Project-induced migration and depression: a panel analysis.

Project-induced migration and depression: a panel analysis.
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DOI:
10.1016/j.socscimed.2010.02.005
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发表时间:
2010-06
影响因子:
5.4
通讯作者:
Xi, Juan
Xi, Juan
中科院分区:
医学2区
文献类型:
--
作者:
Hwang, Sean-Shong;Cao, Yue;Xi, Juan

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这项研究考察了世界上最大的水坝工程中国非自愿移民带来的心理健康后果。过去关于移民和心理健康之间存在因果联系的说法没有定论,因为这些说法主要基于回溯数据,因此存在大量的方法问题。本研究通过分析CES-D量表测量的移民前后抑郁的变化,结合面对面访谈收集的数据,从移民和非移民组成的样本(最初调查1,530人,后续调查1,070人)中分析移民前后抑郁症的变化。使用“差异模型”分析CES-D的变化,这是一种分析策略,被方法学专家一致认为是在准实验研究中建立因果关系的“选择方法”。我们的研究结果有力地支持了这样一种说法,即强迫移民不仅直接加剧了抑郁,而且还间接地削弱了保障移民心理健康的心理社会资源。
The study examines the mental health consequences of involuntary migration resulting from the world’s largest dam project in China. Past claims of a causal link between migration and mental health are inconclusive because they have been based mainly on retrospective data and therefore are plagued by a plethora of methodological problems. This study addresses these problems by analyzing the pre- and post-migration changes in depression measured by the CES-D scale with data collected using face-to-face interviews from a sample (n = 1,530 for the initial survey and 1,070 for the follow-up) consisting of both migrants and non-migrants. Changes in CES-D were analyzed using ‘the difference model’, an analytical strategy which is agreed by methodological experts as “the method of choice” in establishing causal relationship in quasi-experimental research. Our results provide strong support to the claim that forced migration elevates depression not only directly, but also indirectly by weakening the psychosocial resources that safeguard migrants’ mental well-being.
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