Rural-to-Urban Migration and Changes in Health Among Young Adults in Thailand.
Rural-to-Urban Migration and Changes in Health Among Young Adults in Thailand.
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DOI：
10.1007/s13524-014-0365-y
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发表时间：
2015-02
期刊：
影响因子：
3.5
通讯作者：
Punpuing, Sureeporn
中科院分区：
文献类型：
--
作者：
Nauman, Elizabeth;VanLandingham, Mark;Anglewicz, Philip;Patthavanit, Umaporn;Punpuing, Sureeporn
我们调查了从农村到城市的移民对年轻成年移民健康的影响。一个关键的方法挑战涉及选择对移徙与健康之间关系的潜在混淆影响。我们的研究从两个方面解决了这一挑战。为了控制先前健康状况对移民后健康结果的潜在影响，我们采用了纵向研究方法。为了控制可能影响移民倾向和健康结果的静态未观察到的特征，我们使用固定效应分析。2005年和2007年收集了泰国西部堪察纳武里省农村的一群年轻人的数据。移民样本包括后来搬到城市目的地的个人，他们在2007年重新接受了采访。回返的移民在这两年都在农村地区接受了采访，但后来搬到了城市地区，并在此期间返回。农村对照小组由留在原籍村庄的受访者组成。城市比较样本包括城市目的地社区的较长期居民。身心健康测量是基于SF-36健康调查。研究结果支持“健康移民假说”。无论是在迁入城市之前还是之后，外来人口的身体状况都比他们的非外来人口健康。我们没有发现移民对身体健康的影响。留在目的地的农村到城市流动人口的心理健康状况有了显著改善。固定效应分析表明，农村向城市的迁移对心理健康有积极的影响。返乡移民在身体和心理健康状况上都不如留在目的地的移民--这是选择性返乡移民的证据。
We investigate the impacts of rural-to-urban migration on the health of young adult migrants. A key methodological challenge involves the potentially confounding effects of selection on the relationship between migration and health. Our study addresses this challenge in two ways. To control for potential effects of prior health status on post-migration health outcomes, we employ a longitudinal approach. To control for static unobserved characteristics that can affect migration propensity as well as health outcomes, we use fixed-effects analyses. Data were collected in 2005 and 2007 for a cohort of young adults in rural Kanchanaburi province, western Thailand. The migrant sample includes individuals who subsequently moved to urban destinations where they were reinterviewed in 2007. Return migrants were interviewed in rural Kanchanaburi in both years but moved to an urban area and returned in the meantime. A rural comparison group comprises respondents who remained in the origin villages. An urban comparison sample includes longer-term residents of the urban destination communities. Physical and mental health measures are based on the SF-36 health survey. Findings support the “healthy migrant hypothesis.” Migrants are physically healthier than their nonmigrant counterparts both before and after moving to the city. We did not find an effect of migration on physical health. Rural-to-urban migrants who stayed at destination experienced a significant improvement in mental health status. Fixed-effects analyses indicate that rural-to-urban migration positively affects mental health. Return migrants do not fare as well as migrants who stayed at destination on both physical and mental health status—evidence of selective return migration.
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影响因子：
3.5
作者：
Anglewicz, Philip;VanLandingham, Mark;Phuengsamran, Dusita
通讯作者：
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影响因子：
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作者：
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通讯作者：
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