Children's migration and chronic illness among older parents 'left behind' in China.
Children's migration and chronic illness among older parents 'left behind' in China.
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DOI：
10.1016/j.ssmph.2017.10.002
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Vlachantoni A
中科院分区：
文献类型：
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作者：
Evandrou M;Falkingham J;Qin M;Vlachantoni A
成年子女的移徙与“留守”的年长父母的健康之间的关系是一个新兴的研究领域，现有的研究反映了不同的结果。本研究以慢性胃病或其他消化系统疾病为代表，旨在探讨中国流动人口（成年）子女与老年父母慢性病之间的关系。对2011年中国健康与退休纵向研究（CHARLS）的国家基线调查进行了二次分析。在中国31个省份中的28个省份中，共有6495名60岁及以上的人在基线调查时至少有一个孩子。使用二元logistic回归。任何一种慢性胃病或其他消化系统疾病的患病率，在有流动儿子的老年人中高于那些没有流动儿子的老年人（27%对21%，p < 0.001）。更具体地说，至少有一个成年儿子住在另一个县或省的老年人报告疾病的比值比高于所有儿子都住在附近的老年人（OR = 1.29，95%CI = 1.10-1.51）。这一大样本老年人的研究结果支持了这样一个假设，即在当代中国，儿子的迁移显著增加了“留守”老年父母患慢性胃病和其他消化系统疾病的风险。至少有一个移民儿子的老年人比其他人更有可能报告慢性胃病或其他消化系统疾病。女性与报告此类疾病的风险较高独立相关。农村与城市和地区的差异与报告慢性消化系统疾病的风险独立相关。
The relationship between adult children’s migration and the health of their older parents ‘left behind’ is an emerging research area and existing studies reflect mixed findings. This study aims to investigate the association between having migrant (adult) children and older parents’ chronic illness in China, using chronic stomach or other digestive diseases as a proxy. Secondary analysis of the national baseline survey of the 2011 China Health and Retirement Longitudinal Study (CHARLS) was conducted. Analyses were conducted in a total of sample of 6495 individuals aged 60 years and above from 28 out of 31 provinces in China, who had at least one child at the baseline survey. Binary logistic regression was used. The prevalence of any of the diagnosed conditions of chronic stomach or other digestive diseases was higher among older people with a migrant son than among those without (27 percent vs 21 percent, p < 0.001). More specifically, the odds ratio of reporting a disease was higher among older adults with at least one adult son living in another county or province than among those with all their sons living closer (OR = 1.29, 95% CI = 1.10–1.51). The results from this large sample of older adults support the hypothesis that migration of sons significantly increases the risk of chronic stomach and other digestive diseases among ‘left behind’ elderly parents in contemporary China. Older adults with at least one migrant son were more likely to report a chronic stomach or other digestive disease than others. Being female was independently associated with a higher risk of reporting such diseases. Rural vs. urban, and regional, disparity were independently associated with the risk of reporting the chronic digestive disorders.