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Guo C, Lin L, Zhu Y. Moving together or left behind? An examination of rural migrant working mothers' childcare strategies in the cities. Child Care Health Dev 2024; 50:e13224. [PMID: 38265137 DOI: 10.1111/cch.13224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 12/12/2023] [Accepted: 12/17/2023] [Indexed: 01/25/2024]
Abstract
BACKGROUND In China, an increasing number of rural mothers participate in urban labour markets, but little is known about their decisions regarding childcare while living in these cities. Why do some rural mothers migrate to the cities with their children, whereas others leave their children behind in the countryside? METHODS This study analysed 1852 samples from the 2016 China Migrant Dynamic Survey of rural migrant mothers collected in the Pearl River Delta (PRD). These mothers were registered with agricultural hukou outside of the PRD and had at least one child under 18 years of age. RESULTS The results indicated that 57.8% of these mothers migrated together with their children. Rural migrant mothers who were self-employed, had a higher level of household income on a log10 scale and had a longer duration of migration were more willing to adopt closely performing motherhood than rural migrant mothers who were not self-employed. Additionally, rural working mothers who were intra-provincial migrants and had a smaller number of children were more likely to bring their children to the cities than rural working mothers who were inter-provincial migrants. CONCLUSIONS This study works to strengthen the understanding of rural migrant working mothers' childcare strategies, provide insights for future policy studies and contribute to evidence-based recommendations for policymakers regarding internal rural-to-urban migration, migrant women and the wellbeing of the families of migrants.
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Affiliation(s)
- Chunlan Guo
- Department of Geography and Resource Management, The Chinese University of Hong Kong, Hong Kong SAR, China
- Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, China
| | - Liyue Lin
- Institute of Geography, Fujian Normal University, Fuzhou, China
- Key Laboratory for Humid Subtropical Eco-Geographical Processes of the Ministry of Education, Fuzhou, China
- Asian Demographic Research Institute, Shanghai University, Shanghai, China
| | - Yu Zhu
- Institute of Geography, Fujian Normal University, Fuzhou, China
- Key Laboratory for Humid Subtropical Eco-Geographical Processes of the Ministry of Education, Fuzhou, China
- Asian Demographic Research Institute, Shanghai University, Shanghai, China
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Wen M, Wang W, Ahmmad Z, Jin L. Parental migration and self-efficacy among rural-origin adolescents in China: Patterns and mechanisms. J Community Psychol 2023; 51:626-647. [PMID: 36490375 DOI: 10.1002/jcop.22976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 11/20/2022] [Accepted: 11/27/2022] [Indexed: 06/17/2023]
Abstract
Large-scale rural-to-urban migration has shaped the socialization contexts of rural adolescents in China and can potentially impact their developmental outcomes. In this study, using data from the first wave of the China Education Panel Study collected in 2013, we focused on self-efficacy, an important but under-studied facet of noncognitive development, and assessed how it was influenced by family migration status. We also explored the mediating role of family and school resources. We compared three groups of rural-origin adolescents with different family migration statuses: rural left-behind children (LBC), rural not-left-behind children (NLBC), and rural-to-urban migrant children (MC). Structural equation modeling was performed to estimate the main effects of rural-origin groups on self-efficacy and the mediating effects of family income, family social capital, and school social capital for the significant group effects on self-efficacy. We found similar levels of self-efficacy among MC and NLBC, who in turn, exhibited greater self-efficacy than LBC. Discrepancies in family and school resources mediated the self-efficacy gaps between LBC and their MC and NLBC counterparts. Notably, when their disadvantages in family and school resources were controlled for, LBC were more efficacious than MC and NLBC, indicating LBC's resilience and the potential for promoting self-efficacy in LBC by providing adequate resources and support.
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Affiliation(s)
- Ming Wen
- Department of Sociology, University of Utah, Salt Lake City, Utah, USA
- Department of Sociology, Faculty of Social Sciences, University of Hong Kong, Hong Kong
| | - Weidong Wang
- Department of Sociology, Renmin University of China, Beijing, China
| | - Zobayer Ahmmad
- Department of Sociology, University of Utah, Salt Lake City, Utah, USA
| | - Lei Jin
- Department of Sociology, The Chinese University of Hong Kong, Shatin, Hong Kong
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Tang K. The Effect of Left-Behind Women on Fertilizer Use: Evidence from China's Rural Households Engaging in Rural-Urban Migration. Int J Environ Res Public Health 2022; 20:488. [PMID: 36612809 PMCID: PMC9819106 DOI: 10.3390/ijerph20010488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 12/15/2022] [Accepted: 12/22/2022] [Indexed: 06/17/2023]
Abstract
Rural-urban migration in developing countries has required left-behind women to assume the role of key decision makers and take increasing responsibility for agricultural production. However, little is known about the effect of rural-urban migration on fertilizer use when left-behind women assume key decision-maker roles. This study highlights the effect of left-behind women on fertilizer use, drawing on nationwide household survey data in China. The results indicate that households with recognized left-behind women heads use less fertilizer than those with recognized men heads, while households with de facto left-behind women heads use more fertilizer. Moreover, the average nexus between households with recognized left-behind women heads whose major agricultural income comes from grain crops and fertilize use is negative but small in size and statistically insignificant. The findings indicate that future policy efforts aimed at decreasing rural environmental degradation should place greater emphasis on left-behind women's empowerment in socioeconomic decision-making within and outside the household, thereby contributing to an environment in which left-behind women farmers can succeed in a sustainable way.
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Affiliation(s)
- Kai Tang
- School of Economics and Trade, Guangdong University of Foreign Studies, Guangzhou 510006, China
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Afeadie RK. When the healthcare system neglects some people: Rural-Urban Migration, socio-cultural conditions, and health coping strategies in informal settlement, Madina, Ghana: An exploratory design. Health Soc Care Community 2022; 30:e4375-e4383. [PMID: 35620865 DOI: 10.1111/hsc.13836] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 03/16/2022] [Accepted: 04/22/2022] [Indexed: 06/15/2023]
Abstract
Migrants face several unmet health needs due to the inability of the healthcare system to address their healthcare challenges. As a result, they adopt coping strategies to overcome their healthcare needs. Consequences can include infrequent but severe adverse reactions, dangerous drug interactions, incorrect dosage etc. Little is known in Ghana about the role played by cultural and linguistic barriers in shaping migrants' access to formal healthcare and the coping mechanisms adopted by these migrants to overcome their healthcare challenges. Surprisingly, most of the studies that have been conducted have focused on financial barriers to care accessibility. This presents a loss opportunity for any health programme aimed at addressing this inequity. Thus, the purpose of this paper is to fill this gap by exploring the challenges of healthcare accessibility and coping strategies adopted by migrants to overcome their healthcare needs in the informal urban settlement of Madina, in the Greater Accra Region. The author employed a narrative type of qualitative research design. A purposive and then snowball sampling technique were used to select 20 participants to participate in the study after saturation was reached. Twelve in-depth interviews (IDIs) and six key informants' interviews (KIIs), as well as two focus group discussions (FGDs), were conducted. The study is consistent with the ecological model, which posits that health is determined by influences at multiple levels. The author found linguistic, cultural, stigmatisation and financial challenges as the main barriers to healthcare accessibility among the migrants. As a result, self-medication and the use of lay health personnel for addressing healthcare needs were more pronounced. The study also found other means of survival that posed a health risk to the migrants. Based on this, it was recommended that healthcare systems take into account the healthcare needs of migrants who are people with culturally and linguistically diverse backgrounds.
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Affiliation(s)
- Ransford Kwaku Afeadie
- Institute of Works, Employment and Society, University of Professional Studies, Legon, , Accra, Ghana
- School of Public Health, University of Ghana, Legon, Ghana
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Antu JF, Parvin K, Sujan HM, Mamun MA, Naved RT. Effect of Rural-Urban Migration on Age at Marriage Among Adolescent Girls in Bangladesh. Front Public Health 2022; 10:840145. [PMID: 35874980 PMCID: PMC9298772 DOI: 10.3389/fpubh.2022.840145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 06/10/2022] [Indexed: 12/03/2022] Open
Abstract
Objectives Bangladesh reports one of the highest rates of child marriage (CM) (59%) in the world and the highest rate within South Asia. Age at marriage of girls is a critical human rights and developmental issue in Bangladesh. Migration has been documented to be positively associated with age at marriage. Bangladesh experiences one of the highest rates of rural to urban migration in the world. An increase in rural-urban migration of adolescent girls has been observed over the last few decades in Bangladesh with the expansion of employment opportunities particularly in the ready-made garment industry (RMG). This analysis explores the effect of migration on age at marriage and CM among adolescent girls living in urban slums of Dhaka. Methods The sample was selected from icddr,b's Urban Health and Demographic Surveillance System (UHDSS) and comprises of never-married adolescent girls aged 15–19, who migrated in from rural Bangladesh to slums in and around Dhaka during 2015–2019. These in-migrants were matched with their rural counterparts from icddr,b's Matlab HDSS (MHDSS), using one to one nearest neighbor matching with caliper 0.1 using propensity score matching (PSM) method. The sample derived included a total of 2,700 never-married adolescent girls from Dhaka and Matlab. The association between migration and age at first marriage was estimated using a linear regression model and the effect of migration on CM was explored using logistic regression analyses. Results The in-migrants perfectly matched with their rural peers in terms of age, household wealth and religion. However, their income earning status was hugely different. Urban migrants had significantly higher age at marriage than the rural non-migrants for both 15–19 (Coefficient, 1.77; 95% CI, 1.07–2.46) and 20–24 years age group (Coefficient, 2.87; 95% CI, 2.18–3.55). The migrant girls aged 20–24 years were 71% (aOR, 0.29; 95% CI, 0.12–0.69) less likely to get married before CM age bar in Bangladesh compared to their rural counterparts. Conclusion Migration has a positive effect on delaying marriage and reducing CM among adolescent girls. Findings from this study suggest that CM can be reduced by creating educational and economic opportunities for females.
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Affiliation(s)
- Jannatul Ferdous Antu
- Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research Bangladesh (icddrb), Dhaka, Bangladesh
| | - Kausar Parvin
- Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research Bangladesh (icddrb), Dhaka, Bangladesh
| | - Hasan Mahmud Sujan
- Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research Bangladesh (icddrb), Dhaka, Bangladesh
| | - Mahfuz Al Mamun
- Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research Bangladesh (icddrb), Dhaka, Bangladesh
| | - Ruchira Tabassum Naved
- Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research Bangladesh (icddrb), Dhaka, Bangladesh
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Gao Y, Xie S, Frost CJ. An ecological investigation of resilience among rural-urban migrant adolescents of low socioeconomic status families in China. J Community Psychol 2020; 48:862-878. [PMID: 31872898 DOI: 10.1002/jcop.22303] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2019] [Revised: 10/27/2019] [Accepted: 12/02/2019] [Indexed: 06/10/2023]
Abstract
The present study aims to explore the mechanism of resilience among rural-urban migrant adolescents of low socioeconomic status (SES) families in China with the ecological system perspective. Selecting 946 rural-urban migrant adolescents from the China Education Panel Survey, we used latent class analyses to distinguish different levels of resilience among migrant adolescents from low-SES families, and logistic regressions to identify factors associated with resilience and to examine the cumulative risk and protection models. The findings show that parental expectation, teacher support and organised neighbourhood are salient resilience-promoting factors; and resilience happens only if protective factors accumulate enough at multiple systems to compensate the negative effect of cumulative community risk. The study describes the importance of a protective environment in the domains of family, school and neighbourhood on the resilience of this group, and suggest intervention programmes should extend the paradigm from child-centred approach to environment-focused approach to potentiate the positive development of this population.
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Affiliation(s)
- Yunjiao Gao
- Department of Sociology, School of Law, Humanities and Sociology, Wuhan University of Technology, Wuhan City, Hubei Province, China
| | - Shenghua Xie
- College of Public Administration, Central China Normal University, Wuhan City, Hubei Province, China
| | - Caren J Frost
- College of Social Work, University of Utah, Salt Lake City, Utah
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Yi Y, Liao Y, Zheng L, Li M, Gu J, Hao C, Hao Y. Health Selectivity and Rural-Urban Migration in China: A Nationwide Multiple Cross-Sectional Study in 2012, 2014, 2016. Int J Environ Res Public Health 2019; 16:ijerph16091596. [PMID: 31067684 PMCID: PMC6540158 DOI: 10.3390/ijerph16091596] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 05/02/2019] [Accepted: 05/04/2019] [Indexed: 12/27/2022]
Abstract
Background: China is undergoing an unprecedented rural-urban migration, which may deeply influence the health of internal migrants. Previous studies suggested that migrants are a selectively healthier population. This paper examines the evidence for and the changes of health selectivity among Chinese internal migrants. Methods: We use data from the China Labor-force Dynamics Survey (CLDS), a nationally representative survey conducted in 2012, 2014, and 2016, respectively. The health statuses of four groups of research subjects (out-migrants, returned migrants, rural residents, and urban residents) are measured by general health, physical health, and emotional health. Results: By comparing the health status of migrants with that of rural residents, we find supportive evidence for the Healthy Migrant Hypothesis that migrants exhibit better health than rural residents in their hometown. We also add strength to the Salmon Bias Hypothesis that migrants returning to their hometowns are less healthy than those still being outside. However, migrants present worse emotional health in both comparisons. The general and physical health gaps between migrants, rural residents, and returnees widened in all three rounds of the survey, which implies a possibly increasing trend of health selectivity. This study also suggests that bringing family to the destination requires better general and physical health, but not emotional health. Conclusions: Migrants are positively selected on general and physical health. The health selectivity in 2012–2016 is highly likely to increase, which means that there are increasing number of obstacles for migrants to overcome. Family migration’s high requirement for health might also contribute to it. It is urgent to establish and improve primary health care service systems in rural areas in current circumstances.
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Affiliation(s)
- Yao Yi
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhong Shan 2nd Road, Guangzhou 510080, China.
| | - Yu Liao
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhong Shan 2nd Road, Guangzhou 510080, China.
- Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China.
| | - Lingling Zheng
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhong Shan 2nd Road, Guangzhou 510080, China.
| | - Mengjie Li
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhong Shan 2nd Road, Guangzhou 510080, China.
| | - Jing Gu
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhong Shan 2nd Road, Guangzhou 510080, China.
| | - Chun Hao
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhong Shan 2nd Road, Guangzhou 510080, China.
| | - Yuantao Hao
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhong Shan 2nd Road, Guangzhou 510080, China.
- Guangdong Key Laboratory of Health Informatics, Sun Yat-sen Global Health Institute, Sun Yat-sen University, 74 Zhong Shan 2nd Road, Guangzhou 510080, China.
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Cheng Y, Rosenberg M, Winterton R, Blackberry I, Gao S. Mobilities of Older Chinese Rural-Urban Migrants: A Case Study in Beijing. Int J Environ Res Public Health 2019; 16:E488. [PMID: 30744061 DOI: 10.3390/ijerph16030488] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 01/25/2019] [Accepted: 01/31/2019] [Indexed: 11/23/2022]
Abstract
Along with the rapid urbanization process in Beijing, China, the number of older rural-urban migrants is increasing. This study aims to understand how Chinese rural-urban migration in older age is influenced by, and impacts on the migrants’ mobilities. This study draws on a new conceptual framework of mobile vulnerability, influenced by physical, economic, institutional, social and cultural mobility, to understand older people’ experiences of migration from rural to urban areas. Forty-five structured in-depth interviews with older rural-urban migrants aged 55 and over were undertaken in four study sites in Beijing, using the constant comparative method. Results demonstrate that rural household registration (hukou) is an important factor that restricts rural older migrants’ institutional mobility. As older migrants’ physical mobility declines, their mobile vulnerability increases. Economic mobility is the key factor that influences their intention to stay in Beijing. Older migrants also described coping strategies to improve their socio-cultural mobility post-migration. These findings will inform service planning for older rural-urban migrants aimed at maintaining their health and wellbeing.
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Abstract
We analyze China's rural-urban migration and endogenous social network structures using agent-based modeling. The agents from census micro data are located in their rural origin with an empirical-estimated prior propensity to move. The population-scale social network is a hybrid one, combining observed family ties and locations of the origin with a parameter space calibrated from census, survey and aggregate data and sampled using a stepwise Latin Hypercube Sampling method. At monthly intervals, some agents migrate and these migratory acts change the social network by turning within-nonmigrant connections to between-migrant-nonmigrant connections, turning local connections to nonlocal connections, and adding among-migrant connections. In turn, the changing social network structure updates migratory propensities of those well-connected nonmigrants who become more likely to move. These two processes iterate over time. Using a core-periphery method developed from the k-core decomposition method, we identify and quantify the network structural changes and map these changes with the migration acceleration patterns. We conclude that network structural changes are essential for explaining migration acceleration observed in China during the 1995-2000 period.
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Affiliation(s)
- Zhaohao Fu
- Department of Civil Engineering, Johns Hopkins University
- Corresponding author. (Zhaohao Fu)
| | - Lingxin Hao
- Department of Sociology, Johns Hopkins University
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Nawrotzki RJ, DeWaard J, Bakhtsiyarava M, Ha JT. Climate shocks and rural-urban migration in Mexico: Exploring nonlinearities and thresholds. Clim Change 2017; 140:243-258. [PMID: 28435176 PMCID: PMC5395290 DOI: 10.1007/s10584-016-1849-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Adverse climatic conditions may differentially drive human migration patterns between rural and urban areas, with implications for changes in population composition and density, access to infrastructure and resources, and the delivery of essential goods and services. However, there is little empirical evidence to support this notion. In this study, we investigate the relationship between climate shocks and migration between rural and urban areas within Mexico. We combine individual records from the 2000 and 2010 Mexican censuses (n=683,518) with high-resolution climate data from Terra Populus that are linked to census data at the municipality level (n=2,321). We measure climate shocks as monthly deviation from a 30-year (1961-1990) long-term climate normal period, and uncover important nonlinearities using quadratic and cubic specifications. Satellite-based measures of urban extents allow us to classify migrant-sending and migrant-receiving municipalities as rural or urban to examine four internal migration patterns: rural-urban, rural-rural, urban-urban, and urban-rural. Among our key findings, results from multilevel models reveal that each additional drought month increases the odds of rural-urban migration by 3.6%. In contrast, the relationship between heat months and rural-urban migration is nonlinear. After a threshold of ~34 heat months is surpassed, the relationship between heat months and rural-urban migration becomes positive and progressively increases in strength. Policy and programmatic interventions may therefore reduce climate induced rural-urban migration in Mexico through rural climate change adaptation initiatives, while also assisting rural migrants in finding employment and housing in urban areas to offset population impacts.
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Affiliation(s)
- Raphael J Nawrotzki
- University of Minnesota, Minnesota Population Center, 225 19th Avenue South, 50 Willey Hall, Minneapolis, MN 55455, U.S.A
| | - Jack DeWaard
- University of Minnesota, Department of Sociology & Minnesota Population Center, 225 19th Avenue South, 50 Willey Hall, Minneapolis, MN 55455, U.S.A.
| | - Maryia Bakhtsiyarava
- University of Minnesota, Department of Geography & Minnesota Population Center, 225 19th Avenue South, 50 Willey Hall, Minneapolis, MN 55455, U.S.A.
| | - Jasmine Trang Ha
- University of Minnesota, Department of Sociology & Minnesota Population Center, 225 19th Avenue South, 50 Willey Hall, Minneapolis, MN 55455, U.S.A.
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Agrawal S, Taylor FC, Moser K, Narayanan G, Kinra S, Prabhakaran D, Reddy KS, Davey Smith G, Ebrahim S. Associations Between Sociodemographic Characteristics, Pre Migratory and Migratory Factors and Psychological Distress Just After Migration and After Resettlement: The Indian Migration Study. Indian J Soc Psychiatry 2015; 31:55-66. [PMID: 28856341 PMCID: PMC5573174 DOI: 10.4103/0971-9962.162028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND/OBJECTIVES Migration is suspected to increase the risk for psychological distress for those who enter a new cultural environment. We investigated the association between sociodemographic characteristics, premigratory and migratory factors and psychological distress in rural-to-urban migrants just after migration and after resettlement. METHODS Data from the cross-sectional sib-pair designed Indian Migration Study (IMS, 2005-2007) were used. The analysis focused on 2112 participants aged ≥18 years from the total IMS sample (n = 7067) who reported being migrant. Psychological distress was assessed based on the responses of the 7-questions in a five-point scale, where the respondents were asked to report about their feelings now and also asked to recall these feelings when they first migrated. The associations were analyzed using multiple logistic regression models. RESULTS High prevalence of psychological distress was found just after migration (7.3%; 95% confidence interval [CI]: 6.2-8.4) than after settlement (4.7%; 95% CI: 3.8-5.6). Push factors as a reason behind migration and not being able to adjust in the new environment were the main correlates of psychological distress among both the male and female migrants, just after migration. CONCLUSIONS Rural-urban migration is a major phenomenon in India and given the impact of premigratory and migratory related stressors on mental health, early intervention could prevent the development of psychological distress among the migrants.
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Affiliation(s)
- Sutapa Agrawal
- Centre for Control of Chronic Conditions, Public Health Foundation of India, New Delhi, India
| | - Fiona C Taylor
- Departments of Epidemiology and Population Health and Cochrane Heart Group, London School of Hygiene and Tropical Medicine, London.,Departments of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London
| | - Kath Moser
- Departments of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London
| | | | - Sanjay Kinra
- Departments of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London
| | | | | | - George Davey Smith
- School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom
| | - Shah Ebrahim
- Centre for Control of Chronic Conditions, Public Health Foundation of India, New Delhi, India.,Departments of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London
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Abstract
The effect on health of urbanisation is two-edged. On the one hand, there are the benefits of ready access to healthcare, sanitation, and secure nutrition, whilst on the other there are the evils of overcrowding, pollution, social deprivation, crime, and stress-related illness. In less developed countries, urbanisation also opens the door to 'western' diseases, including hypertension, heart disease, obesity, diabetes and asthma. Here we review some of the health-related aspects of urbanisation, and comment on strategies designed to improve urban health. Because there is such a clear divide between the long process of urbanisation in industrialised western nations and the relatively recent explosive expansion in resource-poor countries, they are discussed separately.
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