Returning home to die: circular labour migration and mortality in South Africa.
Returning home to die: circular labour migration and mortality in South Africa.
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DOI：
10.1080/14034950701355619
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发表时间：
2007-08
期刊：
影响因子：
--
通讯作者：
Tollman SM
中科院分区：
文献类型：
--
作者：
Clark SJ;Collinson MA;Kahn K;Drullinger K;Tollman SM
研究假设，即循环劳动力移民谁成为重病，而住在远离家乡返回他们的农村家园康复，并可能死亡。利用1995年至2004年期间在南非东北部农村的阿金库尔健康和人口监测系统收集的纵向数据，离散时间事件历史分析被用来估计死亡的居民，短期回国移民和长期回国移民控制性别，年龄和历史时期的可能性。短期返乡移民的年死亡率通常是居民和长期返乡移民的1.1至1.9倍（取决于时期、性别和年龄），这些差异通常具有高度统计学意义。进一步支持这一假设的事实是，随着时间的推移，短期回国移民中艾滋病毒/结核病死亡的比例急剧增加，短期回国移民在所有艾滋病毒/结核病死亡中所占的比例越来越大。这一证据有力地表明，越来越多的处于最佳工作年龄的循环劳动力移徙者在他们工作的城市地区生病，回家接受照顾，最终在家人居住的农村地区死亡。这就把照顾身患绝症的妇女的负担转移给了她们的家庭和农村保健系统，对保健资源的分配和配置产生了重大影响。
To examine the hypothesis that circular labour migrants who become seriously ill while living away from home return to their rural homes to convalesce and possibly to die. Drawing on longitudinal data collected by the Agincourt health and demographic surveillance system in rural northeastern South Africa between 1995 and 2004, discrete time event history analysis is used to estimate the likelihood of dying for residents, short-term returning migrants, and long-term returning migrants controlling for sex, age, and historical period. The annual odds of dying for short-term returning migrants are generally 1.1 to 1.9 times (depending on period, sex, and age) higher than those of residents and long-term returning migrants, and these differences are generally highly statistically significant. Further supporting the hypothesis is the fact that the proportion of HIV/TB deaths among short-term returning migrants increases dramatically as time progresses, and short-term returning migrants account for an increasing proportion of all HIV/TB deaths. This evidence strongly suggests that increasing numbers of circular labour migrants of prime working age are becoming ill in the urban areas where they work and coming home to be cared for and eventually to die in the rural areas where their families live. This shifts the burden of caring for them in their terminal illness to their families and the rural healthcare system with significant consequences for the distribution and allocation of health care resources.
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影响因子：
3.1
作者：
Lurie, MN;Williams, BG;Karim, SSA
通讯作者：
Karim, SSA
影响因子：
3.4
作者：
JOCHELSON, K;MOTHIBELI, M;LEGER, JP
通讯作者：
LEGER, JP
影响因子：
3.8
作者：
NUNN, AJ;WAGNER, HU;MULDER, DW
通讯作者：
MULDER, DW
影响因子：
2.8
作者：
HALLETT, R
通讯作者：
HALLETT, R
影响因子：
3.8
作者：
Tollman, SM;Kahn, K;Gear, JSS
通讯作者：
Gear, JSS