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Objectives  To explore the relationship between health-related quality of life (HRQOL) status and associated factors among rural-to-urban migrants in China.    Methods  A cross-sectional survey was conducted with 856 rural-to-urban migrants working at small- and medium-size enterprises (SMEs) in Shenzhen and Zhongshan City in 2012. Andersen's behavioral model was used as a theoretical framework to exam the relationships among factors affecting HRQOL. Analysis was performed using structural equation modeling (SEM).    Results  Workers with statutory working hours, higher wages and less migrant experience had higher HRQOL scores. Need (contracting a disease in the past two weeks and perception of needing health service) had the greatest total effect on HRQOL ( β  = −0.78), followed by enabling (labor contract, insurance purchase, income, physical examination during work and training) ( β  = 0.40), predisposing (age, family separation, education) ( β  = 0.22) and health practices and use of health service (physical exercise weekly, health check-up and use of protective equipments) ( β  = −0.20).    Conclusions  Priority should be given to satisfy the needs of migrant workers, and improve the enabling resources.

Health-Related Quality of Life and Its Correlates among Chinese Migrants in Small- and Medium-Sized Enterprises in Two Cities of Guangdong