The impact of rural-urban migration on under-two mortality in India
The impact of rural-urban migration on under-two mortality in India
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DOI：
10.1017/s0021932003000154
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发表时间：
2003-01-01
影响因子：
1.5
通讯作者：
McDonald, JW
中科院分区：
文献类型：
--
作者：
Stephenson, R;Matthews, Z;McDonald, JW
本文利用 1992/93 年印度全国家庭健康调查的数据，探讨了农村人口向城市迁移对印度两岁以下儿童死亡率的影响。多级逻辑模型适用于三个年龄组的死亡率：新生儿、新生儿早期、新生儿后期和幼儿。在这三个年龄组中，移徙状况都不是死亡率的重要决定因素。进一步分析表明，当模型中忽略社会经济和健康利用变量时，移民状况和死亡率之间存在关系。因此，移徙与死亡率之间的关系可以通过城乡移徙者和非移徙者群体之间的社会经济地位和卫生服务使用情况的差异来解释。城乡流动人口对社会经济特征的选择性造成了城乡流动人口与农村非流动人口之间的死亡率差异。移民在融入城市社会过程中面临的问题造成了城乡移民与城市非移民之间的死亡率差异。这些结果凸显了在提供医疗服务时需要以流动人口为目标，并表明农村地区的婴儿死亡率仍然最高。需要进一步研究来了解城乡流动人口的医疗保健需求，以便为提供适当的医疗保健提供信息。
This paper examines the impact of rural-urban migration on under-two mortality in India, using data from the 1992/93 Indian National Family Health Survey. Multilevel logistic models are fitted for mortality in three age groups: neonatal, early post-neonatal, and late post-neonatal and toddler. Migration status was not a significant determinant of mortality in any of the three age groups. Further analysis shows that a relationship between migration status and mortality exists when socioeconomic and health utilization variables are omitted from the models. The relationship between migration and mortality is thus explained by differences in socioeconomic status and use of health services between rural-urban migrant and non-migrant groups. The selectivity of rural-urban migrants on socioeconomic characteristics creates mortality differentials between rural urban migrants and rural non-migrants. Problems faced by migrants in assimilating into urban societies create mortality differentials between rural-urban migrants and urban non-migrants. These results highlight the need to target migrants in the provision of health services, and demonstrate that rural areas continue to have the highest levels of infant-child mortality. Further research is needed to understand the health care needs of rural-urban migrants in order to inform the provision of appropriate health care.