in Chinaijsw_713 10..21 Xu Q, Guan X, Yao F. Welfare program participation among rural-to-urban migrant workers in China Int J Soc Welfare 2011: 20: 1021 2010 The Author(s), International Journal of Social Welfare 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. An estimated 225 million Chinese people have migrated to cities from Chinas rural areas over the past two decades. These rural-to-urban migrant workers have greatly challenged Chinas welfare system. The pre-reform welfare system was a duel scheme with an urbanrural distinction in which rural residents were not covered by state-run welfare programs and had to rely on their families and rural collectives. The devel- opment of employment-based social insurance programs in 1999 made social welfare programs available for rural-to- urban migrant workers. Using an anonymous survey con- ducted in seven cities across China in 2006, we found that social insurance program participation rates were low among rural-to-urban migrant workers. Individual factors, including lack of knowledge of welfare programs and of a willingness to participate, and macro-level factors, including type of employer and industry, are critical in determining migrant workers participation in welfare programs. Implications for policies and practice are discussed. Qingwen Xu 1 , Xinping Guan 2 , Fangfang Yao 3 1 Graduate School of Social Work, Boston College, MA, USA 2 Department of Social Work and Social Policy, Nankai University, Tianjin, China 3 School of Human Service Professions, Widener University, PA, USA Key words: China, migrant worker, rural-to-urban migration, welfare utilization, welfare reform Qingwen Xu, Boston College, Graduate School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA 02467 E-mail: xuq@bc.edu Accepted for publication September 29, 2009 Introduction An estimated 225 million Chinese people have migrated to cities from Chinas rural areas for jobs over the past two decades (National Bureau of Statistics of China, 2009). These rural-to-urban migrant workers have greatly challenged Chinas welfare system. Chinas pre-reform (pre-1978) social welfare system was a dual scheme with an urbanrural distinction, in which most social services were targeted for urban resi- dents; rural residents had to rely on their families and the rural collectives to provide social services, such as childcare and elder care. As a result of this dual system, rural-to-urban migrant workers dwelling in cities have fallen into a welfare Catch-22, because they were ineli- gible for the urban welfare programs and were unable to access their rural welfare benets. Chinas welfare reforms over the past three decades have attempted to diminish the urbanrural distinction and decrease welfare inequality by developing employment-based social insurance programs. However, migrant workers participation in and utilization of these social welfare programs have not been systematically documented and studied. This article presents a study examining Chinese rural-to-urban migrant workers use of welfare programs and social services, and then explores the macro-level and individual barriers to this utilization. Chinas urbanrural distinction Chinas household registration system (hukou), intro- duced in 1958, created not only an urbanrural distinc- tion, but also two classes of people. The household registration system was a government mechanism aimed to control the movement of its citizens within the country (Chan & Zhang, 1999), and to distribute and redistribute its limited resources to urban residents. Up until 2003, without proper documents and/or employ- ment certicates, rural people could not reside in cities, and in some cases, those who were caught illegally living in the cities were detained and repatriated to the countryside (Looney, 2003). The pre-reform social welfare system correspondingly had a clear urbanrural distinction, in which most state-run social and health- care services were targeted to urban residents, and the distribution and delivery of welfare benets for urban citizens, including healthcare, housing, pension, child- care, etc., were linked to employers or work units, DOI: 10.1111/j.1468-2397.2009.00713.x Int J Soc Welfare 2011: 20: 1021 I NTERNATI ONAL J OURNAL OF SOCIAL WELFARE ISSN 1369-6866 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare. Published by Blackwell Publishing, 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA 10 because employment was theoretically, and in actuality, almost permanent. Rural residents did not have employers or working units. For them, there was only a cooperative healthcare system, which was funded by rural collective economic organizations. It covered limited basic healthcare; in the absence of a pension system and comprehensive healthcare coverage, fami- lies remained the main source for services, such as elder care, childcare, and the various other types of care and support (Guan, 2000; Xu & Chow, 2006). Because of the long history of urbanrural distinc- tion, the household registration system also continued to maintain a bias that divided the population into mul- tiple categories: state and collective; rural and urban residents; agricultural producers and industrial workers; and, with recent changes, the new category, the traditional and the modernized. These classica- tions also have translated into a broad distinction in opportunities, including employment, education, and healthcare, among others. Urban families have greater access to university education, medical care at modern urban hospitals, and higher-paying jobs, whereas rural youth have underfunded schools, few chances for advanced education, and a lack of opportunities for upward mobility (Li et al., 2007a). With millions of rural migrants working and living in cities today, public disdain toward this group is growing and is exacerbated by the loss of employment and the income insecurities brought on by Chinas economic reforms and structural changes. Many city governments have made efforts to incorporate migrant workers into the urban communi- ties and improve their wellbeing and public acceptance; this is symbolized by the city of Chongqings recent declaration of the rst Rural Migrant Workers Day (Xinhua News, 2007) aimed to celebrate their contribu- tions to the citys development. However, the long-term effects of the urbanrural distinction cannot be easily erased. The surge of rural migration that started in the early 1980s was prompted primarily by the infusion of foreign investment into China, due mainly to its cheap labor and Chinas decision to open its doors to foreign investment. This prompted an enormous growth and transformation of the countrys urban economy, greatly expanded the manufacturing sector, and increased the need for laborers, especially cheap labor. At the same time, the push factors that brought people from rural areas into the cities included the increasing surplus of agricultural labor and the growing income gap between urban factory workers and rural farm workers (Fan, 2001; Meng, 2000). Even though factory workers are paid low wages by Western standards, their wages far surpass those of agricultural workers in Chinas rural areas. To address Chinas need for factory workers and other laborers in its urban regions, in 1985, Chinas central government issued the Ten Policies for Rural Economic Development, which encouraged population movement for economic means. Since this time, rural- to-urban migrant workers have been permitted to work in Chinas growing towns and cities with temporary residence permits and without obtaining an urban status from the household registration system. The plan paid off. In 1978, about 28.27 million permitted migrants were working in the cities; three decades later, in 2008, the number had grown nearly eightfold, to 225 million (National Bureau of Statistics of China, 2009). However, the systematic rural bias and gatekeeping has continued to limit rural-to-urban migrant workers equal accessibility to welfare benets and service pro- grams. Migrant workers in China do not have equal access to state-subsidized benets provided by public agencies and/or their employers, and they must rely primarily on their families for housing, healthcare, support services, and other necessities. Their survival in cities has been made possible by the expanding labor market and the marketization of goods and services. Welfare policies for migrant workers As this huge urbanrural population shift has been taking place in unison with Chinas economic reforms, the pre-reform social welfare system has faced tremen- dous challenges. In particular, it has faced pressure from the growing number of migrant workers and their families in need of medical services, housing, educa- tion, and other social services. Over past decades, there has been a growing consensus among Chinas scholars, policymakers, and politicians that the social welfare system is no longer compatible with its economic reforms and the evolving societal needs that have grown out of these changes (Guan, 2000; Wang, 2000a). Mounting internal political pressure has prompted policymakers and central government of- cials to initiate welfare reforms that depart from Chinas traditional socialist model whereby every worker and his/her family, at least for those in urban areas, has a right to a job, basic healthcare, housing, a pension, and social services, provided for and overseen by the central government. In the era of reform, China has begun transforming its social welfare system from a wholly public enterprise into a publicprivate hybrid, i.e. a pluralistic approach. Nevertheless, the govern- ment has continued its provision of certain welfare ser- vices to assure the wellbeing of urban citizens (including the new citizens, i.e. migrant workers and their families) in order to maintain political and social stability (Leung, 2006). One outcome dealing with welfare challenges in connection with the great number of rural-to-urban migrants is the social insurance programs created in the late 1990s that have started to cover rural-to-urban Welfare program participation 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare 11 migrants working in cities in various state-run companies and various types of corporations. The employment-based social insurance programs include ve detailed programs. The so-called Urban Five include basic healthcare, basic elderly pensions, unem- ployment insurance, occupational injury insurance (similar to the US Workers Compensation program), and maternity benets for working mothers. The social insurance programs for basic healthcare, basic elderly pensions, and unemployment insurance were estab- lished in 1999 and require contributions from both employers and employees. The programs for maternity benets and occupational injury, set up in 1995 and 2003, respectively, are paid for solely by employers. These Urban Five programs are mandatory, and almost all types of urban organizations and corpora- tions must adhere to the regulations and offer them, including state-owned and urban-collective enterprises, joint venture corporations (JVCs), and private compa- nies that hire more than 50 workers. Different programs have different contribution rules; for instance, for the elderly pension fund, employers contribute 20 per cent of their total payroll costs and employees contribute 8 per cent of their salaries; for the employee healthcare fund, employers contribute 6 per cent of their total payroll costs and employees contribute 2 per cent of their salaries. The development of the Urban Five has faced certain challenges; a general lack of enthusiasm among employers and extremely low participation rates have been a concern for years. A report by Chinas Ministry of Labor and Social Security of Peoples Republic of China (2005) indicated that only 15 percent of migrant workers participated in the pension program, and only 10 percent in the healthcare program. Furthermore, most migrant workers did not enjoy any of the benets for their maternity and occupational injuries. Thus, the central government has made persistent efforts to encourage migrant workers living in urban areas to participate in the Urban Five. In 2006, the State Council issued a comprehensive guideline in response to criticism about migrant workers lack of rights and the governments lack of proactive policies for enhanc- ing the rural-to-urban migrant workers wellbeing. These guidelines support the governments view that migrant workers wellbeing and right to welfare ser- vices are of great importance. The State Council pointed to the priority of enrolling migrant workers in the health care and occupational injury insurance pro- grams, the necessity of lowering migrant workers monetary contribution to the Urban Five fund, and the consideration of migrant workers special needs in the design of welfare programs. While the central governments policies prescribe only the minimal standards, principles, and guidelines, cities have the authority to design their own programs; consequently, there are huge variations in terms of local policymaking and policy implementation and enforcement. Some cities, such as Shanghai and Chengdu, have gone beyond the Urban Fives minimal standards and have provided comprehensive social insurance programs for their migrant workers (Hu, 2006). Other cities, such as Beijing and Qingdao, are able to offer a pension program for migrant workers that matches the benets provided for urban residents. Still other cities are less than enthusiastic about implementing and enforcing central government policies because doing so, they believe, would add cost to private enterprise and scare away investors (Tan, 2000). It is also noted that, without addressing the urbanrural distinction systematically, a task that the central government has to achieve, local initiatives that are to meet migrant workers needs in healthcare and elderly care have become politically controversial. For example, some cities, such as Chongqing and Nanjing, developed very affordable local healthcare insurance programs for migrant workers to cover the cost of hospitalization and certain disease treatments. As these programs cover only the current enrollment term, there has been criticism from rural governments where migrant workers came from, since it will be up to the rural governments to take the tab of future healthcare costs when migrant workers become old and retire to their rural villages. Local programs have been designed to meet the challenges facing Chinas current social insurance system; however, none of these programs can adequately address all major issues with regard to migrant workers special needs and the future devel- opment of a national universal program. In 2009, the central government proposed a revised elderly pension program for migrant workers. The revised program will decrease employers contribution from 20 percent of their total payroll costs to 12 percent, and employ- ees (i.e. migrant workers) can contribute as low as 4 percent of their salaries instead of 8 percent. Mean- while, without a centralized system, the new program streamlines the pension benet administration in dif- ferent cities and provinces, and makes it easier to transfer the benets among cities and between rural and urban administrative systems. The 2009 proposal is just the central governments initial response to address the barriers that have been reported as con- tributing to low program participation rates, such as a high contribution rate, a segmented administra- tion, and less exibility of benet transferability. Nevertheless, there is a lack of empirical studies iden- tifying the factors associated with low program par- ticipation and welfare utilization rates, and the teasing out of each social, structural, and behavioral factor that could contribute to the different participation outcomes. Xu et al. 12 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare Literature review When exploring welfare program participation and service utilization in Western countries, Western schol- ars frequently ask similar questions in order to better understand migrants behavior in the social, economic, and political context (Barrett & McCarthy, 2008). For example: Are immigrant workers eligible to receive social services and welfare benets? If yes, do immi- grants use social welfare services less than their native peers? What are the barriers for immigrants to partici- pate in the program or use services? For rural-to-urban migrant workers in China, while the rst question has been addressed by the central government the Urban Five is the answer we focused our study on exploring the barriers for migrant workers to participate in the programs or use the social welfare services. The literature on international migration has exam- ined two groups of factors that help explain immi- grants behavior in failing to access social welfare benets and services: (i) the cultural versus structural factors; and (ii) pre-migration versus post-migration factors. Scholars who have found that cultural pre- migration factors inuence migrants use of welfare services argue that immigrant service utilization is largely shaped by the cultural values that immigrants bring from their home countries or cultures of origin. This has been particularly true for mental health service utilization, as certain groups of immigrants are less likely to use mental health services, even after all other individual and structural factors are controlled for (Leduc & Proulx, 2004; Vaga, Kolody, Aguilar-Gaxiola & Catalano, 1999). Scholars advancing the cultural postmigration theory similarly focus on cultural values but emphasize the values that immigrants develop as a result of their migration experience. For example, the extensive service utilization among elderly Russian immigrants was found to be due to their life circum- stances associated with immigration, and cultural norms and beliefs they develop based on those of the local Russian immigrant community (Aroian, Khatutsky, Tran & Balsam, 2001). On the other hand, structural pre-migration theorists postulate that differences in service utilization stem from differences in immigrants pre-migration charac- teristics, such as their education or English language prociency. One study found that a low level of educa- tion and lack of English prociency at the time of migration correlated with low use of social services (Jacobs, Shepard, Syaya & Stone, 2004). The structural post-migration theorists emphasize the post-migration experiences of different immigrant groups as being key factors in their social service utilization. Specically, these theorists argue that immigrants face different eco- nomic and social opportunities and/or challenges once they arrive in the new society, and that these different opportunities in turn create differences in service utili- zation, such as undocumented immigrant parents limited use of services for their US-born children (Berk, Schur, Chavez & Frankel, 2000). Available literature published in English concerning rural-to-urban migrant workers in China has focused on migration causes (Liang, 2001), migration paths (Rozelle et al., 1999), remittance (Taylor & Rozelle, 2003), and health and mental health (Li, Wang et al., 2007a; Li, Zhang et al., 2007b). Limited preliminary studies concerning welfare program participation and service utilization have identied a few factors that could contribute to migrant workers low participation rate. These factors are related to the individual; for example, migrant workers are relatively young and healthy, and consequently have fewer needs for elder care and healthcare (Li et al., 2007b). Some factors are structurally oriented; for example, although migrant workers often move frequently for jobs and opportuni- ties, Chinas current healthcare and elderly pension benets are territory-oriented, and most benets are not portable (Li, 2007). Nevertheless, we lack a systematic analysis of the reasons why millions of Chinas urban migrant workers minimally utilize welfare programs and services, even though these programs and services are available to them. Method This study addresses the following questions: What are the percentages of welfare program participation among rural-to-urban migrant workers in China? What factors contribute to their lack of welfare program participation? And to what extent do pre- and post- migration factors account for their welfare program participation behavior? We adapted the cultural vs. structural and pre- vs. post-migration framework in order to answer these questions. This framework helps us understand immigrants behavior from a life-course perspective, and captures the dynamic changing nature of personenvironment transactions. As migration is a life transition, migrants behaviors are characterized by both continuity and change (Hutchison, 2007). By identifying special and unique migration-related factors that contribute to different service use patterns among migrants in comparison with local residents, this framework also subscribes to an understanding that addressing these special and unique migration-related factors would eliminate service utilization barriers and support the process of assimilation into the local culture and systems (Hammarstedt, 2009). The present study has not considered factors from the culture perspective. Cultural factors, such as migrant workers values and beliefs in seeking help from the public sector in addition to their personal networks, their values in securing their life through the Welfare program participation 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare 13 social welfare system instead of through their personal resources, and their belief in their right to access ser- vices and request them, could provide an interesting way to understand Chinese migrant workers welfare participation and service utilization. However, rural-to- urban migrant workers in China are, in general, cultur- ally homogeneous. As rural people have been excluded from Chinas main public welfare system for several decades, they predominately lack the understanding of certain concepts of social welfare, are not used to getting welfare and services from the government, and have little knowledge about the ongoing welfare reforms that would benet them (Wang, 2000b, 2002). While it will be interesting to explore the patterns of change that are due to the cultural inuence of and the interplay between cultural and structural factors, this study is primarily designed as an extensive examination of structural factors affecting migrant workers welfare participation; we leave the cultural issues for further investigations. Meanwhile, given the nature of Chinas rural-to- urban migration, we in this study shared the theoretical orientation that focuses on migrants integration instead of assimilation (Edmonston & Passel, 1994). Instead of talking about migrants assimilating into mainstream Western societies, the challenge China is facing is to integrate more than 200 million migrant workers into cities, both economically and socially. This integration process requires that individual migrant workers develop and increasingly exercise their capacities for interpersonal connectedness and urban membership; in fact, migrant workers have gradually, deliberately or not, changed their behaviors, percep- tions, and perspectives in order to adapt to the new systems and structures in cities. Simultaneously, this integration process calls for structural changes to address Chinas urbanrural distinction. Thus, as this study extends the analytical focus beyond that of the traditional Western societies, we closely examined migrant workers service utilization behavior and its relation to Chinas social, economic, and political structure. Conducting research with rural-to-urban migrant workers in China is challenging, due to the difculty of identifying and accessing a large nationwide migrant sample. The data used here are from an anonymous survey conducted in seven cities across China in the fall of 2006. This survey was part of the China Ministry of Educations project, Social Policy for the Transition of Chinas Rural Labor to Urban Areas. 1 The survey ques- tionnaire contains 11 sections, including demographics, employment and income, employment and job training, health and healthcare, housing, childrens education, family background, welfare program participation, service utilization, social activities and participation, and migration plan, in order to comprehensively docu- ment the rural-to-urban migrant workers life, work, family, social activity, behavior, and perception. The survey was administered in Chinese and generally took about one hour to complete. The survey targeted people registered as rural residents who were living and working in cities at the time of the survey. The sampling process involved a systematic approach and a four-step scheme: (i) selection of seven cities ve large cities, including Guangzhou (south), Shanghai (east central), Shenyang (northeast), Tianjin (east), and Kunming (southwest), which are either capi- tals of provinces or chief administrative cities directly reporting to the central government, as well as two medium-sized cities. These seven cities are representa- tive of Chinas diverse geographic areas. Given the research environment in China, the sample size was set at 500 for each large city and 250 for each medium- sized city; (ii) identication of specic administrative districts in each city where migrants concentrated through using public information and labor statistics provided by city governments; two districts in each city were then randomly selected; (iii) random selection of two to three companies from a list of companies that hired migrant workers in each district; and (iv) the recruitment of rural-to-urban migrant workers at each company who were willing to be interviewed. In each district, migrant workers were also recruited directly from restaurants, hotels, markets, and other similar small businesses that were not included in the list of companies at step three. A total of 3,024 participants completed the survey, including 509 from Guangzhou, 500 from Shanghai, 500 from Shenyang, 503 from Tianjin, 497 from Kunming, and 265 and 250 partici- pants, respectively, from the two medium-sized city. For the purpose of this study, we examined three groups of variables: 1 The dependent variables concern welfare program participation. In the survey, migrant workers were asked to answer yesno questions about their partici- pation in the Urban Five. We were particularly interested in analyzing their participation in the elderly pension and healthcare programs, as these two are the most basic programs of the Urban Five, and the most critical for migrant workers wellbeing. As such, dependent variables are two dichotomous variables. 1 The project is sponsored by China Ministry of Education. Dr Xingping Guan, professor at Nankai University Department of Social Policy and Social Work, is the principal investigator. The project collected both qualitative and quantitative data in order to inform social policymaking for the wellbeing of migrant workers. The project is signicant given Chinas urbanrural distinction and the countrys post-reform soci- etal goals that focus on equality, social harmony, and eco- nomic development. Xu et al. 14 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare 2 Pre-migration factors include the preexisting condi- tion of migrant workers before their migration. The study included migrant workers demographics, i.e. age, gender, marital status, and education level. Age was coded in three age groups: young aged 18 to 34; mid-life aged 35 to 49; and old-age aged 50 and over. This age grouping is based on the under- standing that many people under age 35 are still in the process of establishing their careers in the labor market, and many over age 49, especially women in China, are in the process of terminating their labor force participation (Clogg, Eliason & Leicht, 2001). 3 Post-migration factors refer to the resettling condi- tion of migrant workers, as well as their perceptions of and attitudes toward welfare program participa- tion that they develop after migration. We included macro-level factors, i.e. location/city, industry (manufacturing, construction, service, distribution, and non-industrial public entity), and ownership of the workers place of employment (state-owned enterprise and joint venture corporation, private company and individual/small business). We also included individual-level factors, including the sub- jects length of stay in the city and the migrant workers knowledge about welfare programs and their willingness to participate. All variables were recoded into dummy variables to facilitate the analysis. A descriptive analysis was con- ducted rst in order to describe the population and document the migrant workers welfare program participation. A bivariate analysis was performed to identify preliminary patterns of welfare program par- ticipation and, in particular, the different participation patterns (or lack of difference) between the two welfare programs. Logistic regression models were then con- ducted to identify pre- and post-migration factors that could contribute to migrant workers welfare program participation. Before presenting our results, we will discuss some of the studys strengths and limitations. One limitation of the present study comes from the sampling process. Because participants were recruited primarily from companies that hired migrant workers, the sample is predominated by low-income, less skilled working migrants, thereby excluding those rural-to-urban migrants who were business owners or temporarily unemployed. In addition, the seven cities in the study were carefully chosen in relation to varying geographi- cal location and level of socioeconomic development. Nevertheless, these seven cities might not be represen- tative of other migrant-receiving cities in China. Thus, information derived from the survey may be less than perfectly representative, as some individuals may have been excluded, which limits the generalizability of the ndings. Furthermore, the material is self-reported, cross- sectional data, which prevents the drawing of any causal inferences. For example, the study cannot inves- tigate whether migrant workers knowledge about welfare programs is the cause of their participating in the programs. Finally, as the survey was conducted in 2006, it does not capture the recent changes in China. Despite these limitations, the study does have a strength in that the large, nationwide rural-to-urban migrant sample is likely to be as representative a sample of migrant workers as can be obtained in China at present. Access to such information has become available only in recent years, and so this survey provides one of the rst reliable glimpses into the behavior of Chinese migrant workers. Results The average age of the 3,024 survey respondents was 31 years, and 64.7 percent were younger than 35 years. Men comprised about 60.6 percent of the total sample. More than half (54.5 percent) of the participants were married, and 34.1 percent had children under 12 years of age. The majority of the respondent pool (75.2 percent) had only nine years or less of education, i.e. the education provided by Chinas pubic education system. As for their length of stay in the city, 14.3 percent are long-term urban residents who have lived in the city for over 10 years, and about 35 percent of the migrant workers interviewed are recent settlers (two years or less). Almost all the migrant workers inter- viewed were working at the time of the survey, more than half (53 percent) working at unskilled jobs. Over a third of the migrant workers (35.4 percent) worked in the service industry, and 19 percent in the construction and manufacturing industries. In terms of type of employer, 39 percent of the migrant workers worked for private companies, 28.6 percent for small businesses, and 12.7 percent for state-owned enterprises. The social insurance program participation rates were low, as we expected; only 11.5 percent of the respondents participated in the urban healthcare program, 9.1 percent in occupational injury, 8.5 percent in the elderly pension, 3.2 percent in unemployment, and 2.5 percent in maternity benets. In terms of the elderly pension and healthcare programs, regard-less of their individual- and macro-level, pre- and post- migration characteristics, more migrant workers par- ticipated in the healthcare program than in the elderly pension program (see Table 1). Bivariate analysis indicates that the most likely group to be enrolled in both the elderly pension and the healthcare programs were single female respondents in the young age group (<35 years old), with more than a nine-year education who had knowledge about these two social insurance programs and were willing to participate in them. Welfare program participation 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare 15 Logistic regression models (see Tables 2 and 3) suggest that, among pre-migration factors, gender and education consistently predicted participation in both elderly pension and healthcare programs. Male migrant workers were about 30 percent less likely to enroll in both social insurance programs than were female migrant workers. In terms of education levels, migrant workers with only nine years or less of education were 59.6 and 52 percent less likely to enroll in the elderly pension and healthcare programs, respectively. Post-migration individual-level factors had different likelihoods of predicting participation. First, individual knowledge about the social insurance programs and willingness to participate were essential to the actual participation. The more knowledge the migrant workers had, the more likely they were to be enrolled in the programs; workers who were willing to participate in either the elderly care or healthcare programs were similarly about 2.5 times more likely to have actually participated in these two programs. While the length of stay in cities predicted enrollment in the elderly pension program migrant workers who stayed in cities two years or more were 60 percent more likely to participate than were recent migrants this factor did not predict enrollment in the healthcare program. Post-migration macro-level factors showed different results in predicting the extent of participation. Looking at the type of employer, when taking state- owned enterprises as the benchmark, it is clear that migrant workers in JVCs were more likely to partici- pate in both the elderly pension and healthcare pro- grams migrant workers were about twice as likely to enroll in both programs. For migrants working in private companies and small businesses, the likelihood of participating in the healthcare program was similar to that of their peers working in state-owned enter- prises, but they were signicantly less likely than their peers in state-owned enterprises to participate in the elderly pension program. Considering occupational differences in terms of industry versus nonindustrial public institutions/orga- nizations, migrant workers in the manufacturing indus- try were signicantly more likely to participate in both programs than were those working in nonindustrial public institutions/organizations. In contrast, workers in the service industry were signicantly less likely to participate in both programs than were those working in nonindustrial public institutions/orga- nizations. The city in which the migrant worker lived seems to correlate with participation in the two pro- grams. Using one of the two medium-sized cities as the benchmark, it appears that city size had no impact on whether the migrant workers participated in the two welfare programs. Discussion This study indicates that less than 10 percent of the rural-to-urban migrant workers in China were partici- pating in employment-based social insurance programs at the time of survey, although these programs were available to them. We found that, while pre-migration individual factors, i.e. gender and education, explained the difference in participation, post-migration indi- vidual factors, i.e. lack of knowledge of welfare pro- grams and of a willingness to participate in social insurance programs, were the most important factors. It is likely that lack of knowledge and lack of willingness are mutually reinforcing. It is also notable that, as lack of knowledge and willingness to participate predicted low level of participation, low level of education denitely Table 1. Participation in elderly pension and healthcare programs (N = 3,024). Elderly pension Healthcare Age Young age (<35) 9.4% 13.3% Mid age (3549) 7.5% 8.3% Old age (>50) 4.5% 8.0% Gender Male 7.4% 10.4% Female 10.2% 13.3% Marital status Married 8% 9.9% Single 9.1% 13.5% Education 9 years or less 5.2% 7.5% More than 9 years 18.4% 23.8% Length of stay (mean) Yes 69.5 months 55.7 months No 61.5 months 63.4 months Knowledge Very knowledgeable 42.5% 51% Some knowledge 20.8% 26.6% Little knowledge 7.1% 9.4% No knowledge 2.8% 4.5% Willingness Yes 14.1% 18.5% No 3.6% 5.6% City 1 16.4% 16.4% 2 7% 7.1% 3 12.9% 18.1% 4 2.5% 4.1% 5 5.6% 13% 6 9.2% 12% 7 4.8% 5.6% Ownership State-owned enterprises 11.3% 13.2% Jointed venture companies 33.9% 41.7% Private companies 5.6% 9.4% Individual/small business 4.8% 6.6% Industry Manufacturing industry 20.2% 24.4% Construction industry 3.6% 7.9% Distribution industry 9.2% 9.1% Service industry 1.9% 6.2% Public service 17.2% 13.5% Xu et al. 16 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare negatively affected the migrant workers ability to com- prehend the details and advantages of the social insur- ance programs, which are new concepts for Chinas rural people, and consequently inuenced their interest and willingness to take advantage of these programs. It is also of great interest that women were more likely than men to participate in welfare programs. As China continues to some extent to be a patriarchal society, despite the many radical changes in its recent history, women still take a greater responsibility than men in providing care for themselves and their families, and play their traditional role to be the primary caregiv- ers for their children, aged parents, and ill family members. From this perspective, female migrant workers might experience a pressing need and/or per- sonal motivation to participate in the elderly pension and healthcare programs. While some researchers have associated the lack of willingness to participate in social insurance programs with workers age, whereby younger workers are thought to perceive less need to participate in healthcare and elderly pension programs, it is interesting to note that in the present study, the mid-age (3549 years) and older-age (>50 years) migrant workers did not differ from their younger peers in welfare program participation, after controlling for all other individual- and macro-level factors. Unlike previous studies, the present study would seem to invalidate the perceived needs assumption. It is not easy to capture the whole picture of social insurance programs for migrant workers and describe the variation in different regions and cities. The lack of contextual information on the cities in which the migrant workers lived has made it difcult to interpret the data related to post-migration factors and migrant workers participation in the two employment-based social insurance programs. Further study is clearly needed. Nevertheless, we can still approximate certain impacts of the macro-level factors on migrant workers program participation. In fact, it is understandable that we found differences in program participation in differ- ent cities because, while national policies only pre- scribe the minimal standards and principles for receiving healthcare and pension benets, cities have the authority to design their own programs and stan- dards. Thus, huge variations exist between cities in terms of local policies and policy implementation. Table 2. Predictors of welfare program (elderly pension) participation (n = 2,616). B SE Wald df Sig. Exp(B) Age Mid-age 0.192 0.218 0.775 1 0.379 1.212 Old age -0.111 0.390 0.082 1 0.775 0.895 Gender Male -0.348 0.168 4.313 1 0.038 0.706 Marital status Married 0.161 0.204 0.621 1 0.431 1.175 Education 9 years or less -0.906 0.170 28.384 1 0.000 0.404 Length of stay 2 years or more 0.474 0.186 6.477 1 0.011 1.607 Knowledge Very knowledgeable 1.832 0.403 20.668 1 0.000 6.244 Some knowledge 1.160 0.225 26.569 1 0.000 3.191 Limited knowledge 0.624 0.219 8.137 1 0.004 1.866 Willingness 0.815 0.182 20.139 1 0.000 2.259 City 1 1.367 0.362 14.261 1 0.000 3.925 2 0.721 0.374 3.710 1 0.054 2.056 3 1.047 0.368 8.095 1 0.004 2.850 4 0.436 0.483 0.817 1 0.366 1.547 5 0.419 0.391 1.149 1 0.284 1.521 6 0.969 0.434 4.978 1 0.026 2.634 Ownership Joint venture 0.720 0.263 7.519 1 0.006 2.054 Private -0.601 0.213 7.949 1 0.005 0.548 Individual -0.737 0.251 8.584 1 0.003 0.479 Industry Manufacturing 0.700 0.221 10.043 1 0.002 2.015 Construction -0.683 0.302 5.099 1 0.024 0.505 Distribution 0.171 0.268 0.408 1 0.523 1.187 Service -1.186 0.375 10.031 1 0.002 0.305 Constant -3.723 0.466 63.922 1 0.000 0.024 df, degrees of freedom. Welfare program participation 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare 17 In addition, differences due to type of industry and business structure could be the result of different levels of regulation, administration, and policy enforcement. While state-owned enterprises serve as a benchmark in this study, due to their tradition of providing adequate care and security for employees wellbeing, it is not surprising that JVCs are doing signicantly better in enrolling migrant workers in social insurance programs than are the state-owned enterprises. With foreign investment, Chinas JVCs enjoy many tax benets and/or government subsidies; however, they are also subject to international labor standards, as well as Chinas social security regulations. JVCs are mandated to provide all the social insurance programs for their employees, and their business activities are under close scrutiny by the Chinese government (and their home governments if they are international organizations). In contrast, Chinas private companies and small busi- nesses are clearly doing poorly in securing social insur- ance benets for their workers, primarily because it is more difcult for the local social security administra- tion to strictly supervise their provision of employee social insurance programs. As for industry, the manufacturing industrys supe- rior participation in social insurance programs and the service industrys below-standard participation were expected ndings because while state-owned enter- prises dominate the manufacturing industry, the service industry is dominated by private, individually held small businesses, such as restaurants and small stores. Additionally, the participation differences between industries also correlates with the size of the enterprise. Smaller enterprises, such as restaurants and small service shops, are less closely scrutinized by the gov- ernment than are larger enterprises, and thus have lower participation rates. The low level of welfare program participation among rural-to-urban migrant workers should also be examined by evaluating the welfare programs them- selves. The Urban Five are designed to be employment-based contributory social insurance pro- grams, i.e. both employers and employees contribute to the healthcare and elderly pension funds. Requiring employees to contribute tends to discourage some migrant workers from participating in these social insurance programs. This is not only because social Table 3. Predictors of welfare program (healthcare) participation (n = 2,350). B SE Wald df Sig. Exp(B) Age Mid-age -0.138 0.202 0.462 1 0.496 0.871 Old age 0.123 0.315 0.153 1 0.696 1.131 Gender Male -0.357 0.155 5.302 1 0.021 0.700 Marital status Married 0.173 0.184 0.882 1 0.348 1.189 Education 9 years or less -0.749 0.152 24.225 1 0.000 0.473 Length of stay 2 years and more -0.062 0.158 0.157 1 0.692 0.940 Knowledge Very knowledgeable 2.550 0.357 50.970 1 0.000 12.803 Some knowledge 1.494 0.201 55.416 1 0.000 4.454 Limited knowledge 0.546 0.201 7.418 1 0.006 1.727 Willingness 0.892 0.160 30.931 1 0.000 2.441 City 1 1.266 0.343 13.599 1 0.000 3.547 2 0.702 0.367 3.665 1 0.056 2.018 3 1.267 0.341 13.849 1 0.000 3.551 4 0.584 0.422 1.917 1 0.166 1.794 5 1.371 0.342 16.060 1 0.000 3.941 6 1.175 0.402 8.528 1 0.003 3.237 Ownership Joint venture 0.900 0.247 13.244 1 0.000 2.460 Private -0.182 0.188 0.935 1 0.334 0.834 Individual -0.401 0.229 3.064 1 0.080 0.670 Industry Manufacturing 0.634 0.204 9.642 1 0.002 1.884 Construction -0.255 0.244 1.096 1 0.295 0.775 Distribution -0.286 0.266 1.160 1 0.282 0.751 Service -0.538 0.265 4.125 1 0.042 0.584 Constant -3.640 0.427 72.688 1 0.000 0.026 df, degrees of freedom. Xu et al. 18 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare insurance programs are too costly for some migrant workers, but also because the historical urbanrural distinction has made many rural residents mistrust the urban welfare system. In addition, employment-based contributory social insurance programs exclude many rural-to-urban migrants working in small businesses from participating because of the lack of strict policy implementation and government enforcement. Thus, many rural-to-urban migrant workers do not have social insurance protection, either voluntarily or involuntarily. Chinas migrant workers are eligible to participate in welfare programs via their employers and can access public services offered by the urban governments that were traditionally (for decades) reserved for urban resi- dents only. However, as shown in the ndings of the present study, welfare program participation is low among current rural-to-urban migrant workers. Fur- thermore, while making welfare programs available to rural-to-urban migrants who lack the urban hukou and are viewed as temporary residents of the cities symbol- izes the granting of urban membership, their low welfare program participation suggests a certain reluc- tance toward having such membership. Additional studies using qualitative data may enrich our under- standing of migrant workers behavior in welfare program participation. Many structural barriers still exist in Chinas current welfare, political, and eco- nomic systems, which makes it difcult for migrant workers to participate in or take advantage of these social welfare programs. Rural-to-urban migration has contributed to Chinas rapid economic development in recent decades by sup- plying an undereducated, low-wage migrant workforce; migrant workers have thus been playing an essential and irreplaceable role in the reformed Chinese market economy. While this does not mean that migrant workers have become fully integrated in the cities in economic terms (migrant workers still work predomi- nately in low-paid, unskilled jobs, often without any benets), their participation in Chinas urban economic activities might suggest a moderate level of labor market and/or economic integration. However, migrant workers extremely low participation in welfare pro- grams indicates that they have still not been socially integrated into Chinas urban communities. From the theoretical perspective of migrant integra- tion, China clearly relies heavily on the welfare pro- grams administered at the different levels of government to promote integration and eliminate the urbanrural distinction. This approach has similarities with Swedens immigrant integration policies (Heckmann, 2004). Unfortunately, Chinas efforts have not led to a desired level of social integration. International migra- tion studies have pointed at the contradiction between the economic necessity of international migration and the existence of widespread opposition to continued migration and migrants. This opposition is motivated by and an expression of racism, and is the result of failed social integration (Miles & Thranhardt, 1995). Chinas experience indicates that opening up to migrant workers such urban core systems as the labor market, self-employment, education, health services, social security, and urban membership does not auto- matically lead to a successful social integration. The failure to integrate rural-to-urban migrant workers eco- nomically and socially can be attributed to the fact that these core systems in urban communities are not fully open to them; the discriminatory opportunity structure still exists. Furthermore, welfare programs do not help to increase migrant workers capacity to exercise their urban membership, and they do not change the histori- cal relationship between Chinas rural and urban resi- dents. Clearly, both situations need further research. The present study has contributed to the literature by investigating the integration process of migrants in the novel context of contemporary China a changed and changing society. It has broadened the existing empiri- cal and analytical boundaries to encompass relatively uncharted territory. Implications and conclusion The present study has provided insights into Chinas changing social welfare system stimulated by its recent unprecedented economic growth. With the post-1978 reforms in China, the government initiated changes in its welfare system to better serve its population, includ- ing its underserved, or historically unserved, rural populations, particularly the rural-to-urban migrant population. To increase welfare program participation among the millions of Chinas migrant workers and to support their social integration, the Chinese government needs to make concrete changes in its policy and political structure so that welfare programs will be accessible to migrant workers and capable of meeting their needs and those of their families. These changes include: (i) low- ering both employers and employees contribution, increasing governments direct investment, and offer- ing affordable healthcare and pension rates so that low- income migrant workers, small business owners, and small-sized social institutions will be more likely and able to participate; (ii) tightening government adminis- tration and making the participation of the Urban Five mandatory to all types of enterprises and institutions; and (iii) providing family benets to meet the needs of migrant workers and their families. Migrant workers with family responsibilities can hardly be interested in welfare programs that cover just themselves and not their children and spouses. The central governments proposal in 2009 is just a start to improving current social insurance programs for Welfare program participation 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare 19 rural-to-urban migrant workers. In addition to moderate policy changes, systematic efforts have to be made to gradually eliminate the urbanrural distinction that is so deeply rooted in society and the Chinese mindset. In doing so, community outreach, educational programs, a campaign to encourage migrant workers to apply for and utilize welfare benets, and an adequate number of social workers to help migrant workers navigate through the complicated urban and rural welfare systems are essential for increasing the welfare program participation and overall wellbeing of rural-to- urban migrant workers, as well as facilitating the process of economic and social integration. Although China might have, as a future perspective, a national universal program that would cover both urban and rural residents, such a universal program has to be structured fundamentally differently from the countrys pre-reform welfare system. From Chinas experience, there are parallels in the role of the government to improve migrants overall wellbeing, yet there remain differences in migrant workers welfare participation and service utilization, given the different social, political, and economic con- texts. The inequitable situation of Chinas rural-to- urban migrant workers cannot be said to be comparable with, for instance, the unfair treatment of seasonal Mexican workers in the USA. The comparison lacks such characteristics as national borders and state sov- ereignty that make immigration and welfare policies in the United States justiable. But Chinas apparent ignoring of the plight of its rural-to-urban migrant workers in the past is connected in a special way to the US immigration and welfare policies that restrict immi- grants rights, i.e. the economic conditions that cater to a perceived need to provide an exploitable workforce, and the political conditions that endorse social control. Therefore, the role that the governments in both the USA and China have played to improve migrant workers wellbeing is more passive than proactive, limited instead of broad, and administration-based rather than rights-based. Nor would it be feasible to compare the welfare program participation of Chinas migrant workers with, say, that of Asian immigrants in the United States. Unlike Asian Americans, who struggle with racially stratied social relationships and migration-associated acculturation and assimilation issues, it is Chinas macro-level structural factors that are the most critical in determining rural-to-urban migrant workers welfare program participation and service utilization. Often, these macro-level factors offer limited options for migrant workers. The urbanrural distinction that has existed in China over the last four decades has pre- vented rural residents from enjoying the privileges of public welfare programs, such as healthcare and elderly pension. Because of the urbanrural distinction, migrant workers are unfamiliar with, hesitant about, distrustful of, and reluctant to participate in the public welfare programs available to them. Therefore, to blame the hardworking migrant workers for their unwillingness to participate in social welfare programs is to blame the victims of a system that has traditionally ignored their needs. In Chinas ongoing movement to improve its social welfare system, to carefully plan the growth of urban metro- politan areas, and to promote a smooth social transition, the social welfare policies and overarching social systems should implement fundamental changes for the wellbeing of all the people living and working in and outside its cities. References Aroian KJ, Khatutsky G, Tran TV, Balsam AL (2001). Health and social service utilization among elderly immigrants from the former Soviet Union. Journal of Nursing Scholarship 33(3): 265271. Barrett A, McCarthy Y (2008). Immigrants and welfare pro- grammes: Exploring the interactions between immigrant characteristics, immigrant welfare dependence and welfare policy. Oxford Review of Economic Policy 24(3): 543 560. Berk ML, Schur CL, Chavez LR, Frankel M (2000). Health care use among undocumented Latino immigrants. Health Affairs 19(4): 5164. Chan KW, Zhang L (1999). The hukou system and urbanrural migration in China: Processes and changes. China Quarterly 160: 818855. Clogg CC, Eliason SR, Leicht KT (2001). Analyzing the labor force: Concepts, measures, and trends. New York, Spinger. Edmonston B, Passel J, eds. (1994). Immigration and ethnicity: The integration of Americas newest arrivals. Washington, DC, The Urban Institute Press. Fan CC (2001). Migration and labor-market returns in urban China: Results from a recent survey in Guangzhou. Environ- ment and Planning 33: 479508. Guan X (2000). Chinas social policy: Reform and development in the context of marketization and globalization. Social Policy and Administration 34(1): 115130. Hammarstedt M (2009). Assimilation and participation in social assistance among immigrants. International Journal of Social Welfare 18(1): 8594. Heckmann, F (2004). The integration of immigrants in European societies. In: Kilton T, Birkhead C, eds. Migrations in society, culture, and the library, pp. 1423. WESS European confer- ence, Paris, France, March 22, 2004. Chicago: Association of College & Research Libraries. Hu W (2006). Foreign workers (rural migrant workers) comprehensive social insurance. Chengdu, China, Sichuan University Press. Hutchison E (2007). Dimensions of human behaviour: The changing life course (3rd edn). New York, Sage. Jacobs EA, Shepard DS, Syaya JA, Stone E (2004). Overcoming language barriers in health care: Costs and benets of inter- preter services. American Journal of Public Health 94(5): 866869. Leduc N, Proulx M (2004). Patterns of health services utilization by recent immigrants. Journal of Immigrant Health 6(1): 1527. Leung JCB (2006). The emergence of social assistance in China. International Journal of Social Welfare 15(3): 188 198. Xu et al. 20 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare Li H (2007). Economic efciency and social insurance reforms in China. Contemporary Economic Policy 18(2): 194204. Li L, Wang H, Ye X, Jiang M, Lou Q, Hesketh T (2007a). The mental health status of Chinese rural-urban migrant workers. Social Psychiatry: Psychiatry Epidemiology 42: 716722. Li X, Zhang L, Fang X, Chen X, Lin D, Mathur A (2007b). Stigmatization experienced by rural-to-urban migrant workers in China: Findings from a qualitative study. World Health and Population 9(4): 2943. Liang Z (2001). The age of migration in China. Population and Development Review 27(3): 499524. Looney K (2003). Death of Sun Zhigang challenges rule of law in China. Available at http://en.chinaelections.org/ newsinfo.asp?newsid=7758 [last accessed 25 October 2008]. Meng X (2000). Labour market reform in China. Cambridge, UK, Cambridge University Press. Miles R, Thranhardt D, eds. (1995). Migration and European integration: The dynamics of inclusion and exclusion. London, Pinter Publishers. Ministry of Labour and Social Security of Peoples Republic of China (2005). Rural migrant workers social security. Beijing, Ministry of Labour and Social Security of Peoples Republic of China. National Bureau of Statistics of Peoples Republic of China (2009). Rural migrant workers amounted to 225.42 millions nationwide at the end of 2008. Beijing, National Bureau of Statistics of China. Rozelle S, Guo L, Shen M, Hughart A, Giles J (1999). Leaving Chinas farms: Survey results of new paths and remaining hurdles to rural migration. China Quarterly 158: 367393. Tan S (2000). The relationship between foreign enterprises, local governments, and women migrant workers in the Pearl River Delta. In: West LA, Zhao YH, eds. Rural labor ows in China, pp. 292309. Berkeley, University of California at Berkeley, Institute of East Asian Studies. Taylor JE, Rozelle S (2003). Migration and incomes in source communities: A new economics of migration perspective from China. Economic Development and Cultural Change 52: 75101. Vaga WA, Kolody B, Aguilar-Gaxiola S, Catalano R (1999). Gaps in service utilization by Mexican Americans with mental health problems. Journal of American Psychiatry 156: 928934. Wang SB (2000a). Theoretical exploration on urban community building in reform China. Journal of Peking University (Philosophy and Sociology Edition) 5(37): 514. Wang SB (2000b). The relationship between seeking help and offering help in the Chinese society: Institutional and cultural perspectives. In: Tsang AKT, Yan MC, Shera, W, eds. Social work in China: A snapshot of critical issues and emerging ideas, pp. 1928. Toronto: University of Toronto, China Project. Wang SB (2002). Chinese welfare awareness and its reconstruc- tion. Paper presented at the Cross-Strait Four Regions Social Welfare Symposium, Hong Kong. Taibei: Chinese Culture and Social Welfare Foundation. Xinhua News (2007, November 4). Thousands people celebrates the rst Rural Migrant Workers Day in Chongqing. Xinhua News Agency. Available at http://www.gov.cn/jrzg/2007-11/ 04/content_795259.htm [accessed 4 January 2010]. Xu Q, Chow J (2006). Urban community in China: Service, participation, and development. International Journal of Social Welfare 15(3): 198208. Welfare program participation 2010 The Author(s) International Journal of Social Welfare 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare 21