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Shen G, Tang J, Fang J, Huang J, Zheng Y, Wu L, Yang X, Chen YH, Chen L. Family and job microsystems as mediators between social integration and depression among rural-to-urban migrant workers in China: does having sons make a difference? Front Public Health 2024; 12:1406451. [PMID: 39011329 PMCID: PMC11247764 DOI: 10.3389/fpubh.2024.1406451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Accepted: 06/17/2024] [Indexed: 07/17/2024] Open
Abstract
Background Rural-to-urban migrant workers are a vulnerable group at risk of developing depression. Based on the social-ecological systems theory, this study investigates the impact of the lack of social integration on depression, considering the mediating roles of migrant workers' microsystems (family happiness and job burnout). Additionally, the study explores whether having sons influences these associations. Methods The sample of 4,618 rural-to-urban migrant workers was obtained from the 2018 wave of the China Labor Force Dynamics Survey (CLDS). All the measures in the survey exhibited good reliability, including the Center for Epidemiological Research Depression Scale (CES-D), family happiness, job burnout, and social integration. The data were primarily analyzed using a structural equation model. Results Social integration had a direct impact on depression among migrant workers. Additionally, it indirectly affected depression through the mediating roles of family happiness not job burnout. The moderating effect of having sons mainly occurred on the path from social integration to family happiness. Limitations The cross-sectional design impeded the ability to draw causal inferences. Conclusion This finding highlights the potential benefits of social integration and family happiness in promoting early prevention of depression among migrant workers. It indicates that the inclination toward having sons among migrant workers continues to impact their mental health.
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Affiliation(s)
- Guanghui Shen
- Wenzhou Seventh People's Hospital, Wenzhou, China
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Jiayi Tang
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
- Cixi Biomedical Research Institute, Wenzhou Medical University, Ningbo, China
| | - Juan Fang
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Jiahui Huang
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Yawen Zheng
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
- Lishui Second People's Hospital, Lishui, China
| | - Liujun Wu
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
- Cixi Biomedical Research Institute, Wenzhou Medical University, Ningbo, China
| | - Xudong Yang
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
- Cixi Biomedical Research Institute, Wenzhou Medical University, Ningbo, China
| | - Yu-Hsin Chen
- The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Li Chen
- The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China
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Ji L, Ren Z, Chen J, Zhao H, Zhang X, Xue B, Zhang D. Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction. BMC Psychiatry 2024; 24:419. [PMID: 38834943 DOI: 10.1186/s12888-024-05867-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2023] [Accepted: 05/26/2024] [Indexed: 06/06/2024] Open
Abstract
BACKGROUND Few studies have simultaneously focused on the associations of vegetable and fruit intake, physical activity, school bullying, and Internet addiction (IA) with depressive symptoms. This study aimed to explore the direct and indirect effects of the above factors on depressive symptoms in adolescents by constructing a structural equation model (SEM). METHODS This study was conducted in Qingdao from September to November 2021. A total of 6195 secondary school students aged 10-19 years were included in the analysis. Information on all variables was assessed using a self-administered questionnaire. An SEM was constructed with depressive symptoms as the endogenous latent variable, IA as the mediating variable, and vegetable and fruit intake, physical activity, and school bullying as the exogenous latent variables. The standardized path coefficients (β) were the direct effects between the latent variables, and the indirect effects were obtained by the product of direct effects between relevant latent variables. RESULTS The median value with the interquartile range of depressive symptom scores was 7 (3,12). Vegetable and fruit intake (β=-0.100, P<0.001) and physical activity (β=-0.140, P<0.001) were directly negatively related to depressive symptoms. While school bullying (β=0.138, P<0.001) and IA (β=0.452, P<0.001) were directly positively related to depressive symptoms. IA had the greatest impact on depressive symptoms. Vegetable and fruit intake, physical activity, and school bullying could not only directly affect depressive symptoms, but also indirectly affect depressive symptoms through the mediating effect of IA, the indirect effects and 95% confidence intervals (CIs) were -0.028 (-0.051, -0.007), -0.114 (-0.148, -0.089) and 0.095 (0.060, 0.157), respectively. The results of the multi-group analysis showed that the SEM we constructed still fit in boy and girl groups. CONCLUSIONS The results indicated that vegetable and fruit intake, physical activity, school bullying, and IA had a significant direct impact on depressive symptoms, among which IA had the greatest impact. In addition, both vegetable and fruit intake, school bullying, and physical activity indirectly affected depressive symptoms through the mediating effect of IA. The impact of IA on depressive symptoms should be given extra attention by schools and parents. This study provides a scientific and effective basis for the prevention and control of adolescent depressive symptoms.
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Affiliation(s)
- Lujun Ji
- Department of Epidemiology and Health Statistics, The School of Public Health of Qingdao University, 308 Ningxia Road, Qingdao, 266071, China
| | - Zhisheng Ren
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao, China
| | - Jian Chen
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao, China
| | - Hui Zhao
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao, China
| | - Xiaofei Zhang
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao, China
| | - Bai Xue
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao, China.
| | - Dongfeng Zhang
- Department of Epidemiology and Health Statistics, The School of Public Health of Qingdao University, 308 Ningxia Road, Qingdao, 266071, China.
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Yang T, Kong J, Chen X, Zeng H, Zhou N, Yang X, Miao Q, Liao X, Zhang F, Lan F, Wang H, Li D. Overview of road traffic injuries among migrant workers in Guangzhou, China, from 2017 to 2021. Inj Prev 2024; 30:224-232. [PMID: 38123988 PMCID: PMC11137450 DOI: 10.1136/ip-2023-044986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 11/18/2023] [Indexed: 12/23/2023]
Abstract
INTRODUCTION There are many migrant workers in China's first-tier cities, but little is known about road safety. This paper systematically analysed road traffic injuries and risk factors among migrant workers in Guangzhou, China. METHODS Road traffic crash data from 2017 to 2021 were obtained from the Guangzhou Public Security Traffic Management Integrated System. We plotted the crash network of road users in road traffic crashes and used logistic regression to analyse the risk factors for migrant workers of motorcycle and four-wheeled vehicle crashes. Moreover, the roles of migrant workers and control individuals as perpetrators in road traffic crashes were also analysed. RESULTS Between 2017 and 2021, 76% of road traffic injuries were migrant workers in Guangzhou. Migrant workers who were motorcyclist drivers most commonly experienced road traffic injuries. Crashes between motorcyclists and car occupants were the most common. The illegal behaviours of migrant worker motorcyclists were closely related to casualties, with driving without a licence only and driving without a licence and drunk driving accounting for the greatest number. Migrant workers were responsible for many injuries of other road users. Motorcycle drivers have a higher proportion of drunk driving. DISCUSSION Migrant workers play an important role in road traffic safety. They were both the leading source of road traffic injuries and the main perpetrators of road traffic crashes. Measures such as strict requirements for migrant workers to drive motorcycles with licences, prohibit drunk driving, greater publicity of road safety regulations, and combining compulsory education with punishment for illegal behaviours.
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Affiliation(s)
- Tengfei Yang
- Department of Forensic Evidence Science, School of Forensic Medicine, Southern Medical University, Guangzhou, China
| | - Jiangwei Kong
- Department of Forensic Evidence Science, School of Forensic Medicine, Southern Medical University, Guangzhou, China
| | - Xinzhe Chen
- South China University of Technology School of Mechanical and Automotive Engineering, Guangzhou, China
| | - Haotian Zeng
- Guangzhou Public Security Bureau, Guangzhou, China
| | - Nian Zhou
- Department of Forensic Evidence Science, School of Forensic Medicine, Southern Medical University, Guangzhou, China
| | - Xingan Yang
- Department of Forensic Evidence Science, School of Forensic Medicine, Southern Medical University, Guangzhou, China
| | - Qifeng Miao
- Guangdong Province Research Center of Traffic Accident Identification Engineering Technology, Guangzhou, China
| | - Xinbiao Liao
- Department of Guangdong Public Security, Forensic Pathology Lab, Guangzhou, China
| | - Fu Zhang
- Department of Guangdong Public Security, Forensic Pathology Lab, Guangzhou, China
| | - Fengchong Lan
- South China University of Technology School of Mechanical and Automotive Engineering, Guangzhou, China
| | - Huijun Wang
- Department of Forensic Evidence Science, School of Forensic Medicine, Southern Medical University, Guangzhou, China
| | - Dongri Li
- Department of Forensic Evidence Science, School of Forensic Medicine, Southern Medical University, Guangzhou, China
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Biswas MM, Das KC, Sheikh I. Psychological implications of unemployment among higher educated migrant youth in Kolkata City, India. Sci Rep 2024; 14:10171. [PMID: 38702409 PMCID: PMC11068866 DOI: 10.1038/s41598-024-60958-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 04/29/2024] [Indexed: 05/06/2024] Open
Abstract
Mental health issues are intricately linked to socioeconomic background, employment and migration status. However, there remains a gap in understanding the mental health challenges faced by graduate youth in India, particularly in Kolkata City. This study aims to assess the prevalence and associated risk factors of depression, anxiety, and stress among higher-educated migrant youth. A survey was conducted on four hundred migrant graduate youths aged 21-35 residing in Kolkata. Measures included socio-demographics and the Depression Anxiety Stress Scale (DASS-21). Chi-square tests and binary logistic regression were employed to identify factors associated with mental health issues. The overall prevalence rates were 54.4% for depression, 61.8% for anxiety, and 47.9% for stress. Unemployed youths exhibited significantly more symptoms of depression and anxiety than their employed counter parts. The logistic regression model showed that unemployed youth, female sex, never married, and second- and third-time migrant youths were risk factors for high scores on the DASS-21. This study showed that mental health issues were alarming in the higher educated migrant youth. The study suggests the implementation of skill-based, job-oriented, and professional courses at the graduation level to prevent graduates from being rendered unproductive and jobless. Beside these, regular psychological support should be provided to the higher educated youth by the local governments.
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Affiliation(s)
- Mohai Menul Biswas
- Department of Migration and Urban Studies, International Institute for Population Sciences, Mumbai, 400088, India.
| | - Kailas Chandra Das
- Department of Migration and Urban Studies, International Institute for Population Sciences, Mumbai, 400088, India
| | - Illias Sheikh
- Department of Extra Mural Studies, International Institute for Population Sciences, Mumbai, 400088, India
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Maj A, Matynia M, Michalak N, Bis A, Andersson G. New in Town-An internet-based self-efficacy intervention for internal migrants: A randomized controlled trial. PLoS One 2024; 19:e0299638. [PMID: 38452136 PMCID: PMC10919843 DOI: 10.1371/journal.pone.0299638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 02/08/2024] [Indexed: 03/09/2024] Open
Abstract
OBJECTIVE Migration is a profound life transition that may threaten migrants' well-being and mental health. Results of several studies suggest that social self-efficacy beliefs may be beneficial for the psychological adjustment of migrants, buffering the effect of specific stressors related to migration, helping them reduce anxiety levels, and providing support in forming of new social bonds and better integration with a new community or culture. The primary purpose of this randomized controlled trial was to examine the effectiveness of the New in Town internet-based self-efficacy intervention for internal migrants in Poland. METHODS Participants were 158 internal adult migrants who had changed residence in the last 6 months. They were randomized into two groups: an experimental group (receiving an internet-based self-efficacy intervention), and a waiting list control group. We examined if the intervention was effective in enhancing participants' social self-efficacy (primary outcome), general self-efficacy, social support, satisfaction with life, and reduced reported loneliness (secondary outcomes). Outcome measures were assessed at baseline (Time 1) and 3-weeks later (Time 2). The dropout rate was 50.6%. Initially, we planned to gather follow-up data also 8-weeks after baseline (Time 3). However, due to health and safety reasons related to the COVID-19 pandemic, we decided to stop the trial. Finally, we included in our analysis only data gathered before the COVID-19 pandemic at Time 1 and Time 2. RESULTS A total of 159 individuals who met the study's inclusion criteria and completed the baseline assessment were randomly assigned to either the experimental group (n = 80) or the waiting list control group (n = 79). Nevertheless, one participant assigned to the control group was excluded from the analyses because they withdrew their consent to participate after being randomized. The study results suggest that compared to the waitlist control group (n = 78), participants in the experimental group (n = 80) reported a higher level of general self-efficacy beliefs at Time 2 (Cohen's d = 0.47; 95% CI: 0.15-0.79). However, there were no statistically significant effects on social self-efficacy, social support, satisfaction with life, and loneliness. CONCLUSION The study offers preliminary support for the effectiveness of an internet-based self-efficacy intervention designed for internal migrants on general self-efficacy beliefs. TRIAL REGISTRATION The trial was registered with ClinicalTrials.gov (identifier: NCT04088487) on 11th September 2019.
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Affiliation(s)
- Anna Maj
- Faculty of Psychology, SWPS University, Warsaw, Poland
| | - Maria Matynia
- Faculty of Psychology, SWPS University, Warsaw, Poland
| | | | | | - Gerhard Andersson
- Department of Behavioural Sciences and Learning, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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Zheng C, Zhang H. Latent profile analysis of depression among empty nesters in China. J Affect Disord 2024; 347:541-548. [PMID: 38092280 DOI: 10.1016/j.jad.2023.12.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 12/03/2023] [Accepted: 12/08/2023] [Indexed: 01/08/2024]
Abstract
OBJECTIVES The study aimed to explore the depression profile of empty nesters and to identify heterogeneous subgroups in the elderly population. It explored the influencing factors of depression in elderly people with different depression profiles, with a view to provide a reference basis for improving the depression situation of empty-nesting elderly people. METHODS This study used the Chinese Longitudinal Healthy Lifespan Survey (CLHLS) survey data, with empty nesters over 60 as the research subjects. Latent profile analysis (LPA) was used to fit potential classes of depression in empty nesters; chi-square tests, Kruskal-Wallis, and multinomial logistic regression were used to explore the factors influencing different depression profiles in older adults. RESULTS A total of 4481 subjects were included in this study and were classified as low-level (11.6 %), moderate-level (51.6 %), and high-level (36.8 %). Compared to the low-level, the influencing factors for the high-level were IADL, anxiety, self-rated health, exercise, and education; and the influencing factors for the medium level group were anxiety, self-rated health, drink, and education. Factors influencing high-level relative to the mid-level group were IADL, anxiety, residence, self-rated health, exercise, and limited in activities. LIMITATIONS The CESD-10, as a screening tool, could not completely determine the presence of depression in high levels of empty nesters. CONCLUSIONS Psychological problems arising from depression among empty nesters seriously affected their overall health, and targeted intervention strategies should be developed for different categories of older adults to improve depression and enhance health-related quality of life.
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Affiliation(s)
- Chen Zheng
- School of Nursing, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, PR China
| | - Huijun Zhang
- School of Nursing, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, PR China.
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Wang J, Bai Y, Zhu J, Wang X, Liu J. Vaccination in the childhood and awareness of basic public health services program among internal migrants: a nationwide cross-sectional study. BMC Public Health 2023; 23:1257. [PMID: 37380970 DOI: 10.1186/s12889-023-16147-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 06/19/2023] [Indexed: 06/30/2023] Open
Abstract
BACKGROUND Vaccination is proved to be one of the most effective and efficient way to prevent illness and reduce health inequality. Studies about association between vaccination inequalities in the childhood and awareness of basic public health services program among internal migrants in China are lacking. In this study, we aimed to explore the association between migrants' vaccination status between 0 and 6 years old and their awareness of the National Basic Public Health Services (BPHSs) project in China. METHODS We included 10,013 respondents aged 15 years old or above of eight provinces from 2017 Migrant Population Dynamic Monitoring Survey in China, a nationwide cross-sectional study. Univariate and multivariable logistic regressions were used to assess vaccination inequalities and the awareness of public health information. RESULTS Only 64.8% migrants were vaccinated in their childhood, which is far below the goal of national requirement of 100% vaccination. This also indicated the vaccination inequalities among migrants. Female, the middle-aged, married or having a relationship, the highly educated and the healthy population had higher awareness of this project than others. Both univariate and multivariate logistic regressions showed greatly significant association between vaccination status and some vaccines. Specifically, after adding convariates, the results showed that there were significant associations between the vaccination rates of eight recommended vaccines in the childhood and their awareness of BPHSs project (all p values < 0.001), including HepB vaccine (OR: 1.28; 95%CI: 1.19, 1.37), HepA vaccine (OR: 1.27; 95%CI: 1.15, 1.41), FIn vaccine (OR: 1.28; 95%CI: 1.16, 1.45), JE vaccine (OR: 1.14; 95%CI: 1.04, 1.27), TIG vaccine (OR: 1.27; 95%CI: 1.05, 1.47), DTaP vaccine (OR: 1.30; 95%CI: 1.11-1.53), MPSV vaccine (OR: 1.26; 95%CI: 1.07-1.49), HF vaccine (OR: 1.32; 95%CI: 1.11, 1.53), except for RaB vaccine (OR: 1.07; 95%CI: 0.89, 1.53). CONCLUSIONS The vaccination inequalities exist among migrants. There is a strong relationship between the vaccination status in the childhood and the awareness rate of BPHSs project among migrants. From our findings we could know that the promotion of vaccination rates of the disadvantaged population such as the internal migrants or other minority population can help them increase the awareness of free public health services, which was proved to be beneficial for health equity and effectiveness and could promote public health in the future.
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Affiliation(s)
- Jun Wang
- Center for Health Policy Research and Evaluation, Renmin University of China, Beijing, 100872, China
| | - Yang Bai
- Center for Health Policy Research and Evaluation, Renmin University of China, Beijing, 100872, China
- School of Public Administration and Policy, Renmin University of China, Beijing, 100872, China
| | - Jingmin Zhu
- Department of Epidemiology and Public Health, University College London, London, WC1E 7HB, UK.
| | - Xueyao Wang
- Center for Health Policy Research and Evaluation, Renmin University of China, Beijing, 100872, China
- School of Public Administration and Policy, Renmin University of China, Beijing, 100872, China
| | - Jue Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Centre, Beijing, 100191, China.
- Institute for Global Health and Development, Peking University, Beijing, 100871, China.
- Key Laboratory of Reproductive Health, National Health Commission of the People's Republic of China, Beijing, 100083, China.
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Chang R, Zhang L, Cao W, Zhang B. Factor structure of the Center for Epidemiological Studies Depression (CES-D) scale among Chinese coal miners. CURRENT PSYCHOLOGY 2023. [DOI: 10.1007/s12144-023-04459-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
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Liu S, Chen Y, Chen Y, Hu T, Wang Z, Wang R, Hu F, Xu C, Yu X, Liu Y, Chen H, Xia D, Zou H, Zhang K, Cao B, Shang M, Wang Y. Reliability and Validity of the Defeat Scale among Internal Migrant Workers in China: Decadence and Low Sense of Achievement. Healthcare (Basel) 2023; 11:healthcare11060781. [PMID: 36981437 PMCID: PMC10048584 DOI: 10.3390/healthcare11060781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 02/08/2023] [Accepted: 02/16/2023] [Indexed: 03/30/2023] Open
Abstract
INTRODUCTION Internal migrant workers have a great chance to experience defeat due to their low social status and economic situation. It has been reported that defeat might play a prospective role in predicting depression and anxiety; however, defeat is rarely explored among internal migrant workers due to the lack of appropriate measurement scales. The defeat scale (DS) can measure the feeling of defeat, social hierarchy reduction, and loss in social struggle. But its reliability and validity among internal migrant workers have not been reported. This study aimed to verify the content validity and structural validity of the DS among internal migrant workers in China and to explore its correlations with anxiety and depression. METHODS 1805 internal migrant workers (IMWs) were recruited by stratified multistage sampling from 16 factories in Shenzhen, China. The content validity index (CVI) was used to assess content validity. Cronbach's coefficient alpha of each factor and the total scale were calculated to assess the reliability of DS. The scree test was used to determine the number of factors. Convergent validity and discriminant validity were estimated by calculating the average variance extracted and composite reliability. Logistic regression was performed to explore the effects of DS scores on anxiety and depression. RESULTS Mean score of DS among IMWs was 18.42 ± 9.40. There were 606 (33.6%) IMWs who were considered to have depression symptoms, and 524 (29.0%) IMWs were considered to have anxiety symptoms. A two-factor model was obtained and fitted well (CFI = 0.956, GFI = 0.932, IFI = 0.956, RMSEA = 0.068, SRMR = 0.052). Cronbach's alpha reliability coefficient for the DS was 0.92. Logistic regression showed that DS scores were positively associated with anxiety and depression among IMWs. CONCLUSIONS DS performed well among IMWs on content validity and structural validity, and it was suitable as a measurement instrument to assess defeat among this population. Defeat was positively associated with anxiety and depression and might play an important role in the mental health of IMWs.
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Affiliation(s)
- Shangbin Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Yingjie Chen
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Yaqi Chen
- Shenzhen Longhua District Center for Disease Control and Prevention, Shenzhen 518109, China
| | - Tian Hu
- Shenzhen Longhua District Center for Disease Control and Prevention, Shenzhen 518109, China
| | - Zixin Wang
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong 999077, China
| | - Rongxi Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Fan Hu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Chen Xu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Xiaoyue Yu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Yujie Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Hui Chen
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Danni Xia
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Huachun Zou
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
- School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen 528406, China
- Kirby Institute, University of New South Wales, Sydney 4385, Australia
| | - Kechun Zhang
- Shenzhen Longhua District Center for Disease Control and Prevention, Shenzhen 518109, China
| | - Bolin Cao
- School of Media and Communication, Shenzhen University, Shenzhen 518061, China
| | - Meili Shang
- Sanlin Community Health Service Center, No. 375, Sanlin Road, Shanghai 200124, China
| | - Ying Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
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Dong E, Xu T, Sun X, Wang T, Wang Y, Shi J. Association between acculturation and physician trust for internal migrants: A cross-sectional study in China. PLoS One 2023; 18:e0280767. [PMID: 36893080 PMCID: PMC9997971 DOI: 10.1371/journal.pone.0280767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 01/06/2023] [Indexed: 03/10/2023] Open
Abstract
BACKGROUND Physician trust is a critical determinant of the physician-patient relationship and is necessary for an effective health system. Few studies have investigated the association between acculturation and physician trust. Thus, this study analyzed the association between acculturation and physician trust among internal migrants in China by using a cross-sectional research design. METHODS Of the 2000 adult migrants selected using systematic sampling, 1330 participants were eligible. Among the eligible participants, 45.71% were female, and the mean age was 28.50 years old (standard deviation = 9.03). Multiple logistic regression was employed. RESULTS Our findings indicated that acculturation was significantly associated with physician trust among migrants. The length of stay (LOS), the ability of speaking Shanghainese, and the integration into daily life were identified as contributing factors for physician trust when controlling for all the covariates in the model. CONCLUSION We suggest that specific LOS-based targeted policies and culturally sensitive interventions can promote acculturation among Shanghai's migrants and improve their physician trust.
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Affiliation(s)
- Enhong Dong
- School of Nursing and Health Management, Shanghai University of Medicine & Health Science, Pudong New District, Shanghai, China
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
- Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, Shanghai, China
| | - Ting Xu
- School of Nursing and Health Management, Shanghai University of Medicine & Health Science, Pudong New District, Shanghai, China
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
- Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, Shanghai, China
| | | | - Tao Wang
- Department of Emergency, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
- College of Arts and Media, Tongji University, Shanghai, China
| | - Yang Wang
- China Center for Health Development Studies, Peking University, Beijing, China
- * E-mail: (JS); (YW)
| | - Jiahua Shi
- HuangPu District Health Promotion Center, ShangHai, China
- * E-mail: (JS); (YW)
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Shen Z, Fang X, Zheng X. The impact of women's off-farm employment on depressive symptoms: Evidence from rural China. Soc Sci Med 2022; 311:115309. [PMID: 36088723 DOI: 10.1016/j.socscimed.2022.115309] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 07/19/2022] [Accepted: 08/21/2022] [Indexed: 11/20/2022]
Abstract
While China's economy has grown rapidly in recent decades, urban-rural inequalities in mental health have persisted, and depression is more prevalent among rural women. Using a nationally-representative survey data in China, this paper investigates the impact of women's off-farm employment on their depressive symptoms. Results from instrumental variable and individual fixed effects estimation show that women's participation in off-farm employment leads to a significant reduction in depressive symptoms. We further take into account the confounding effects of working conditions, and the main results are robust. Moreover, off-farm employment enhances women's mental health mainly through pathways including increased absolute income, higher self-perceived relative income, more frequent healthy behaviors, increased likelihood of health investment, and obtaining more formal social support. Further evidence suggests that the depression-reducing effect of off-farm employment is more effective for those with more severe depressive symptoms, middle-aged and elderly persons, and women with lower body mass index. The findings have important implications for preventing depressive disorders and improving mental health in China and other developing countries.
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Affiliation(s)
- Zheng Shen
- School of Economics and Management, Zhejiang A&F University, Hangzhou, 311300, China; Zhejiang Province Key Cultivating Think Tank-Research Academy for Rural Revitalization of Zhejiang Province, Zhejiang A&F University, Hangzhou, 311300, China.
| | - Xiangming Fang
- Academy of Global Food Economics and Policy, China Agricultural University, Beijing, 100083, China; School of Public Health, Georgia State University, Atlanta, GA, 30303, USA
| | - Xiaodong Zheng
- School of Economics, Zhejiang Gongshang University, Hangzhou, 310018, China
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Zhang G, Cai C, Zou W, Jing L, Wu S. Depressive symptoms and socioeconomic status among the labor force: Evidence from China's representative sample. PLoS One 2022; 17:e0272199. [PMID: 35994489 PMCID: PMC9394851 DOI: 10.1371/journal.pone.0272199] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 07/14/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES The purpose of this paper is to describe the prevalence of depressive symptoms in the Chinese labor force; to explore the relationship between depressive symptoms and socioeconomic status among the Chinese labor force, including both the structural determinants and the intermediary determinants of health inequities; and to identify vulnerable populations who would benefit from intervention measures. METHODS Data were from the China Labor-Force Dynamics Survey (CLDS) 2016. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depressive symptoms. The World Health Organization's theoretical framework of the social determinants of health was adopted to analyze the relationship between social determinants and depressive symptoms. RESULTS Of the participants in the research from the Chinese labor force, 17.34% were identified as having depressive symptoms. Depression was significantly related to socioeconomic factors such as hukou status (p < 0.05 in the age < 45 model), education (p < 0.01 in all five models), employment (p < 0.05 in the male model), income (p < 0.05 in all five models), and self-assessed social class position (p < 0.01 in all five models). Intermediary factors were also related to depressive symptoms, such as gender (p < 0.001 in the overall model), age (p < 0.05 in the overall model), marriage (p < 0.05 in the female model), occupational exposure (p < 0.01 in the overall model), exercise (p < 0.05 in all five models), and health insurance (p < 0.05 in the overall model). The results showed that low socioeconomic status was associated with an increased risk of depression and there were some gradient changes in the distribution of depressive symptoms in socioeconomic status. CONCLUSIONS The findings showed that depression symptoms are significantly related to structural determinants and intermediary determinants in China's labor force. There are some gradient changes in the distribution of depressive symptoms among people of different socioeconomic status. Low socioeconomic status is associated with increased risk of depression. Women, older people, and single and divorced people are the relative vulnerable groups in China's labor force.
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Affiliation(s)
- Guoying Zhang
- Department of Public Administration, School of Politics and Public Administration, South China Normal University, Guangzhou, China
| | - Chang Cai
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Wenxin Zou
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Lu Jing
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Shaolong Wu
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, China
- Sun Yat-sen Global Health Institute, Institute of State Governance, Sun Yat-sen University, Guangzhou, China
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Chen Y, Rafful C, Mercado M, Carte L, Morales-Miranda S, Cheristil J, Rocha-Jiménez T. Hoping for a Better Future during COVID-19: How Migration Plans Are Protective of Depressive Symptoms for Haitian Migrants Living in Chile. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9977. [PMID: 36011611 PMCID: PMC9408526 DOI: 10.3390/ijerph19169977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 08/05/2022] [Accepted: 08/10/2022] [Indexed: 06/15/2023]
Abstract
This paper explores the migration experiences, perceived COVID-19 impacts, and depression symptoms among Haitian migrants living in Santiago, Chile. Ninety-five participants from eight neighborhoods with a high density of Haitian migrants were recruited. Descriptive statistics, univariate analysis, and logistic regression analysis were conducted. Chi-squared tests were used to confirm univariate results. We found that 22% of participants had major depressive symptoms based on the CESD-R-20 scale, 87% reported major life changes due to COVID-19, and 78% said their migration plans had changed due to the pandemic. Factors associated with more depressive symptoms were being in debt (OR = 3.43) and experiencing discrimination (ORs: 0.60 to 6.19). Factors associated with less odds of depressive symptoms were social support (ORs: 0.06 to 0.25), change in migration plans due to COVID-19 (OR = 0.30), and planning to leave Chile (OR = 0.20). After accounting for relevant factors, planning to leave Chile is significantly predictive of fewer symptoms of depression. Haitian migrants living in Chile had a high prevalence of depression. Planning to leave Chile was a significant protector against depressive symptoms. Future studies should explore how nuanced experiences of uncertainty play out in migrants' lives, mental well-being, and planning for their future.
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Affiliation(s)
- Yijing Chen
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W 168th St, New York, NY 10032, USA
| | - Claudia Rafful
- Faculty of Psychology, Universidad Nacional Autonoma de Mexico, Circuito Ciudad Universitaria Avenida, C.U., Mexico City 04510, Mexico
- Center for Global Mental Health, National Institute of Psychiatry, Calz México-Xochimilco 101, Colonia, Huipulco, Tlalpan, Mexico City 14370, Mexico
| | - Mercedes Mercado
- Faculty of Psychology, Universidad Diego Portales, Santiago 8320000, Chile
| | - Lindsey Carte
- Núcleo de Ciencias Sociales y Humanidades, Universidad de la Frontera, Francisco Salazar 1450, Temuco 4811230, Chile
| | - Sonia Morales-Miranda
- Consorcio de Investigación sobre VIH SIDA TB CISIDAT, Dwight W. Morrow 8, Apt. 7, Centro, Cuernavaca 62000, Mexico
| | - Judeline Cheristil
- Project “When Reality Overcomes the Intention”, Las Condes 7560908, Chile
| | - Teresita Rocha-Jiménez
- Society and Health Research Center, Facultad de Ciencias Sociales y Artes, Universidad Mayor, Las Condes 4780000, Chile
- Millennium Nucleus on Sociomedicine (SocioMed), Las Condes 7560908, Chile
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陈 廷, 李 剑, 杨 洋. [Social Determinants Affecting Changes in Mental Health of Rural-Urban Migrant Population in Chengdu: An Oaxaca-Blinder Decomposition Analysis]. SICHUAN DA XUE XUE BAO. YI XUE BAN = JOURNAL OF SICHUAN UNIVERSITY. MEDICAL SCIENCE EDITION 2022; 53:656-662. [PMID: 35871737 PMCID: PMC10409457 DOI: 10.12182/20220760303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Accepted: 06/16/2022] [Indexed: 06/15/2023]
Abstract
Objective To investigate the social determinants that influenced the changes in the mental health of the rural-urban migrant population in Chengdu. Methods Using data from two cross-sectional surveys, one conducted in 2009 and another, in 2018, of the rural-urban migrant population in Chengdu, we analyzed the social determinants of mental health affecting the rural-urban migrant population in Chengdu by multiple linear regression, and analyzed the contribution of changes in social determinants to the disparity in mental health over a decade using the Oaxaca-Blinder decomposition analysis. Results This study included 3091 cases of rural-urban migrants in Chengdu, with 965 (31.22%) covered in the survey year of 2009 and 2126 (68.78%) covered in 2018. Multiple linear regression models were established with mental component summary (MCS) as the dependent variable, the social determinants of health as the independent variables, and gender, age, and survey year as covariates. The findings showed that being married ( β=2.33, P<0.001), drinking 1-2 times per week ( β=-1.42, P<0.05), illness within four weeks ( β=-2.57, P<0.001), and hospitalization in the past year ( β=-1.82, P<0.05), wage arrears ( β=-1.67, P<0.05), job satisfaction ( β=1.25, P<0.001), monthly housing costs (housing costs below monthly income: β=-1.55, P=0.001; housing costs above monthly income: β=-4.59, P=0.001) and housing condition ( β=0.23, P<0.05) had significant impact on the MCS of the rural-urban migrant population. The results of the Oaxaca-Blinder decomposition method showed that the MCS disparity between the two surveys was -4.7660 points. With 2018 as the base year, the explainable parts accounted for 15.80%. Being married, decrease in the prevalence of illnesses within four weeks, and increased job satisfaction formed positive contribution to the improvement of the mental health, and increase in the proportion of monthly housing expenses formed negative contribution. Conclusion Between 2009 and 2018, the mental health of the rural-urban migrant population in Chengdu showed improvement, and changes in marital status, illness within four weeks, job satisfaction, and monthly housing costs contributed to improvements in mental health during the period. Future intervention measures to promote the mental health of the floating population can be developed with the perspective of improving the social determinants of health in mind.
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Affiliation(s)
- 廷婷 陈
- 四川大学华西公共卫生学院/四川大学华西第四医院 健康行为与社会医学系 (成都 610041)Department of Health Behavior and Social Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
| | - 剑波 李
- 四川大学华西公共卫生学院/四川大学华西第四医院 健康行为与社会医学系 (成都 610041)Department of Health Behavior and Social Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 江苏省苏州市吴中区卫生健康委员会 医政管理与基层卫生科 (苏州 215104)Department of Medical Administration and Primary Health Care, Wuzhong District Health Commission, Suzhou, Jiangsu Province, Suzhou 215104, China
| | - 洋 杨
- 四川大学华西公共卫生学院/四川大学华西第四医院 健康行为与社会医学系 (成都 610041)Department of Health Behavior and Social Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
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15
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Chen L, Jilili M, Wang R, Liu L, Yang A. The Influence of Person-Job Fit on Health Status and Depression Among Chinese Domestic Workers: Mediating Effect of the Employer-Employee Relationship. Front Psychol 2022; 13:782022. [PMID: 35814157 PMCID: PMC9260232 DOI: 10.3389/fpsyg.2022.782022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 05/20/2022] [Indexed: 11/24/2022] Open
Abstract
Domestic workers usually perform manual work in households. Unlike fixed work, their work tends to be individualized and atomized. Their person-job fit and relationship with employers might exert some influence on their health, both physical and psychological. This quantitative study explores the association between person-job fit, health status, and depressive symptoms among Chinese domestic workers by identifying the employer-employee relationship as a mediator. Data is collected from a survey of Chinese domestic workers conducted in four cities of Nanjing, Wuxi, Guangzhou, and Foshan (N = 1,003) in 2019. We test our theoretical model by conducting structural equation modeling. The results show that demand-ability fit is indirectly related to heath status and depressive symptoms via the employer-employee relationship. Need-supply fit is significantly associated with health status and depressive symptoms both directly (70% for health status and 72% for depressive symptoms, separately) and indirectly, via the mediating effect of the employer-employee relationship (30% for health and 28% for depressive symptoms, separately). Our findings suggest that appropriate policy and vocational training should be implemented to improve the health status of Chinese domestic workers.
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Affiliation(s)
- Lijuan Chen
- High-Quality Development Evaluation Institute, Nanjing University of Posts and Telecommunications, Nanjing, China
| | - Maitixirepu Jilili
- School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
| | - Ruolin Wang
- School of Economics and Management, Shihezi University, Shihezi, China
| | - Linping Liu
- School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
| | - Anuo Yang
- School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
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16
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Yang Y, Chen B, Huang P, Wang Y, Zhang L, Cai F. Prevalence and influencing factors of depressive symptoms among rural-to-urban migrant workers in China: A systematic review and meta-analysis. J Affect Disord 2022; 307:11-19. [PMID: 35351493 DOI: 10.1016/j.jad.2022.03.061] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 03/20/2022] [Accepted: 03/23/2022] [Indexed: 01/03/2023]
Abstract
BACKGROUND Rural-to-urban migrant workers are a large group in China, and they are often more prone to mental health problems, especially depression. We expected to use meta-analysis to estimate the prevalence of depressive symptoms and the influencing factors of depressive symptoms among rural-to-urban migrant workers in China. METHODS PubMed, Web of Science, Embase, Scopus, CINAHL Complete, PsycARTICLES, CNKI, Wan Fang, CBM, and Cochrane were searched on October 16, 2021. The data were analyzed using OR and random effect model in Revman5.3 and STATA 15 Software. RESULTS We included 30 studies involving 43,884 rural-to-urban migrant workers. The prevalence of depressive symptoms among rural-to-urban migrant workers in China was 0.28 (95% CI:0.22, 0.34); Results of the meta-analysis showed that working hours, sleep status, self-rated health, financial condition, job satisfaction, marriage, and social support were correlated with depressive symptoms. LIMITATIONS The systematic review and meta-analysis included only cross-sectional studies, and more types of original studies on depressive symptoms of rural-to-urban migrant workers in China should be carried out in the future. CONCLUSION The prevalence of depressive symptoms among rural-to-urban migrant workers in China is 28%. Government departments can intervene early in the process to promote the mental health of this group based on influencing factors of depressive symptoms among rural-to-urban migrant workers in China.
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Affiliation(s)
- Yufan Yang
- The Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Bei Chen
- The Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Pan Huang
- College of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Yuxin Wang
- College of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Liping Zhang
- The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
| | - Fuman Cai
- College of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
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17
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Kang X, Du M, Wang S, Du H. Exploring the Effect of Health on Migrants' Social Integration in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084729. [PMID: 35457596 PMCID: PMC9024569 DOI: 10.3390/ijerph19084729] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 04/06/2022] [Accepted: 04/11/2022] [Indexed: 12/11/2022]
Abstract
There are 376 million migrants, which account for more than 25% of the population in China according to the newest national demographic census, most of whom are from undeveloped areas to developed urban regions. Migrants’ social integration was one of the most important issues when the country aimed to build an inclusive society. As a form of human capital, the effect of migrants’ health status on social integration has rarely been explored until now, especially empirically. Previous studies have usually ignored health indicators when discussing the determinants of migrants’ social integration, and understanding the role of migrants’ physical health and mental health on their social integration is significant for efforts to ensure inclusive urbanization. For filling this research gap, the China Migrants Dynamic Survey dataset was used to uncover the role of migrants’ health status, including physical health and mental health, in their degree of social integration, and a further comparison of impact was conducted among rural–urban and urban–urban migrants. Through the empirical analysis, our results indicated the following. First, both better physical and mental health lead to higher social integration levels, and a one-point increase in physical and mental health improves the odds of good social integration by 33.27% and 5.98% for belonging and 66.05% and 6.35% for harmony, respectively. Second, health status is equally important for rural–urban and urban–urban migrants’ social integration, and the significant positive effect was consistent across groups, although some other impact factors may exhibit differences. Third, the effect of health status on social integration was moderated by social participation, which was more obvious for mental health than physical health. According to our findings, we discuss the measures to promote migrants’ health status and additional countermeasures to improve their social integration level.
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Affiliation(s)
- Xiang Kang
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China;
| | - Mingxi Du
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China;
- Correspondence: (M.D.); (H.D.)
| | - Siqin Wang
- School of Economics and Finance, Xi’an Jiaotong University, Xi’an 710049, China;
| | - Haifeng Du
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China;
- Correspondence: (M.D.); (H.D.)
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18
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Assuring Social Equity and Improving Income from an Assessment of Government’s Supports in a Pandemic and Migrant Workers’ Integration in Vietnam. ECONOMIES 2022. [DOI: 10.3390/economies10040094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Income improvement is the primary expectation when deciding to migrate. However, due to the limited resources and urban facilities, informal sector work leads to an increasing income gap with local workers, migrant workers in big cities are considered the most vulnerable population. When there is no social policy, migrants are even more susceptible to the negative impacts of COVID-19. To identify necessary bases for short-term and long-term intervention to attract workers to return and quickly adapt to the urban life in the economic recovery process, the study surveyed to clarify the assessment of COVID-19 support packages from which the most beneficial are electricity and water exemption and reduction, food support, loan interest reduction, and loan for salary payment. The study also used survey results from two pandemic centers in the southern region to estimate factors and impacts on the workers’ income in terms of integration, the results show that the major significant factors are education, housing, work sector, self-employment, and social insurance. We take notices to enhance workers’ integration to help retain workers by short-term measurements from the support package’s assessments and long-term measurements from the income and integration estimates to attract workers after the pandemic.
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Cao H, Zhang K, Ye D, Cai Y, Cao B, Chen Y, Hu T, Chen D, Li L, Wu S, Zou H, Wang Z, Yang X. Relationships Between Job Stress, Psychological Adaptation and Internet Gaming Disorder Among Migrant Factory Workers in China: The Mediation Role of Negative Affective States. Front Psychol 2022; 13:837996. [PMID: 35391955 PMCID: PMC8982757 DOI: 10.3389/fpsyg.2022.837996] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 02/21/2022] [Indexed: 11/13/2022] Open
Abstract
Factory workers make up a large proportion of China's internal migrants and may be highly susceptible to job and adaptation stress, negative affective states (e.g., depression and anxiety), and Internet gaming disorder (IGD). This cross-sectional study investigated the relationships between job stress, psychological adaptation, negative affective states and IGD among 1,805 factory workers recruited by stratified multi-stage sampling between October and December 2019. Structural equation modeling (SEM) was conducted to test the proposed mediation model. Among the participants, 67.3% were male and 71.7% were aged 35 years old or below. The prevalence of probable depression, probable anxiety, and IGD was 39.3, 28.7, and 7.5%. Being male, younger age, and shorter duration of living in Shenzhen were associated with higher IGD scores. Job stress was significantly associated with IGD (β = 0.11, p = 0.01) but not with negative affective states (β = 0.01, p = 0.77). Psychological adaptation was significantly associated with negative affective states (β = -0.37, p < 0.001) but not with IGD (β = 0.09, p > 0.05). Negative affective states were positively associated with IGD (β = 0.27, p < 0.001). The indirect effect of psychological adaptation (β = -0.10, p = 0.004) but not job stress (β = 0.003, p = 0.77) on IGD through negative affective states was statistically significant. The observed psychological correlates and mechanisms are modifiable, and can inform the design of evidence-based prevention programs for depression, anxiety, and IGD in this population.
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Affiliation(s)
- He Cao
- Longhua District Center for Disease Control and Prevention, Shenzhen, China
| | - Kechun Zhang
- Longhua District Center for Disease Control and Prevention, Shenzhen, China
| | - Danhua Ye
- Faculty of Medicine, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Yong Cai
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Bolin Cao
- School of Media and Communication, Shenzhen University, Shenzhen, China
| | - Yaqi Chen
- Longhua District Center for Disease Control and Prevention, Shenzhen, China
| | - Tian Hu
- Longhua District Center for Disease Control and Prevention, Shenzhen, China
| | - Dahui Chen
- Shenzhen Health Development Research and Date Management Center, Shenzhen, China
| | - Linghua Li
- Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, China
| | - Shaomin Wu
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Huachun Zou
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.,Kirby Institute, University of New South Wales, Sydney, NSW, Australia
| | - Zixin Wang
- Faculty of Medicine, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Xue Yang
- Faculty of Medicine, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
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20
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Shi X. Moving out but not for the better: Health consequences of interprovincial rural-urban migration in China. HEALTH ECONOMICS 2022; 31:555-573. [PMID: 34970819 DOI: 10.1002/hec.4468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 11/02/2021] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
Using panel data from a survey conducted by the Research Center for Rural Economy, this study overcomes the selection bias associated with most health status measures by incorporating dialect proximity as an instrumental variable to evaluate the causal effects of interprovincial migration on individuals' health status in China. The results indicate that, compared to an absorbed category, which includes intraprovincial migration and non-migration, interprovincial migration worsens health (measured by the self-reported health status score) by 3%. It is also found that, compared to intraprovincial migrants, interprovincial migrants are more likely to report a lower SHS score, whereas the health effect differences between interprovincial migrants and non-migrants are insignificant. The study identifies two potential mechanisms that explain this result: (i) The increase in income following migration may improve interprovincial migrants' health, and (ii) the exposure to hazardous working environments worsens health to a significant extent. This finding is also linked to the following gender-related finding: Compared to women, men are more likely to be employed in heavy industries with hazardous working environments; the negative effects of interprovincial migration on the health status are stronger for men than for women migrants, suggesting that the industry effect dominates.
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Affiliation(s)
- Xinjie Shi
- China Academy for Rural Development, School of Public Affairs, Zhejiang University, Hangzhou, China
- Australian Centre on China in the World & Crawford School of Public Policy, The Australian National University, Canberra, Australia
- Institute for Common Prosperity and Development, Zhejiang University, Hangzhou, China
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21
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Xu X, Zheng L, Xu T, He M. Intimate Partner Violence Victimization and Depressive Symptoms in Sichuan, China: Are There Gender Variations? JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP2538-NP2564. [PMID: 32713237 DOI: 10.1177/0886260520944564] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
An emerging body of research has linked intimate partner violence (IPV) victimization with negative mental health outcomes among women in postreform China. However, limited scholarly attention has been given to the independent effects of multiple types of IPV victimization on depressive symptoms among men and women. Little is known if these independent effects will vary by gender in China where research on the association between IPV victimization and mental health did not emerge until fairly recently. Given this research paucity, this study aims to (a) examine the independent effects of different types of lifetime IPV victimization among married men and women in Sichuan province on their self-reported past 30-day depressive symptoms and (b) explore possible gender variations in these effects. The data utilized in this study came from a subsample of married men (N = 1,083) and women (N = 1,185) from the Third Survey of Chinese Women's Social Status 2010, a representative sample of adults aged 18 to 64 in Sichuan province. Statistical analyses indicate that all types of lifetime IPV victimization are significantly and positively associated with past 30-day depressive symptoms for women, whereas for men lifetime experiences of general controlling behavior and sexual IPV were not statistically associated with depressive symptoms. Moreover, the effects of multiple types of IPV victimization on depressive symptoms do not significantly vary by gender. Bearing this gender-neutral pattern in mind, health professionals, governmental officials, and researchers are strongly encouraged to focus on both married men and women in their IPV and mental health intervention, prevention, and treatment endeavors in postreform China.
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Affiliation(s)
- Xiaohe Xu
- The University of Texas at San Antonio, USA
- Sichuan University, Chengdu, China
| | - Li Zheng
- Sichuan University, Chengdu, China
| | - Ting Xu
- Sichuan University, Chengdu, China
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22
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Mo PKH, Cheng Y, Lau JTF. Work-related factors on mental health among migrant factory workers in china: Application of the Demand-Control and Effort-Reward Imbalance Model. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:656-667. [PMID: 32989898 DOI: 10.1111/hsc.13176] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 08/13/2020] [Accepted: 08/19/2020] [Indexed: 06/11/2023]
Abstract
Mental health problems are prevalent among migrant workers in China. The present study examined the prevalence of mental health problems (depression, anxiety and suicidal ideation) among migrant workers in China, and identified the work-related factors associated with their mental health problems based on the Demand-Control and Effort-Reward Imbalance Model. A total of 807 migrant workers were recruited from three factories in Shenzhen using stratified randomized sampling. The prevalence of moderate-to-severe anxiety, mild-to-severe depression and suicidal ideation in the past year was 17.8%, 60.3% and 4.8% respectively. Results from stepwise regression analyses reported that role conflict and effort were risk factors, whereas utilization of job skills and reward were protective factors for anxiety and depression. Social support was also associated with lower level of depression. Effort was the only factor associated with suicidal ideation in the stepwise analysis. Interventions to improve their mental health are warranted and they should work to reduce their role conflict, improve effort-reward balance, promote utilization of skills and increase social support.
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Affiliation(s)
- Phoenix K H Mo
- Centre for Health Behaviors Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region, China
- The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China
| | - Yu Cheng
- Department of Anthropology, School of Sociology and Anthropology, Sun Yat-Sen University, Guangzhou, China
| | - Joseph T F Lau
- Centre for Health Behaviors Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region, China
- The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China
- Centre for Medical Anthropology, Behavioral Health, Sun Yat-Sen University, Guangzhou, China
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23
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Sznajder KK, Harlow SD, Wang J, Tso L, Ashagre Y, Han C. Factors associated with symptoms of poor mental health among women factory workers in China's supply chain. Int Arch Occup Environ Health 2022; 95:1209-1219. [PMID: 35001196 PMCID: PMC8743097 DOI: 10.1007/s00420-021-01820-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 11/15/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Foreign direct investment (FDI) to China has motivated increased labor migration to export processing zones (EPZs). Work environments with high occupational stress, such as production line jobs typical in EPZs, have been associated with adverse mental health symptoms. METHODS A cross-sectional survey that examined occupational stress and symptoms of poor mental health was implemented among Chinese women factory workers in three electronic factories in the Tianjin Economic-Technological Development Area. Symptoms of mental health measured in the survey were hopelessness, depression, not feeling useful or needed, and trouble concentrating. Crude and adjusted prevalence odds ratios and their 95% confidence intervals were calculated with logistic regression. RESULTS Responses were collected from 696 women factory workers. Participants were aged 18-56 years (mean 28 ± 5.8), 66% of whom were married and 25% of whom were migrants. Nearly 50% of participants reported at least one symptom of poor mental health. After adjusting for covariates associated with each outcome in the bivariate analysis, high job strain was associated with hopelessness (OR 2.68, 95% CI 1.58, 4.56), not feeling useful (OR 2.05, 95% CI 1.22, 3.43), and feeling depressed (OR 1.78, 95% CI 1.16, 2.72). CONCLUSION This study expands on the international body of research on the well-being of women working in the global supply chain and provides evidence on the associations between occupational stressors, migration, and social support on symptoms of poor mental health among women workers. Future research to better understand and improve psychological health and to prevent suicide among workers in China's factories is critical to improve the health of China's labor force.
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Affiliation(s)
- K. K. Sznajder
- Department of Public Health Sciences, Penn State University College of Medicine, 90 Hope Drive, Hershey, PA 17033 USA
| | - S. D. Harlow
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI USA
| | - J. Wang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning China
| | - L. Tso
- Anthropology, Global Health and Medical Humanities Initiative, Massachusetts Institute of Technology, Cambridge, MA USA ,Center for Health and Human Development Studies, Sun Yat-Sen University, Guangzhou, Guangdong China
| | - Y. Ashagre
- Department of Public Health Sciences, Penn State University College of Medicine, 90 Hope Drive, Hershey, PA 17033 USA
| | - C. Han
- Department of Occupational and Environmental Health, Tianjin Centers for Disease Control and Prevention, Tianjin, China
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24
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Zhou F, Peng B, Chu M, Zhang H, Shi L, Ling L. Association between migration paths and mental health of new-generation migrants in China: The mediating effect of social integration. Front Psychiatry 2022; 13:967291. [PMID: 36159950 PMCID: PMC9490027 DOI: 10.3389/fpsyt.2022.967291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Accepted: 08/15/2022] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND The new-generation migrants born in 1980 and later are large and vulnerable internal migrants in China. Migration paths and social integration are important factors to explain for their mental health. However, they faced difficulties in social integration varying from migration paths. We aimed to explore the mediating role of social integration between migration paths and the mental health of new-generation migrants. METHODS The migration paths included urban-to-urban, urban-to-rural, rural-to-urban and rural-to-rural. Mental health was assessed by the Kessler Screening Scale for Psychological Distress (K6) and the Perceived Stress Scales (PSS-4). Social integration was measured by economic integration, life integration, maintenance of the local culture, acceptance of the host culture and psychological integration. Multiple linear regressions with bootstrapping were used to examine the mediating effect. RESULTS A total of 9,830 new-generation migrants were included in this study. The mean age was 26.92 (SD = 4.47) years and the proportion of rural-to-urban migrants was 63.7%. Compared with the new generation of rural-to-rural migrants, rural-to-urban migrants had higher psychological distress (β = 0.305, 95% CI: 0.152-0.458) and perceived stress (β = 0.328, 95% CI: 0.199-0.456). The bootstrapping test found that two dimensions ("life integration" and "acceptance of the host culture") of social integration as a mediator weakened the negative effect of the rural-to-urban migration path on the mental health of new-generation migrants. CONCLUSION Rural-to-urban migrants had poorer mental health, and the association was mediated by their poorer social integration. The migration policies developed to enhance social integration could effectively improve the mental health of new-generation migrants.
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Affiliation(s)
- Fenfen Zhou
- Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.,Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
| | - Boli Peng
- Department of Actuarial Science, School of Insurance, Guangdong University of Finance, Guangzhou, China
| | - Muyang Chu
- Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.,Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
| | - Hui Zhang
- Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Lishuo Shi
- The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Li Ling
- Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.,Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
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25
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Xiang YT, Cai H, Sun HL, Su Z, Cheung T, Ng CH. Prevalence of mental disorders in China. Lancet Psychiatry 2022; 9:13-14. [PMID: 34921786 DOI: 10.1016/s2215-0366(21)00430-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Revised: 10/06/2021] [Accepted: 10/13/2021] [Indexed: 10/19/2022]
Affiliation(s)
- Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao Special Administrative Region, 999078, China; Centre for Cognitive and Brain Sciences, University of Macau, Macao Special Administrative Region, 999078, China; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao Special Administrative Region, 999078, China.
| | - Hong Cai
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao Special Administrative Region, 999078, China; Centre for Cognitive and Brain Sciences, University of Macau, Macao Special Administrative Region, 999078, China; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao Special Administrative Region, 999078, China
| | - He-Li Sun
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao Special Administrative Region, 999078, China; Centre for Cognitive and Brain Sciences, University of Macau, Macao Special Administrative Region, 999078, China; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao Special Administrative Region, 999078, China
| | - Zhaohui Su
- Center on Smart and Connected Health Technologies, Mays Cancer Center, School of Nursing, UT Health San Antonio, San Antonio, TX, USA
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China
| | - Chee H Ng
- Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, VIC, Australia
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26
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Ding X, Rong S, Wang Y, Li D, Wen L, Zou B, Zang D, Feng K, Liang Y, Wang F, Zhai G. The Association of the Prevalence of Depression in Type 2 Diabetes Mellitus with Visual-Related Quality of Life and Social Support. Diabetes Metab Syndr Obes 2022; 15:535-544. [PMID: 35237054 PMCID: PMC8882658 DOI: 10.2147/dmso.s343926] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 01/22/2022] [Indexed: 11/23/2022] Open
Abstract
AIM To report the prevalence of depression and its association with vision-related quality of life and social support in a type 2 diabetes mellitus (T2DM) population. METHODS Patients were recruited from a community-based study, Fushun Diabetic Retinopathy Cohort Study (FS-DIRECT), conducted between July 2012 and May 2013 in China. Depression was assessed using the Centre for Epidemiological Studies Depression Scale (CES-D). Vision-related quality of life was evaluated using the Visual Function Questionnaire-25 (VFQ-25). Social support was captured with the Social Support Rating Scale (SSRS). Generalized linear models were used to estimate the individual and joint association of VFQ-25 composite score (VFQCS) and SSRS score (SSRSS) with depression. RESULTS A total of 1618 subjects (60.9% female) aged 61.69 ± 8.72 years in an urban district of Jiangjun Street, Fushun City, Liaoning province, Northeast China from July 2012 to May 2013 were recruited, of which, 23.36% (95% CI: 21.30-25.42%) were identified with depression. Every 14.1 increase in VFQ-25 composite score decreased the risk of depression by half (OR = 0.5; 95% CI: 0.4-0.6); with the elevation of 10.0 SSRS score the risk of depression decreased by 40% (OR = 0.6; 95% CI: 0.5-0.7). Patients with the VFQCS less than 91.3 and SSRSS less than 38.0 had 5.9 times more risk of depression (OR = 5.9; 95% CI: 3.6-9.7). Age (over 60 years) (OR = 0.6; 95% CI: 0.4-0.9) and medical history of cardiovascular disease (OR = 1.7; 95% CI: 1.1-2.5) were independently correlated with depression symptom. CONCLUSION The prevalence of depression is high among patients with T2DM in urban district in northeast China. Vision-related quality of life and social support scores are significantly associated with depression. Measures should be taken to screen depressive symptoms in patients with type 2 diabetes patients. These patients need to be intervened with appropriate and effective treatment as early as possible. Meanwhile, behavioral health specialists should guide the patient to get and use social support sources effectively.
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Affiliation(s)
- Xiaoxia Ding
- Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, People’s Republic of China
| | - Shisong Rong
- Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear, Boston, MA, USA
| | - Yu Wang
- Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, People’s Republic of China
| | - Dong Li
- Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, People’s Republic of China
| | - Liang Wen
- Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, People’s Republic of China
| | - Bo Zou
- Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, People’s Republic of China
| | - Dongxiao Zang
- Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, People’s Republic of China
| | - Kemi Feng
- Department of Ophthalmology, the Affiliated Eye Hospital, School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou, Zhejiang, People’s Republic of China
| | - Yuanbo Liang
- Department of Ophthalmology, the Affiliated Eye Hospital, School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou, Zhejiang, People’s Republic of China
| | - Fenghua Wang
- Department of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Laboratory, Beijing, People’s Republic of China
| | - Gang Zhai
- Department of Ophthalmology, Fushun Eye Hospital, Fushun, Liaoning, People’s Republic of China
- Correspondence: Gang Zhai, Fushun Eye Hospital, No. 1 Hupo Street, Xinfu District, Fushun, Liaoning, 113008, People’s Republic of China, Email
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27
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Pangaribuan SM, Lin YK, Lin MF, Chang HJ. Mediating Effects of Coping Strategies on the Relationship Between Mental Health and Quality of Life Among Indonesian Female Migrant Workers in Taiwan. J Transcult Nurs 2021; 33:178-189. [PMID: 34784809 DOI: 10.1177/10436596211057289] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Mental health is a major concern among migrant workers worldwide. More than 200,846 female migrant workers in Taiwan are from Indonesia. The study's purpose was to investigate mediating effects of coping strategies on the relationship between mental health problems and the quality of life (QoL). METHOD This cross-sectional study was conducted in Taiwan. In total, 500 Indonesian female migrant workers completed four questionnaires. A mediation test was conducted to estimate direct and indirect effects. RESULTS Coping strategies, namely substance use, behavioral disengagement, denial, and religious dedication, partially mediated the relationship between mental health problems (depression, anxiety, and stress) and QoL among Indonesian female migrant workers in Taiwan. DISCUSSION Health promotion programs should be developed for Indonesian female migrant workers in Taiwan to help them detect and overcome their mental health problems. Interventions that facilitate effective coping strategies should be administered to improve their QoL.
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Affiliation(s)
| | - Yen-Kuang Lin
- School of Nursing, College of Nursing, Taipei Medical University, Taipei
| | - Mei-Feng Lin
- Department of Nursing, College of Medicine, National Cheng Kung University, Tainan City, Taiwan
| | - Hsiu-Ju Chang
- College of Nursing, Department of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan
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28
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Yang F, Zou X, Xiong M, Hall BJ, Sakyi K, Ong JJ, Bodomo A, Cao H, Yang B, Wang C. Mental health on the move: An observational study to characterize post-migration depression symptoms among migrants from Sub-Saharan Africa in China. J Psychosom Res 2021; 149:110602. [PMID: 34467887 DOI: 10.1016/j.jpsychores.2021.110602] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Revised: 08/17/2021] [Accepted: 08/19/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Migrants from Sub-Saharan Africa to China faced challenges in accessing healthcare. Less is known about their depression prevalence. We aim to address this gap by providing an initial estimation on symptoms indicative of depression. METHODS A cross-sectional survey was conducted from August to October in 2019. Eligibility was defined as being originally from a Sub-Saharan African country and cumulative residence in China for at least one month. A convenience sample was drawn from snowball sampling online and venue-based sampling by community outreach. The primary outcome, symptoms indicative of depression, were measured by the Centre for Epidemiologic Studies Depression Scale using 16 as the cutoff. Multivariable logistic regressions were employed to examine the association between depression symptoms and their migration-related correlates. Data were analyzed using SAS 9.4. RESULTS The prevalence of symptoms indicative of depression assessed by CES-D was high at 44% among 928 participants when using 16 as a cutoff. Depression symptoms were associated with unsatisfactory housing conditions (aOR: 1.7, 95%CI: 0.8 to 3.3) and perception of very unfriendly attitudes from the local people (aOR: 4.5, 95%CI: 1.2 to 16.1) after adjusting for covariates. CONCLUSIONS Depression symptoms were prevalent among SSA migrants in China and warrants attention and intervention. Support should be provided during the post-migration period in China to mitigate depression risks. Future studies are needed to build more evidence on SSA migrants' mental health and to inform global health policies and programming.
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Affiliation(s)
- Fan Yang
- Dermatology Hospital of Southern Medical University, Guangzhou, China; Southern Medical University Institute for Global Health and Sexually Transmitted Diseases, Guangzhou, China; University of North Carolina at Chapel Hill, Project-China, Guangzhou, China; Peking University Institute of Population Research, Beijing, China.
| | - Xia Zou
- Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
| | - Mingzhou Xiong
- Dermatology Hospital of Southern Medical University, Guangzhou, China; Southern Medical University Institute for Global Health and Sexually Transmitted Diseases, Guangzhou, China; Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong, China
| | - Brian J Hall
- Department of Psychology, University of Macau, Macau, China.
| | - Kwame Sakyi
- School of Health Sciences, Oakland University, Rochester Hills, USA.
| | - Jason J Ong
- Central Clinical School, Monash University, Melbourne, Australia.
| | - Adams Bodomo
- School of Liberal Arts, Xi'a University, Xi'an, China; African Studies Department, University of Vienna, Vienna, Austria.
| | | | - Bin Yang
- Dermatology Hospital of Southern Medical University, Guangzhou, China; Southern Medical University Institute for Global Health and Sexually Transmitted Diseases, Guangzhou, China
| | - Cheng Wang
- Dermatology Hospital of Southern Medical University, Guangzhou, China; Southern Medical University Institute for Global Health and Sexually Transmitted Diseases, Guangzhou, China; Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong, China.
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29
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Hu X, Sun M, Tang S, Lommel LL. Frequency of basic public health services utilization by married female migrants in China: associations of social support, discrimination and sociodemographic factors. BMC WOMENS HEALTH 2021; 21:344. [PMID: 34583678 PMCID: PMC8480003 DOI: 10.1186/s12905-021-01482-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 09/17/2021] [Indexed: 11/15/2022]
Abstract
Background Utilization of basic public health services (BPHS) allows for disease prevention and management and is an essential component for protecting health. Disparities in utilization exist between rural-to-urban migrants and their local counterparts in China. This study sought to determine the frequency of BPHS utilization and whether social support, discrimination, and sociodemographic features were risk factors for low BPHS utilization by Chinese female migrants. Methods Data were derived from a survey of female rural-to-urban migrants at nine work sites in Changsha, China. The association between social support, discrimination, sociodemographic factors and BPHS utilization was obtained using Chi-square and logistic regression analysis. Results Between December 2017 and April 2018, 307 female participants completed the survey. A total of 24.7% reported having had health education, 26.1% had breast and cervical cancer screening, 27.2% had established a health care record, and 40.9% had received basic contraceptive services. Two factors were associated with the reduced likelihood of BPHS utilization: Length of migration and health record establishment (OR = 0.53; 95% CI = 0.31, 0.92) and years of education and basic contraceptive service use (OR = 0.36; 95% CI = 0.20, 0.67). The remaining six factors were associated with an increased likelihood of BPHS utilization: Living circumstances and health record establishment (OR = 2.11; 95% CI = 1.17, 3.80), health education (OR = 2.71; 95% CI = 1.51, 4.87) and cancer screening (OR = 2.38; 95% CI = 1.30, 4.36). Utilization of social support was associated with health record establishment (OR = 1.24; 95% CI = 1.06, 1.44), basic contraceptive service use (OR = 1.21; 95% CI = 1.04, 1.42) and cancer screening (OR = 1.29; 95% CI = 1.10, 1.51). Objective social support was associated with health education utilization (OR = 1.15; 95% CI = 1.04, 1.26), while subjective social support was associated with basic contraceptive service use (OR = 1.11; 95% CI = 1.05, 1.18) and cancer screening (OR = 1.10; 95% CI = 1.02, 1.17). Family location was associated with basic contraceptive service use (OR = 1.96; 95% CI = 1.12, 3.44) and migration time in Changsha was associated with basic contraceptive service use (OR = 2.24; 95% CI = 1.18, 4.27). Conclusions Overall, there was low utilization rate for four BPHS by Chinese female migrants, and social support appears to be an important factor in this setting. Government, community, and workplace education efforts for enhancing BPHS utilization among female rural-to-urban migrants are recommended. Supplementary Information The online version contains supplementary material available at 10.1186/s12905-021-01482-3.
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Affiliation(s)
- Xin Hu
- No 172 Xiangya School of Nursing, Central South University, Tongzipo Road, Yuelu District, Changsha, Hunan Province, 410013, People's Republic of China.,Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, People's Republic of China
| | - Mei Sun
- No 172 Xiangya School of Nursing, Central South University, Tongzipo Road, Yuelu District, Changsha, Hunan Province, 410013, People's Republic of China. .,Hunan Women's Research Association, Changsha, Hunan, People's Republic of China.
| | - Siyuan Tang
- No 172 Xiangya School of Nursing, Central South University, Tongzipo Road, Yuelu District, Changsha, Hunan Province, 410013, People's Republic of China.,Hunan Women's Research Association, Changsha, Hunan, People's Republic of China
| | - Lisa L Lommel
- Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, CA, USA
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30
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Yang M, Hagenauer J, Dijst M, Helbich M. Assessing the perceived changes in neighborhood physical and social environments and how they are associated with Chinese internal migrants' mental health. BMC Public Health 2021; 21:1240. [PMID: 34182975 PMCID: PMC8240258 DOI: 10.1186/s12889-021-11289-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 06/09/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Migrants experience substantial changes in their neighborhood physical and social environments along their migration journeys, but little is known about how perceived changes in their neighborhood environment pre- and post-migration correlate with their mental health. Our aim was to examine the associations between recalled changes in the perceived neighborhood physical and social environments and migrants' mental health in the host city. METHODS We used cross-sectional data on 591 migrants in Shenzhen, China. We assessed their risk of mental illness using the General Health Questionnaire (GHQ). Neighborhood perceptions were collected retrospectively pre- and post-migration. We used random forests to analyze possibly non-linear associations between GHQ scores and changes in the neighborhood environment, variable importance, and for exploratory analysis of variable interactions. RESULTS Perceived changes in neighborhood aesthetics, safety, and green space were non-linearly associated with migrants' mental health: A decline in these characteristics was associated with poor mental health, while improvements in them were unrelated to mental health benefits. Variable importance showed that change in safety was the most influential neighborhood characteristic, although individual-level characteristics-such as self-reported physical health, personal income, and hukou (i.e., the Chinese household registration system)-appeared to be more important to explain GHQ scores and also strongly interacted with other variables. For physical health, we found different associations between changes in the neighborhood provoked by migration and mental health. CONCLUSION Our findings suggest that perceived degradations in the physical environment are related to poorer post-migration mental health. In addition, it seems that perceived changes in the neighborhood environment play a minor role compared to individual-level characteristics, in particular migrants' physical health condition. Replication of our findings in longitudinal settings is needed to exclude reverse causality.
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Affiliation(s)
- Min Yang
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Princetonlaan 8A, Utrecht, CB 3584 The Netherlands
| | - Julian Hagenauer
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Princetonlaan 8A, Utrecht, CB 3584 The Netherlands
| | - Martin Dijst
- LISER, Luxembourg Institute of Socio-Economic Research, Esch-sur-Alzette, Luxembourg
- University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Marco Helbich
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Princetonlaan 8A, Utrecht, CB 3584 The Netherlands
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31
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Li Q, Du H, Chi P. Job stress and well‐being among internal migrant workers in China: A review and meta‐analysis. Appl Psychol Health Well Being 2021; 13:537-558. [DOI: 10.1111/aphw.12266] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 02/17/2021] [Accepted: 02/23/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Qianfeng Li
- Institute of Advanced Studies in Humanities and Social Sciences Beijing Normal University at Zhuhai Zhuhai China
- Department of Psychology University of Macau Macau SAR China
- Faculty of Education Beijing Normal University Beijing China
| | - Hongfei Du
- Institute of Advanced Studies in Humanities and Social Sciences Beijing Normal University at Zhuhai Zhuhai China
| | - Peilian Chi
- Department of Psychology University of Macau Macau SAR China
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32
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Li W, Liu E, Balezentis T, Jin H, Streimikiene D. Association between socioeconomic welfare and depression among older adults: Evidence from the China health and Retirement Longitudinal Study. Soc Sci Med 2021; 275:113814. [PMID: 33721747 DOI: 10.1016/j.socscimed.2021.113814] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 01/05/2021] [Accepted: 03/01/2021] [Indexed: 10/22/2022]
Abstract
This study aims to examine the association between province-level socioeconomic welfare factors and depression symptoms among older adults in China. Province-level socioeconomic characteristics were merged with microdata for respondents over 65 years from the 2018 China Health and Retirement Longitudinal Study (CHARLS) Wave 4 (N = 6657). Principal component analysis (PCA) was used to extract three socioeconomic welfare factors constructed from 14 province-level variables. A Bayesian mixed-effects logistic model was applied to measure the association between the three socioeconomic welfare factors and depression symptoms while controlling for socio-demographic variables. The PCA showed that economic welfare, medical resource welfare, and social service welfare together explained 72.2 percent of the total variance of the 14 province-level variables. It was found that increasing economic welfare was significantly associated with a lower probability of depression symptoms (OR = 0.806, 95%CI: [0.674, 0.967]), while medical facilities were associated with a higher probability of depression symptoms (OR = 1.181, 95%CI: [1.029, 1.354]) among Chinese older adults. Uncertainty existed as to whether having access to social welfare (OR = 0.941, 95%CI: [0.835, 1.060]) was associated with prevalence of depression. Thus, improved socioeconomic welfare systems for older adults (which possibly require an increase in spending) are necessary to contribute further to reduced depression risk in China. Policymakers should also improve the utilization of medical resources to mitigate the incidence of depression among the elderly in China.
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Affiliation(s)
- Wei Li
- Department of Data Science, Zhejiang University of Finance and Economics Dongfang College, Haining, Zhejiang, 314408, China.
| | - Echu Liu
- Department of Health Management and Policy, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, 63104, USA.
| | | | - Huanhuan Jin
- Hangzhou College of Commerce, Zhejiang Gongshang University, Hangzhou, 310012, China.
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Deng Z, Law YW. Rural-to-urban migration, discrimination experience, and health in China: Evidence from propensity score analysis. PLoS One 2020; 15:e0244441. [PMID: 33370369 PMCID: PMC7769422 DOI: 10.1371/journal.pone.0244441] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 12/09/2020] [Indexed: 11/18/2022] Open
Abstract
This research examines how rural-to-urban migration influences health through discrimination experience in China after considering migration selection bias. We conducted propensity score matching (PSM) to obtain a matched group of rural residents and rural-to-urban migrants with a similar probability of migrating from rural to urban areas using data from the 2014 China Family Panel Studies (CFPS). Regression and mediation analyses were performed after PSM. The results of regression analysis after PSM indicated that rural-to-urban migrants reported more discrimination experience than rural residents, and those of mediation analysis revealed discrimination experience to exert negative indirect effects on the associations between rural-to-urban migration and three measures of health: self-reported health, psychological distress, and physical discomfort. Sensitivity analysis using different calipers yielded similar results. Relevant policies and practices are required to respond to the unfair treatment and discrimination experienced by this migrant population.
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Affiliation(s)
- Zihong Deng
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, China
| | - Yik Wa Law
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, China
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Estimating rural–urban disparities in self-rated health in China: Impact of choice of urban definition. DEMOGRAPHIC RESEARCH 2020. [DOI: 10.4054/demres.2020.43.49] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Jiang Y, Luo H, Yang F. Influences of Migrant Construction Workers' Environmental Risk Perception on their Physical and Mental Health: Evidence from China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E7424. [PMID: 33053832 PMCID: PMC7601608 DOI: 10.3390/ijerph17207424] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 10/09/2020] [Accepted: 10/11/2020] [Indexed: 02/07/2023]
Abstract
Employing Chinese General Social Survey 2013 data (N = 678), this study examines the influences of migrant construction workers' environmental risk perception (ERP) on their physical and mental health. The ERP of migrant construction workers is characterized by six dimensions: perceptions of air pollution, industrial waste pollution and noise pollution at working sites, and perceptions of domestic waste pollution, water pollution and food pollution at living sites. The results indicate that migrant construction workers with stronger ERP have better physical and mental health. The results also suggest the influences of ERP on the physical and mental health of migrant construction workers with different gender and age (<50 and ≥50 years) are heterogeneous. Perceptions of industrial waste pollution, noise pollution and domestic waste pollution significantly affect female workers' physical health, but not that of male workers. The six dimensions of ERP all significantly influence male workers' mental health, while except for domestic waste pollution perception, the other perceptions do not influence that of female workers. Perceptions of air pollution, domestic waste pollution, and water pollution significantly influence physical health of workers aged 50 and above, while those of ERP do not work on that of workers younger than 50. Perception of food pollution significantly influences mental health of workers younger than 50, but not that of workers aged 50 and above. The seemingly unrelated regression shows the results in this paper are robust.
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Affiliation(s)
- Yao Jiang
- Department of Accounting, School of Management, Sichuan Agricultural University, Chengdu 611130, China;
| | - Huawei Luo
- Department of Accounting, School of Management, Sichuan Agricultural University, Chengdu 611130, China;
| | - Fan Yang
- Department of Labor and Social Security, School of Public Administration, Sichuan University, Chengdu 610065, China
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Chen L, Ngoubene-Atioky AJ, Zanardelli G, Yuanping D, Yu L. Childhood Abuse and Suicidal Behaviors Among Chinese Migrant Workers: The Mediating Role of Alexithymia and Social Support. Arch Suicide Res 2020; 24:633-647. [PMID: 31502515 DOI: 10.1080/13811118.2019.1658142] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
This study aims to investigate the lifetime prevalence of suicidal behaviors in a sample of Chinese migrant workers. It also examined the mediating role of alexithymia and social support in the link between childhood abuse and suicidal behaviors. A total of 1,563 migrant workers were surveyed by using cluster sampling. Results showed that the estimated lifetime prevalence of suicide ideation, plan, and attempt among Chinese migrant workers was 12.8%, 8.1%, and 4.6%, respectively. Structural equation modeling analyses revealed a significant positive association between childhood abuse and suicidal behaviors; this association was partially mediated by social support. A significant path from childhood abuse through alexithymia and social support to suicidal behaviors was also established. Findings of this study emphasize the importance of social support and alexithymia in understanding the possible mechanisms underlying the relationship between childhood abuse and suicidal behaviors and suggest possible avenues for suicide interventions.
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Tong L, Kawachi I. Experiences of discrimination and self-reported health in Chinese migrants: a structural equation model. BMC Public Health 2020; 20:1477. [PMID: 32993614 PMCID: PMC7526124 DOI: 10.1186/s12889-020-09588-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Accepted: 09/22/2020] [Indexed: 01/18/2023] Open
Abstract
Background Many migrants suffer from discrimination and poor health in China. We sought to examine the associations between experiences of discrimination and self-reported health among internal migrants in China, as well as the mediators of social integration and perceived stress. Methods The data was obtained from a specific survey of migrants, as a part of the National Health and Family Planning Dynamic Monitoring for Migrants conducted in 2014. A total of 15,999 migrants aged 15 to 59 years were recruited by a stratified, multistage clustered sampling procedure in eight Chinese cities. Structural Equation Modeling (SEM) was conducted. Results The results indicated that experiences of discrimination were associated with worse self-reported health (β = − 0.32, P < 0.001), less social integration (β = − 0.25, P < 0.001), as well as higher perceived stress (β = 0.21, P < 0.01). Both objectively measured socioeconomic status (β = 0.21, P < 0.001) and subjective social status (β = 0.21, P < 0.01) had significantly positive correlations with self-reported health. Conclusions The discrimination, social exclusion and perceived stress experienced by migrants have significant implications on their health.
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Affiliation(s)
- Lian Tong
- Department of Maternal and Child Health, School of Public Health, Fudan University, Shanghai, China. .,Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, USA. .,Key Laboratory Public Health Safety, Chinese Ministry of Education, P.O. Box 244, 138 Yixueyuan Road, Shanghai, 200032, China.
| | - Ichiro Kawachi
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, USA
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Consunji RJ, Mehmood A, Hirani N, El-Menyar A, Abeid A, Hyder AA, Al-Thani H, Peralta R. Occupational Safety and Work-Related Injury Control Efforts in Qatar: Lessons Learned from a Rapidly Developing Economy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186906. [PMID: 32967300 PMCID: PMC7559236 DOI: 10.3390/ijerph17186906] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 09/17/2020] [Accepted: 09/18/2020] [Indexed: 01/25/2023]
Abstract
Work-related injury (WRI) control is an integral part of occupational safety. In rapidly developing Gulf countries such as Qatar with a predominantly expatriate workforce, WRI control is a complex issue often seen in conjunction with the implementation of labour laws and labour rights. We aimed to implement a public health approach to facilitate efforts to achieve long-term WRI control in Qatar. A range of initiatives helped to gain visibility and momentum for this important public health problem, including identifying and engaging with key stakeholders, workers’ surveys, steps to establish a unified injury database, and the implementation of a WRI identification tool in the electronic medical records. A contemporaneous improved enforcement of existent occupational safety regulations through heightened worksite inspections and efforts to improve living conditions for migrant workers also took place. WRIs are not only a Qatar-specific problem; the same issues are faced by neighbouring Gulf countries and other rapidly developing economies with large expatriate worker populations. These strategies are also useful starting points for similar countries interested in nurturing a safe, healthy and productive workforce.
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Affiliation(s)
- Rafael J. Consunji
- Hamad Injury Prevention Program, Hamad Trauma Centre, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar; (N.H.); (A.E.-M.); (A.A.); (H.A.-T.); (R.P.)
- Correspondence: ; Tel.: +974-6612-9987 or +974-4439-3699
| | - Amber Mehmood
- International Injury Research Unit, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA;
| | - Nazia Hirani
- Hamad Injury Prevention Program, Hamad Trauma Centre, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar; (N.H.); (A.E.-M.); (A.A.); (H.A.-T.); (R.P.)
| | - Ayman El-Menyar
- Hamad Injury Prevention Program, Hamad Trauma Centre, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar; (N.H.); (A.E.-M.); (A.A.); (H.A.-T.); (R.P.)
| | - Aisha Abeid
- Hamad Injury Prevention Program, Hamad Trauma Centre, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar; (N.H.); (A.E.-M.); (A.A.); (H.A.-T.); (R.P.)
| | - Adnan A. Hyder
- Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA;
| | - Hassan Al-Thani
- Hamad Injury Prevention Program, Hamad Trauma Centre, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar; (N.H.); (A.E.-M.); (A.A.); (H.A.-T.); (R.P.)
| | - Ruben Peralta
- Hamad Injury Prevention Program, Hamad Trauma Centre, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar; (N.H.); (A.E.-M.); (A.A.); (H.A.-T.); (R.P.)
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Rogala A, Szczepaniak M, Michalak N, Andersson G. Internet-based self-help intervention aimed at increasing social self-efficacy among internal migrants in Poland: Study protocol for a randomized controlled trial. Internet Interv 2020; 21:100322. [PMID: 32328440 PMCID: PMC7176581 DOI: 10.1016/j.invent.2020.100322] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 04/20/2020] [Accepted: 04/20/2020] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Migration is a challenging life transition that may be a source of various problems related to well-being and mental health. However, the psychological adaptation of migrants may be potentially facilitated by social self-efficacy-the beliefs in one's ability to initiate and maintain interpersonal relationships. Previous research suggests that social self-efficacy is positively related to adjustment and negatively related to loneliness, depression, and psychological distress. Research also confirms that self-efficacy beliefs can be effectively enhanced using Internet-based interventions. These results served as a background for creating the New in Town, a self-help Internet-based intervention for internal migrants in Poland that aims at increasing social self-efficacy. Exercises in the intervention are based on the principles of Cognitive Behavioral Therapy and relate to sources of self-efficacy beliefs: mastery experiences, vicarious experiences, verbal persuasions, and emotional and physiological states. Users complete increasingly challenging tasks that encourage them to interact with their environment. The aim of this trial was to investigate the efficacy of the New in Town intervention. METHODS The efficacy of the New in Town intervention will be tested in a two-arm randomized controlled trial with a waitlist control group. Social self-efficacy will be the primary outcome. Secondary outcomes will include loneliness, perceived social support, and satisfaction with life. Additionally, we will measure user experience among participants allocated to the experimental group. We aim to recruit a total of N = 280 participants aged at least 18 years who have changed their place of residence in the last 6 months and have an Internet connection. Participants will be assessed at baseline, 3-week post-test, and 8-week follow-up. DISCUSSION The trial will provide insights into the efficacy of Internet-based self-help interventions in increasing social self-efficacy. Given that the intervention works, New in Town could provide an easily accessible support option for internal migrants in Poland. TRIAL REGISTRATION The trial was registered with ClinicalTrials.gov (identifier: NCT04088487) on 11th September 2019.
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Affiliation(s)
- Anna Rogala
- Department of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland
| | - Maria Szczepaniak
- Department of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland
| | - Natalia Michalak
- Department of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland
| | - Gerhard Andersson
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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Xia Y, Ma Z. Relative deprivation, social exclusion, and quality of life among Chinese internal migrants. Public Health 2020; 186:129-136. [PMID: 32823249 DOI: 10.1016/j.puhe.2020.05.038] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 05/07/2020] [Accepted: 05/18/2020] [Indexed: 12/23/2022]
Abstract
OBJECTIVES Factors contributing to diminishing quality of life (QOL) of migrants have been examined, but little is known about the impact of relative deprivation. This study aimed to clarify the effects of relative deprivation on QOL and mediating effects of social exclusion among Chinese internal migrants. STUDY DESIGN This is a secondary data analysis of a nationally representative survey. METHODS We obtained data from 14,816 internal immigrants, aged 15-59 years, throughout China using the 2014 China Migrants Dynamic Survey (CMDS). We measured relative deprivation via a modified Yitzhaki Index, social exclusion using a four-point Likert scale, and QOL using the Kessler Psychological Distress Short Scale, the Satisfaction with Life Scale, and a subscale of the 36-item Short-Form Health Survey. Survey data of 15,996 local residents were also retrieved and analyzed to make possible comparisons between the local and migrant population. Furthermore, we used descriptive and statistical analyses with data from the CMDS to identify relative deprivation and social exclusion. RESULTS The results show relative deprivation both directly and indirectly influences Chinese internal migrants' QOL. Specifically, compared with the local population, relative deprivation triggers serious social exclusion (β = 0.008, P < 0.001), ultimately deteriorating QOL. Social exclusion partially mediated the total effects of relative deprivation on mental illness (β = 0.004, P < 0.001), self-rated health (β = -0.285, P < 0.001), and life satisfaction (β = -0.020, P < 0.001) among Chinese internal migrants. CONCLUSION Relative deprivation significantly impacts QOL by exacerbating mental illness, eroding self-rated health, and inhibiting life satisfaction. Relative deprivation is significantly directly associated with various indicators of QOL and indirectly affects QOL through social exclusion. In addition, our results demonstrate that the relative deprivation theoretical approach and the modified Yitzhaki Index are worthy of future investigation in studies of migrants' health.
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Affiliation(s)
- Y Xia
- School of Law, Southwestern University of Finance and Economics, Chengdu, 611130, China
| | - Z Ma
- Computational Communication Collaboratory, School of Journalism and Communication, Nanjing University, Nanjing, 210023, China.
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Objective Work-Related Factors, Job Satisfaction and Depression: An Empirical Study among Internal Migrants in China. Healthcare (Basel) 2020; 8:healthcare8020163. [PMID: 32527070 PMCID: PMC7348866 DOI: 10.3390/healthcare8020163] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 05/29/2020] [Accepted: 06/05/2020] [Indexed: 11/17/2022] Open
Abstract
This study examines the associations between objective work-related factors, job satisfaction and depression among migrants in China. Data from a representative sample of Chinese migrants named Management and Services of Migrants Study (MSMS) were used after excluding 1068 self-employed participants. We employed multivariate linear regression analysis. Depression was measured by the Centre for Epidemiologic Study Depression (C-ESD) scale. Objective work-related factors included firm size, job classification, mode of employment, working hours per week, union membership and working overtime compulsorily. Measurement of job satisfaction was derived from the Job Descriptive Index. We found that migrants in the sales/services sector and the clerical/technical/managerial sector had more depressive symptoms compared with those in the manufacturing/transportation sector. Working more than 55 h per week was associated with more depressive symptoms. Working overtime compulsorily and joining a labour union were all associated with more depressive symptoms. In addition, job satisfaction was negatively associated with depressive symptoms. The research findings on the relationship between work-related factors and depressive symptoms may serve as a guide for vocational rehabilitation counselling programs and for further research on depression in workplaces.
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Coope J, Barrett A, Brown B, Crossley M, Raghavan R, Sivakami M. Resilience, mental health and urban migrants: a narrative review. INTERNATIONAL JOURNAL OF MIGRATION, HEALTH AND SOCIAL CARE 2020. [DOI: 10.1108/ijmhsc-04-2019-0048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this paper is to provide a narrative review of the literature on mental health resilience and other positive mental health capacities of urban and internal migrants.
Design/methodology/approach
The methodology for this narrative review included a search of articles published up to 2017. The abstracts were screened and relevant articles studied and discussed. Literature on the particular mental health challenges of urban migrants in India was also studied. References found in the literature relating to neurourbanism were also followed up to explore broader historical and conceptual contexts.
Findings
Several key sources and resources for mental health resilience were identified – including familial and community networks and individual hope or optimism. Nevertheless, much of the literature tends to focus at the level of the individual person, even though ecological systems theory would suggest that mental health resilience is better understood as multi-layered, i.e. relevant to, and impacted by, communities and broader societal and environmental contexts.
Originality/value
This paper provides insight into an aspect of migrant mental health that has tended to be overlooked hitherto: the mental health resilience and positive mental health capacities of urban migrants. This is particularly relevant where professional “expert” mental health provision for internal migrant communities is absent or unaffordable. Previous work has tended to focus predominantly on mental health risk factors, despite growing awareness that focusing on risk factors along can lead to an over-reliance on top-down expert-led interventions and overlook positive capacities for mental health that are sometimes possessed by individuals and their communities.
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Huang L, Sun X, Zhou M. Depressive symptoms in Chinese laborers: Prevalence and correlated factors among subgroups. J Affect Disord 2020; 268:141-149. [PMID: 32174472 DOI: 10.1016/j.jad.2020.03.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Revised: 02/24/2020] [Accepted: 03/03/2020] [Indexed: 12/29/2022]
Abstract
BACKGROUND China has entered a new economic age, with the government leading economic transformation. Many laborers, such as rural laborers and migrant workers, have developed serious mental health issues. These issues, such as depression, are a significant obstacle to sustainable development in China. METHODS We use data from the 2016 China Family Panel Survey, a survey that collected data from a large and nationally representative sample of the Chinese population, to construct a sample of 18,300 laborers from 25 provinces, and then use statistical analysis to gain insight into the prevalence of depression among laborers. RESULTS The distribution of depression varies among laborers. Specifically, we find that the prevalence of depression is significantly lower in the population of urban laborers than in migrant laborers or rural laborers. Our results also show that laborers who are women, divorced, widowed, ethnic minorities, low income, low education, long work experience, or who lack medical insurance are more likely to be depressed than other laborers are. LIMITATIONS Our research has several weaknesses. First, the CFPS dataset only used self-diagnosed depressive symptoms, which limited us to examining depressive symptoms, rather than medical diagnoses. Also, this paper was unable to explore the causal relationship between depression and other factors. Future research examining the causality between depression and other factors in China is necessary. CONCLUSION We propose that there is correspondingly high prevalence of depression among laborers in rural areas compared to urban areas in China. This study can help government leaders make targeted programs for depressed adults in the future, especially those who are members of marginalized groups.
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Affiliation(s)
- Li Huang
- College of Economics and Management, Shenyang Agricultural University, Shenyang 110866, Liaoning, China.
| | - Xiaotong Sun
- College of Economics and Management, Shenyang Agricultural University, Shenyang 110866, Liaoning, China
| | - Mi Zhou
- College of Economics and Management, Shenyang Agricultural University, Shenyang 110866, Liaoning, China.
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Xia Y, Ma Z. Social integration, perceived stress, locus of control, and psychological wellbeing among chinese emerging adult migrants: A conditional process analysis. J Affect Disord 2020; 267:9-16. [PMID: 32063578 DOI: 10.1016/j.jad.2020.02.016] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Revised: 01/29/2020] [Accepted: 02/06/2020] [Indexed: 10/25/2022]
Abstract
BACKGROUND This study investigated the underlying determinants of the relationship between social integration and three dimensions of psychological wellbeing in a nationally representative sample of emerging adult migrants in China. METHODS Data on 6,084 migrants aged 18-29 years in the 2014 China Migrants Dynamic Survey were analyzed. A conditional process analysis tested hypotheses regarding the influence of social integration on self-rated health, life satisfaction, and mental illness. Perceived stress was tested as a mediator, and the locus of control was tested as a moderator. RESULTS Social integration negatively related to mental illness (β= -0.10, p < 0.001), and it positively related to self-rated health (β = 0.24, p < 0.001) and life satisfaction (β = 0.14, p < 0.001). Perceived stress had significant mediating effects on the influence of social integration on the dimensions of psychological wellbeing. The locus of control not only moderated the influence of social integration on perceived stress (β = -0.02, p < 0.05), it moderated the influence of perceived stress on the mental illness dimension of psychological wellbeing (β = -0.03, p < 0.001). LIMITATIONS The cross-sectional design impeded the ability to draw causal inferences. CONCLUSIONS Social integration was a key predictor of psychological wellbeing among emerging adult migrants in China. Perceived stress significantly mediated that relationship. The locus of control moderated the indirect effect of social integration on psychological wellbeing by weakening the buffering effect of social integration on perceived stress. Furthermore, the locus of control also buffered the negative effects of perceived stress.
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Affiliation(s)
- Yiwei Xia
- School of Law, Southwestern University of Finance and Economics, Chengdu, 611130, China
| | - Zhihao Ma
- Computational Communication Collaboratory, School of Journalism and Communication, Nanjing University, Nanjing, 210023, China.
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Wang L, Chen H, Ye B, Gao J, Dai J, Wang F, Fu H. Mental health and self-rated health status of internal migrant workers and the correlated factors analysis in Shanghai, China: a cross-sectional epidemiological study. Int Health 2020; 11:S45-S54. [PMID: 31670822 DOI: 10.1093/inthealth/ihz053] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Revised: 03/26/2019] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND A cross-sectional study was conducted in 2018 to investigate the mental health status of internal migrant workers (IMWs) in Shanghai to understand basic information and the mental health status of IMWs. METHODS The total number of IMWs in the study was 4793 and 4648 questionnaires were valid. We used χ2 test, t test, analysis of variance, linear regression and logistic regression to analyse the data. RESULTS Mental health, represented by the nine-item Patient Health Questionnaire score (≥10), was significantly correlated with self-rated income-expenditure status, living with family, job type and alcohol use. The total depression prevalence of IMWs in this study was 20.1%. Subjective well-being (SWB) was significantly correlated with marital status, educational attainment, self-reported income-expenditure status, living with family and job type. Those who were female, had a high school education or above, self-reported inadequate income, did not live with family, had poor self-rated health and had moderate or severe depression were more likely to have lower SWB. Promoting the mental health of IMWs also benefited their physical health. CONCLUSIONS Chinese migrant workers who were younger, had insufficient self-rated income, had worse self-reported health, used alcohol and were unmarried had a high risk of mental health disorders.
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Affiliation(s)
- Lei Wang
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China.,Clinical Nursing Department, School of Nursing and Health Management, Shanghai University of Medicine & Health Sciences, 279 Zhouzhu Highway, Shanghai 201318, China
| | - Hao Chen
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
| | - Bo Ye
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
| | - Junling Gao
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
| | - Junming Dai
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
| | - Fan Wang
- Department of Politics, East China Normal University, 500 Dongchuan Road, Shanghai 200241, China
| | - Hua Fu
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
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Li Z, Dai J, Wu N, Gao J, Fu H. The mental health and depression of rural-to-urban migrant workers compared to non-migrant workers in Shanghai: a cross-sectional study. Int Health 2020; 11:S55-S63. [PMID: 31670817 DOI: 10.1093/inthealth/ihz081] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Revised: 06/01/2019] [Accepted: 08/08/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Migrant workers worldwide commonly are susceptible to mental disorders. Since the 1980s, there has been a large-scale increase in the number of migrant workers in China; this development parallels the acceleration of socio-economic transformation. Studies addressing this population rarely focus on workers' mental health or psychological well-being, yet it is imperative to understand the mental health status of rural-to-urban migrant workers and study the relationship between migration and mental health. METHODS A cross-sectional survey of 3286 participants (response rate 85.4%) was conducted among different work units in Shanghai. All of the variables of this survey were assessed by a self-administered questionnaire, with depression measured by the Patient Health Questionnaire-9 (PHQ-9) scale and poor mental health (PMH) measured by the World Health Organization 5-Item Well-Being Index (WHO-5) scale. Pearson's χ2 test and logistic regression were used to compare migrants with urbanites, and to identify factors related to mental health outcomes. RESULTS Migrant workers (15.3%) had a slightly higher prevalence of depression than non-migrant (12.0%) workers, with notable PMH (26.9%) among participants >45 y of age. In the logistic regression models, those who reported low job satisfaction, unhealthy organizations, poor physical health (self-rated) and long working hours were 2.86 (95% CI 2.14 to 3.84), 1.42 (95% CI 1.06 to 1.91), 1.89 (95% CI 1.41 to 2.55) and 1.48 (95% CI 1.08 to 2.03) times more likely to have depression, respectively. Similarly, workers >45 y of age were 2.92 (95% CI 1.65 to 5.16) and 1.80 (95% CI 1.01 to 3.21) times more likely to have PMH for low job satisfaction and unhealthy organizations, respectively. CONCLUSIONS There are numerous potential causes affecting the mental health of Chinese internal migrant workers. Strengthening the construction of healthy organizations and enhancing workers' job satisfaction may improve the mental health status or psychological well-being of this group.
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Affiliation(s)
- Zan Li
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
| | - Junming Dai
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
| | - Ning Wu
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
| | - Junling Gao
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
| | - Hua Fu
- Health Communication Institute, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai 200032, China
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Has Rural-Urban Migration Promoted the Health of Chinese Migrant Workers?. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041218. [PMID: 32070056 PMCID: PMC7068351 DOI: 10.3390/ijerph17041218] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 02/09/2020] [Accepted: 02/10/2020] [Indexed: 01/17/2023]
Abstract
The relationship between health and migration has always been an important theme in immigration research. This research develops a new approach to test the healthy migrant hypothesis and the salmon bias hypothesis in China by examining an interaction term combining agricultural hukou and migrant status, non-agricultural employment history, and subsequent area of residence. Based on two Chinese micro-databases, CGSS 2015 and Harmonized CHARLS, we conducted an empirical test on the relationship between migration and health. Our empirical evidence suggests that the initial health advantage among Chinese rural migrant workers was largely due to self-selection rather than migration effects. After controlling for demographic and socioeconomic characteristics, this advantage disappeared. After their health deteriorated, migrant workers returned to their original location. This could exacerbate the contradiction between the allocation of medical resources and the demand in rural and urban China, further intensifying the already widening health status gap between rural and urban residents.
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Zhang S, Li Y, Zhang Y, Lu ZN, Hao Y. Does sanitation infrastructure in rural areas affect migrant workers' health? Empirical evidence from China. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2020; 42:625-646. [PMID: 31428947 DOI: 10.1007/s10653-019-00396-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Accepted: 08/09/2019] [Indexed: 06/10/2023]
Abstract
Health is considered the most important factor for individual well-being and a country's sustainable development. Among the influential factors of population health, sanitary infrastructure, particularly sanitary toilets and innocuous-sanitary toilets, have already attracted attention. In recent years, to improve the overall health status of rural residents, the Chinese government has promoted the "toilet revolution" in rural areas to update and modernize the facilities of toilets. Given that migrant workers contribute significantly to China's economic growth, and that the migrant workers generally lived in rural areas before they moved to urban areas to find jobs, it is of great interest and importance to investigate the impacts of sanitary infrastructure in rural areas on the migrant workers. This study analyzes the spatial characteristic of rural sanitation facilities' implementation and looks for possible correlation between the health status of migrant workers and the implementation of sanitation facilities in their hometowns. Micro-survey data of migrant workers' health status from China Household Income Projects (CHIP) 2013 and macro-data of provincial economic factors are matched to provide a quality analysis. The analysis of the spatial distribution shows that there were significantly large gaps between the prevalence rates of sanitary toilets in provinces. Furthermore, the regression analysis indicates that the implementation of sanitary toilets and innocuous-sanitary toilets exhibits a positive effect on the overall health status of migrant workers, although the effects of the innocuous-sanitary toilets are greater. Moreover, the positive influences of both types of toilets on population health are higher in the provinces with relatively greater annual precipitation and higher average temperature.
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Affiliation(s)
- Shengling Zhang
- School of Economics and Resource Management, Beijing Normal University, Beijing, 100875, China
| | - Yu Li
- School of Economics and Resource Management, Beijing Normal University, Beijing, 100875, China
| | - Yipeng Zhang
- School of Economics and Resource Management, Beijing Normal University, Beijing, 100875, China
| | - Zhi-Nan Lu
- Thrombosis and Vascular Medicine Center, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China
| | - Yu Hao
- Center for Energy and Environmental Policy Research, Beijing Institute of Technology, Beijing, 100081, China.
- School of Management and Economics, Beijing Institute of Technology, Beijing, 100081, China.
- Sustainable Development Research Institute for Economy and Society of Beijing, Beijing, 100081, China.
- Beijing Key Lab of Energy Economics and Environmental Management, Beijing, 100081, China.
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Yang X, You L, Jin D, Zou X, Yang H, Liu T. A community-based cross-sectional study of sleep quality among internal migrant workers in the service industry. Compr Psychiatry 2020; 97:152154. [PMID: 31884329 DOI: 10.1016/j.comppsych.2019.152154] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Revised: 11/04/2019] [Accepted: 12/07/2019] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Internal migrant workers in the service industry are an important population in China, but the sleep quality of this population has not been well studied. The aims of the present study were to examine the prevalence of poor sleep quality among internal migrant workers in the service industry, explore the risk factors associated with poor sleep quality, and assess the correlation between insomnia and psychiatric factors. METHODS We conducted a cross-sectional study in Shenzhen, a migrant city in China. The respondent-driven sampling (RDS) method was used to recruit participants. Sociodemographic data and physical and psychiatric health status were investigated using questionnaires. In total, 1756 internal migrant workers completed the questionnaires. The Chinese version of the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality, the General Anxiety Disorder-7 (GAD-7) and Center for Epidemiologic Studies Depression (CES-D) scales were used to assess anxiety and depression, respectively. Mental resilience was assessed by the Chinese version of the Connor-Davidson Resilience Scale (CD-RISC). Regression analysis was used to identify the risk factors of poor sleep quality. A structural equation model (SEM) was used to analyze the relationships among sleep, anxiety, depression and resilience. RESULTS The prevalence of poor sleep quality among internal migrant workers in the service industry was 25.4%. Multivariate regression analysis revealed that participants who were older (OR = 1.452), worked >8 h per day (OR = 1.553), had experienced physical illness in the past 2 weeks (OR = 3.631) and had psychiatric problems such as anxiety (OR = 1.695-3.331) and depression (OR = 1.437) had an increased risk of poor sleep quality (P < 0.05). Moreover, the risk of poor sleep quality increased as the severity of anxiety increased. We also detected sex-specific risk factors and depression associated with sleep quality in women (OR = 1.480, P < 0.05) but not in men. The SEM showed that sleep was mutually correlated with anxiety (r = 0.277, P < 0.001), depression (r = 0.301, P < 0.001), and resilience (r = -0.103, P < 0.001). Resilience was mutually correlated with anxiety (r = -0.179, P < 0.001) and depression (r = -0.222, P < 0.001). CONCLUSIONS Our study indicated that poor sleep quality was common among internal migrant workers in the service industry. Older age, long working hours, and poor physical and psychiatric health status contributed to poor sleep quality. Compared to males, sleep quality in females was more likely to be impacted by depression. Optimum working hours and physical and psychological health are critical to improving sleep quality. Interventions for ameliorating sleep quality might have different priorities for males and females.
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Affiliation(s)
- Xi Yang
- Shenzhen Kangning Hospital, Shenzhen Mental Health Center, China
| | - Liqin You
- Shenzhen Kangning Hospital, Shenzhen Mental Health Center, China
| | - Dong Jin
- Shenzhen Kangning Hospital, Shenzhen Mental Health Center, China
| | - Xiaowei Zou
- Shenzhen Kangning Hospital, Shenzhen Mental Health Center, China
| | - Haichen Yang
- Shenzhen Kangning Hospital, Shenzhen Mental Health Center, China
| | - Tiebang Liu
- Shenzhen Kangning Hospital, Shenzhen Mental Health Center, China.
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Abstract
Migrant workers show an increase in the incidence of serious, psychotic, anxiety, and post-traumatic disorders due to a series of socio-environmental variables, such as loss of social status, discrimination, and separations from the family. The purpose is to elaborate a systematic review and highlight the prevailing psychological pathologies of these workers and categories most at risk. Our research included articles published from 2009 to 2019 on the major databases (Pub Med, Cochrane Library, and Scopus) using a combination of some keywords. The online search indicated 1.228 references. Using inclusion and exclusion criteria, we analyzed 127 articles, in particular 12 reviews and 115 original articles. Principal emerging disorders from the research are depressive syndrome (poor concentration at work, feeling down, or anger and somatization), anxiety, alcohol or substance abuse, and poor sleep quality. This causes low life conditions, which is also due to marginalization from the social context and strenuous work; in fact, migrant workers may suffer verbal or physical abuse, and they are often employed in dangerous, unhealthy jobs. It is therefore essential to increase the role of occupational medicine and promote wellbeing for this vulnerable job category.
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