
Social Adaptation (S_SA)
The study included two indicators of social adaptation: dialect familiarity and community harmony. To measure the level of dialect familiarity, the study used the following question: “How well do you know the local dialect?” The response was defined as one of four levels (0 = Not understanding, 1 = Understanding but not speaking, 2 = Understanding and speaking some, and 3 = Understanding and speaking). To measure the level of community harmony, participants were asked the question: “Do you think you or your family get along well with locals?” The response was divided into four levels (0 = Disharmonious, 1 = Generally harmonious, 2 = Relatively harmonious, and 3 = Very harmonious).
Psychological Integration (S_PI) and Social Exclusion (S_SE)
Psychological integration was measured in this study using five items, including “I am willing to live with the locals in one block (community).” To measure social exclusion, a three-item scale was used. The items included “I feel the locals don’t like me.” Participants were asked whether certain statements described their situations, and the values ranged from 1 (strongly disagree) to 4 (strongly agree). Cronbach’s alpha values for psychological integration and social exclusion in the present study were both 0.91.
City Belonging (CB)
To measure the sense of city belonging in this study, we used five items, including “I feel I belong to this city.” Participants were asked to indicate the extent to whether certain statements described their situations on a four-point Likert scale with responses ranging from 1 (strongly disagree) to 4 (strongly agree). Cronbach’s alpha for city belonging in this study was 0.89.
Social Participation (SP)
Social participation in this study was assessed by membership in social organizations and community involvement (Guillen et al., 2011; Fiorillo et al., 2020). Organization member status was measured by the following question: “Are you currently a member of the following organizations locally?” The level of community involvement was assessed by the question “Which of the following activities did you attend locally in 2013 (If immigration to current city short while ago, ask about the situation of this year)?” The response options were “Yes” or “No.” To conduct the SEM, three levels of organization participation and community involvement were defined: 0 = none, 1 = one, and 2 = two or more.
Mental Health
We assessed the participants’ mental health based on life satisfaction (LS) and psychological destress (PD). The level of life satisfaction was assessed by the Satisfaction with Life Scale (SWLS), which is based on five items (Diener et al., 1985). The SWLS has demonstrated good psychometric properties in Chinese culture (Ye, 2007). The Chinese version of the SWLS has been shown to have high internal consistency reliability and validity, with Cronbach’s alpha of 0.90 and split-half reliability of 0.70 (Wang et al., 2009, 2017; Ma and Chan, 2015). Psychological distress was assessed using the 6-item Kessler Psychological Distress Scale (K6) (Kessler et al., 2003). The Chinese version of K6 also has been proved to have high reliability and validity in Hong Kong (α = 0.89) (Lee et al., 2012). The values ranged from 1 to 5 (1 = all the time; 2 = most of the time; 3 = sometimes; 4 = occasionally; and 5 = none). Cronbach’s alpha values for SWLS and K6 in the present study were 0.86 and 0.83, respectively.
Data Analysis
The distributions of background characteristics and independent, mediating and dependent variables are expressed in terms of the frequency distribution, mean, maximum and minimum. Structural equation modeling was used to test the mediation effect. The mediating variables were the sense of city belonging and the behavior of social participation. The independent variables were subjective status (including subjective socioeconomic status, social adaptation, psychological integration and social exclusion), and objective status (including objective socioeconomic status and health insurance); and the dependent variable was life satisfaction (as a positive mental health indicator) and psychological distress (as a negative mental health indicator) (Figure 1). The Comparative Fit Index (CFI), Normal Fit Index (NFI) and Incremental Fit Index (IFI) indicate a good fit to the data when values exceed 0.90 (Bentler, 1990; Hu and Bentler, 1999). The Root Mean Squared Error of Approximation (RMSEA) value of < 0.05 indicated a “close fit” (Steiger, 1990; Browne and Cudeck, 1992). In addition, Bollen’s relative fit index (RFI) measures the discrepancy for the model evaluated and for the baseline model, indicating good model-data fit for values close to 1 (Bollen, 1986). A Hoelter’s Critical N (CN) of 200 or better indicated satisfactory model-data fit (Hoelter, 1983). The effects specified were estimated Using the maximum likelihood method. The maximum likelihood method to estimate the polychoric, polyserial, and product–moment correlations were programed in PRELIS2 (Jöreskog and Sörbom, 1996). Statistical analyses were conducted using SAS 9.4 and LISREL 8.8 statistical software. Also, we conducted the correlation matrix of the associations among subjective and objective indicators of the status of young internal Chinese migrants by using LISREL 8.80 (Please refer to Supplementary Table 1). PHI matrix was included in the final SEM estimation. In this study, two methods were used to analyze the discriminant validity among the six latent exogenous variables: (1) the goodness-of-fit of the multi-factor model is significantly better than that of the single-factor model, and (2) the estimated correlation coefficients between any two latent exogenous variables were not more than 0.70 (Please refer to Supplementary Table 1), and the discriminative validity was supported (Kline, 2015).
Figure 1. The Hypothesized Path Analysis Model of Life Satisfaction and Psychological Distress in the Sample of Young Internal Migrants. HI to H4 are displayed in the last paragraph of the introduction part. S_SES, Subjective Socioeconomic Status; S_SA, Social Adaptation; S_PL Psychological Integration; S_SE, Social Exclusion; 0_SES, Objective Socioeconomic Status; 0_HI, Health Insurance; SP, Social Participation; CB, City Belonging; LS, Life Satisfaction; PD, Psychological Distress.
Results
Descriptive Data
Table 1 shows the main demographic characteristics of the participants. Of the 9838 participants in our sample, 94.03% migrated for jobs or business. Most of them were male and were married. The majority of the internal migrants had a junior high school or lower education and had an agricultural Hukou type. Their household income was mainly between 3501 CNY and 7000 CNY. The mean migration duration was 3.12 years. Of the 9838 participants, 27.11% lived in first-tier cities; 34.90% lived in new first-tier cities; 38.00% lived in non-first-tier cities. Table 2 presents the variables’ descriptive statistics in the final structural equation model. The average score for psychological distress was 9.52 (SD = 3.09), and the average score for life satisfaction was 21.41 (SD = 6.20).
Table 1. Sociodemographic characteristics of the sample (N = 9838).
Table 2. Descriptive data in the final structural equation model.
Mediation Analyses
Based on the hypothesized model, SEM was conducted to analyze the relationships among subjective/objective status, social participant, city belonging, and mental health (life satisfaction and psychological distress). It was found that some of the t-values were less than 1.96 in the initial model. Therefore, the final model was obtained by sequentially deleting O_SES → SP, S_SES → PD, CB → PD, O_SES → CB, O_HI → CB, S_SA → LS, S_PI → LS, SP → PD, the 5th indicator of PD, S_PI → SP, the 6th indicator of PD and SE → PD. The final model showed improved overall model fit compared to the initial model: RMSEA = 0.035; NFI = 0.99; CFI = 0.99; IFI = 0.99; RFI = 0.98; and CN = 873.23 (Table 3). The final model is shown in Figure 2. Subjective socioeconomic status and social adaptation had a significant positive effect on social participation and city belonging. In contrast, social exclusion had a significant negative effect on these two variables among young migrants. Psychological integration was positively associated with city belonging. Additionally, health insurance was positively associated with social participation. Young migrants with better social participation and city belonging had better life satisfaction (as a positive mental health indicator). Still, there was no positive or negative effect of these variables on psychological distress (as a negative mental health indicator). Specifically, only four out of six questions of the K6 were used to measure psychological distress for young migrants in our final model due to the SEM results. That is, two questions were not significantly associated with psychological distress and dropped out in the final model, one of which was as follows: “About how often during the past 30 days did you feel nervous/hopeless?”
Table 3. Measures of fit for the life satisfaction and psychological distress model of young internal Chinese migrants.
Figure 2. Path Coefficients for the Effects of Subjective/Objective Status on Young Internal Migrants’ Life Satisfaction and Psychological Distress. SSES, Subjective Socioeconomic Status; SSA, Social Adaptation; SPI, Psychological Integration; SSE, Social Exclusion; OSES, Objective Socioeconomic Status; OHI, Health Insurance; SP, Social Participation; CB, City Belonging; LS, Life Satisfaction; PD, Psychological Distress. **p < 0.01, ***p < 0.001.
First, the pathways from participants’ subjective status to psychological distress and life satisfaction were presented in Table 4. We found a significant positive and direct pathway from subjective socioeconomic status to life satisfaction. We did not find a significant path from subjective socioeconomic status to psychological distress. The direct effect of social adaptation on psychological distress was −0.11 (p < 0.001). A negative direct effect of psychological integration on psychological distress was found in the model (β = −0.14, p < 0.001). Besides, we found a positive effect of social exclusion on life satisfaction (β = 0.06, p < 0.001). Thus, hypothesis 1 (H1) was partially supported.
Table 4. Direct and indirect effects of socialization factors on life satisfaction and psychological distress in young migrants.
Second, the model indicated that the direct effect of objective socioeconomic status on life satisfaction was negative and that the direct effect of it on psychological distress was positive. Health insurance had a direct effect on mental health: receiving health insurance contributed to a lower level of life satisfaction (β = −0.42, p < 0.001) and higher psychological distress (β = 0.80, p < 0.001). Thus, hypothesis 2 (H2) was not supported (Table 4).
Finally, some of the Chinese internal migrants’ subjective and objective status not only directly affected their mental health (life satisfaction and psychological distress), but also indirectly affected their life satisfaction through the behavior of social participation and a sense of city belonging. Significant positive indirect effects of subjective socioeconomic status on life satisfaction via social participation and city belonging were identified from the model. The total effect of subjective socioeconomic status on life satisfaction was 0.27 and significant. Besides, we found a positive indirect effect of social adaptation on life satisfaction (β = 0.06, p < 0.001), which was mediated by a sense of city belonging and social participation. The level of psychological integration had a positive indirect effect on life satisfaction, the effect was 0.09 and significant (p < 0.001). A serial mediation pathway was also identified from the model between social exclusion and life satisfaction via social participation and a sense of city belonging. The indirect effect was −0.05 (p < 0.001). However, the total effect of social exclusion on life satisfaction was not significant due to the combination of direct and indirect effects. Migrants’ health insurance had a significant (p < 0.001) indirect effect on life satisfaction via social participation. The total effect of health insurance on life satisfaction was −0.36 (p < 0.001). To sum, the mediation hypotheses (H3 and H4) were partially supported (Table 4).
Discussion
This study focused on young internal migrants or so-called new-generation migrants. The main reason for immigration was to work. Their mental health problems may lead to bad behaviors that affect their quality of life and social-economic development. We examined the influence of subjective/objective status of young migrants’ life satisfaction and psychological distress in China, as well as social participation and the sense of city belonging as mediators of these associations by using the structural equation model. Our study mainly has the following theoretical contributions and practical implications for government and community management of migrants:
First, we found some subjective indicators directly affect young migrants’ life satisfaction and psychological distress. Subjective socioeconomic status had a significant positive association with life satisfaction, which is consistent with the findings of previous studies (Appleton and Song, 2008; Huang et al., 2017; You et al., 2019). For young migrants, social interaction may also be a source of stress. Current youth tend to pay more attention to mobile networks than social interaction with others face to face; thus, higher social exclusion may not lead to lower life satisfaction among young migrants. However, young migrants with higher levels of social adaptation and psychological integration have less psychological distress. These relationships were also found in other studies (Huang et al., 2017; Chen et al., 2020b). It indicated that we need to take young migrants’ personal characteristics and current net culture should be incorporated into mental health promotion initiatives.
This study revealed a negative association between objective socioeconomic status and life satisfaction, and a positive effect of objective socioeconomic status on psychological distress. Previous studies on this relationship had mixed results. Some studies demonstrated that individuals with higher education (Hashemi et al., 2020) may have feelings of self-confidence and self-estimation (Cunado and Perez De Gracia, 2012) and have a higher income. Hence, they are happier and have higher life satisfaction. However, one study advocated that education was not found to predict life satisfaction (Hashemi et al., 2020). Our research supported one study which revealed education and household income were negatively associated with self-rated mental health (Honjo et al., 2006). For young migrants, the gap between reality and ideals leads to lower life satisfaction. Higher objective socioeconomic status may have opposite effects on mental health among young migrants due to excessive social pressure (Tesser et al., 1983; Huang et al., 2017) and intense aspirations to settle down (Chen et al., 2016). Our findings suggest that the formulation of socio-economic policy and welfare programs should take subjective socioeconomic status into consideration rather than objective socioeconomic status alone. Future researchers who design similar studies may consider using more indicators of subjective and objective socioeconomic status identifying other antecedent conditions to further discuss the association between socioeconomic status and mental health. Besides, many young migrants are confident about their health status and reluctantly pay for health insurance, or they think it is unnecessary to participate in insurance. Young migrants who are insured may have lower psychological health, and compulsory health insurance may worsen this phenomenon (Huang et al., 2020). In view of the concept that many immigrants with health insurance perceived they had a better health condition (Cloos et al., 2020), we recommend health agencies and stakeholders should focus on improving the health and policy literacy of young migrants to promote understanding of the importance of health insurance.
Second, more social participation and a sense of city belonging can improve life satisfaction, which is consistent with previous studies (Appleton and Song, 2008; Chen et al., 2016, 2020b). Encouraging more young migrants to participate in community activities and local clubs is a good way to improve mental health. Moreover, social participation and a sense of city belonging were included as variables in the theoretical model in this paper to analyze the impact of their mediating effects. The model suggests that subjective status, including subjective socioeconomic status, social adaptation, psychological integration and social exclusion; and objective status including health insurance has indirect associations with life satisfaction.
People with a higher degree of subjective socioeconomic status and health insurance may have more self-esteem and self-confidence and less stress, so they engage more in various forms of social participation or benefit from these interactions and activities, leading to more life satisfaction. As social participation is a key contributor to social inclusion (Filia et al., 2019), migrants with higher social adaptation and less subjective social exclusion are closer to communities and neighborhoods, which plays a crucial role in migrants’ social participation in urban societies. Also, migrants with higher subjective SES are more likely to choose family reunions in cities, leading to a greater sense of city belonging (Quassoli and Dimitriadis, 2019; Chen et al., 2020a). In addition, it is reasonable to expect that migrants with higher levels of social adaptation would be socially and culturally more accepted by urban residents; thus, they are more likely to develop a sense of belonging in the city than other migrants (Wang and Fan, 2012). The mediating roles of city belonging in the association between integration and life satisfaction were consistent with previous studies (Chen et al., 2020b). Young people have less social exclusion and emplace relationships with family and some friends as key to strong belonging, while young migrants who experience social exclusion expressed an ambivalent sense of belonging (Zevallos, 2008). Young migrants should be encouraged to join more social or community organizations and participate in more activities, thereby increasing their opportunities for social participation and improving their sense of city belonging.
Finally, it is worth mentioning that the results of the positive direct effect and negative indirect effect of social exclusion on life satisfaction revealed that improvements in life satisfaction should be informed by young migrants’ characteristics and needs, followed by the development of practical social interaction platforms. In addition, the results showed that subjective and objective status had no indirect association with psychological distress through social participation and a sense of city belonging in our study. Other characteristics including self-esteem, self-confidence, mastery and improvement of skills, may be more important to decrease psychological distress among young migrants. Previous studies revealed that formal or informal social participation and social support themselves were not directly or indirectly associated with psychological distress in youth (Child and Lawton, 2020). Future research should be introduced to improve the model for psychological distress among young internal migrants.
We hope that implications for policymakers and community health management to develop opportunities to increase social adaptation and decrease integration stress in young migrants who prefer to interact and socialize with others could aid in improving their mental health; and enhance community/social resources and activities in the context of developing sustainability in the community, can be drawn from this study. The community manager and organizations can provide the actual job assistance or interaction for the young migrants to increase eudaimonic work wellbeing and life satisfaction. Our findings, along with those from other studies, demonstrate that enhancing of social participation practices and a sense of city belonging among low subjective socioeconomic status individuals, lower social adaptation and integration, and a greater sense of exclusion are recommended. It is vital to create more rights and development opportunities for migrants to enhance one’s sense of city belonging (Bauder, 2016).
This study has several limitations. First, the cross-sectional design of the study limits any causal inferences among the variables of interest. Future research could specify the temporal sequences according to a longitudinal study design. Mediation analysis is generally used to assess longitudinal processes. Therefore, longitudinal research designs would allow us to examine the potential causal effects of subjective and objective status on mental health. Second, mental health outcomes were assessed using self-report scales or questions, resulting in biased data. However, previous studies also used self-reported psychological distress and life satisfaction to measure mental health (South et al., 2018) and wellbeing (Elgar et al., 2015; Viner et al., 2019; Scheim et al., 2020). Future research data should be collected combining subjective and objective methods or technologies. Within the context of these limitations, the results of this study indicated that social participation and city belonging can mediate the association between subjective/objective status characteristics and mental health. More studies should be conducted to highlight further opportunities to improve social participation and city belonging to increase life satisfaction, and reduce psychological distress systems in young migrants. According to our findings, it is necessary to combine government, community management, and other stakeholders to relieve the psychological discomfort of migrants.
Conclusion
In conclusion, the current study reports the mediating role of social participation and city belonging in the relationship between subjective/objective status and life satisfaction (as a positive mental health indicator), as well as psychological distress (as a negative mental health indicator) among young migrants in developing countries. The results of this study emphasize the importance of developing opportunities to activate participation of young migrants in social or community activities, for example, providing various opportunities for social network with the help of new media can help to increase the migrant workers’ integration and social adaptation to improve their mental health. It is also necessary to properly enhance community/social resources in the context of developing sustainability in the community.
Disclosure
The views expressed in this study were those of the authors and not necessarily those of the National Health and Wellness Council of China.
Data Availability Statement
The data analyzed in this study is subject to the following licenses/restrictions: The data that support the findings of this study are available from the National Health and Wellness Council of China. We had to sign a legally binding agreement with the Commission that we will not share any original data with any third parties. Requests to access these datasets should be directed to http://www.moh.gov.cn/ldrks/s7846r/201410/ee63c32ca4b7443faf2feeb14ce88874.shtml.
Ethics Statement
Our de-identified data derived from the China Migrants Dynamic Survey which was approved by the National Health and Family Planning Commission Ethics Review Board. All participants provided informed consent. As this involved analyzing de-identified existing data, this study did not receive ethical committee approval.
Author Contributions
SZ and Y-CC had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. SZ responsible for ensuring that the descriptions are accurate and agreed by all authors. Y-CC, MC, C-YL, S-CH and SZ conceived the manuscript. Y-CC and MC formal analysis. MC and YZ wrote first draft. XL, AL, C-YL, S-CH, and SZ contributed to revisions and rewriting. Y-CC acquisition of funding. All authors approved the final version, and all take responsibility for its content.
Funding
This project was supported by the Scientific Research Grant of Fujian Province of China (No. Z0230104).
Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Acknowledgments
We would like to acknowledge all research assistants and investigators for their dedicated assistance in the data collection of the 2014 China Migrants Dynamic Survey (CMDS). We also would especially like to thank our participants in the study for their time and willingness to participate.
Supplementary Material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.612317/full#supplementary-material
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Keywords: subjective/objective status, city belonging, social participation, psychological distress, life satisfaction, young internal migrants
Citation: Chiang Y-C, Chu M, Zhao Y, Li X, Li A, Lee C-Y, Hsueh S-C and Zhang S (2021) Influence of Subjective/Objective Status and Possible Pathways of Young Migrants’ Life Satisfaction and Psychological Distress in China. Front. Psychol. 12:612317. doi: 10.3389/fpsyg.2021.612317
Received: 30 September 2020; Accepted: 03 May 2021;
Published: 26 May 2021.
Edited by:
Gema T. Ruiz-Parraga, University of Malaga, SpainReviewed by:
Thomas Wan, University of Central Florida, United StatesWenwang Rao, University of Macau, China
Copyright © 2021 Chiang, Chu, Zhao, Li, Li, Lee, Hsueh and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Shuoxun Zhang, aGVsbGVuenN4QGdtYWlsLmNvbQ==; Shao-Chieh Hsueh, c2Noc3VlY2hpZWhAbXNuLmNvbQ==; Chun-Yang Lee, c3Vubnlqb2hubnlAcXEuY29t
†These authors share first authorship