Children's migration and lifestyle-related chronic disease among older parents 'left behind' in india.
Children's migration and lifestyle-related chronic disease among older parents 'left behind' in india.
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DOI：
10.1016/j.ssmph.2017.03.008
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Evandrou M
中科院分区：
文献类型：
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作者：
Falkingham J;Qin M;Vlachantoni A;Evandrou M
与生活方式有关的慢性病，如心血管疾病和糖尿病，现在是印度死亡和残疾的主要原因。有趣的是，印度老年人中与生活方式有关的慢性病患病率最高的那些邦也被发现有最高的国际或国内向外移民率。本文调查了印度移民（成年）子女与老年父母生活方式相关慢性病之间的关系。双变量和多变量分析进行使用的数据从一个有代表性的样本9507名成年人年龄在60岁及以上的七个印度国家的人口基金项目“建设知识库在印度的老龄化”。结果表明，对于高血压、糖尿病和心脏病的任何一种诊断疾病，有一个移民儿子的老年人的患病率都高于没有移民儿子的老年人。更具体地说，至少有一个成年儿子生活在另一个地区、邦或印度以外的老年人报告与生活方式有关的慢性疾病的比值比高于子女生活在附近的老年人。这项研究为学术和政策辩论提供了经验证据，辩论的主题是全球化和城市化对老年人健康状况的总体影响，特别是他们报告与生活方式改变有关的慢性病的风险。在印度，“留守”老年父母中慢性病的患病率很高。儿童向外迁移和（或）在不同州和（或）不同地区内迁移是风险因素。选定的慢性病包括确诊的高血压、糖尿病和心脏病。需要对全球化和城市化的健康后果进行更多的研究。
Lifestyle-related chronic diseases such as cardiovascular diseases and diabetes are now the leading causes of death and disability in India. Interestingly, those Indian states with the highest prevalence of lifestyle-related chronic disease among older adults are also found to have the highest rates of international or internal out-migration. This paper investigates the association between having migrant (adult) children and older parents’ lifestyle-related chronic disease in India. Bi-variate and multivariate analysis are conducted using data from a representative sample of 9507 adults aged 60 and older in seven Indian states from the UNFPA project ‘Building Knowledge Base on Ageing in India’. The results show that for any of the diagnosed conditions of hypertension, diabetes and heart disease, the prevalence among older people with a migrant son is higher than among those without. More specifically, the odds ratio of reporting a lifestyle-related chronic disease is higher among older adults with at least one adult son living in another district, State or outside India than those with their children living closer. This study contributes empirical evidence to the academic and policy debate about the consequences of globalization and urbanization for older people's health status generally, and particularly their risk for reporting chronic diseases that relate to changes in their lifestyle. The prevalence of chronic disease is high among ‘left behind’ older parents in India. Children's out-migration and (or) migration within different states and (or) different districts are risk factors. Selected chronic diseases include diagnosed hypertension, diabetes and heart disease. More research is required on the health consequences of globalization and urbanization.