Rural-urban migration and health: evidence from longitudinal data in Indonesia.
Rural-urban migration and health: evidence from longitudinal data in Indonesia.
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DOI：
10.1016/j.socscimed.2009.10.028
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发表时间：
2010-02
影响因子：
5.4
通讯作者：
Lu, Yao
中科院分区：
文献类型：
--
作者：
Lu, Yao
以往关于移徙对健康影响的研究往往面临选择适当的比较组和解决可能的移徙选择的困难。本文利用印度尼西亚的纵向数据，通过比较移民与适当的比较组（留在农村的人）的健康状况，以及（2）研究移民前后的健康状况，以调整可能的选择偏差，来研究农村-城市移民对身心健康的影响。本研究进一步探讨了各种社会经济，心理社会和行为途径介导的移民效应。结果表明，农村-城市劳动力迁移增加了心理障碍的风险，抑郁症状。这在很大程度上是由于家庭破裂导致社会支助减少，因为这种有害影响对独自移徙的移徙者特别严重，而对与家庭成员一起移徙的移徙者则微不足道。相比之下，移徙对身体健康的中期影响很小。这在很大程度上归因于移徙的多重抵消影响：移徙改善了经济地位和生活水平，但也导致与工作有关的压力增加，并增加了利用保健服务的障碍。此外，尽管移徙者收入较高，但他们往往消费不足，并将大量收入汇给原籍家庭，这阻碍了经济福祉改善带来的潜在健康收益。
Previous studies on the impact of migration on health often face the difficulties of choosing the proper comparison group and addressing potential selection of migration. Using longitudinal data from Indonesia, this paper examines the effect of rural-urban migration on physical and psychological health, (1) by comparing the health of migrants with that of the appropriate group of comparison, people who remained in rural origins, and (2) studying health both prior to and after migration to adjust for possible selection bias. This research further explores various socioeconomic, psychosocial, and behavioral pathways mediating the migration effect. Results show that rural-urban labor migration increased the risk of psychological disorder as measured by depressive symptoms. This was largely a result of reduced social support due to family disruption, because the deleterious effect was particularly strong for migrants who moved alone and was negligible for migrants moving with family members. In contrast, migration had little impact on physical health in the medium term. This was largely attributed to the multiple offsetting influences of migration: migration improved economic status and living standards but led to increased work-related stressors and barriers to health utilization. In addition, despite earning higher income, migrants tend to underconsume and remit a large amount of earnings to original families, which hindered potential health gains from improved economic well-being.
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影响因子：
9.1
作者：
Landale, NS;Oropesa, RS;Gorman, BK
通讯作者：
Gorman, BK
影响因子：
2
作者：
HEIDRICH, SM
通讯作者：
HEIDRICH, SM
影响因子：
3.5
作者：
Hayward, MD;Heron, M
通讯作者：
Heron, M
影响因子：
168.9
作者：
MARMOT, MG;ADELSTEIN, AM;BULUSU, L
通讯作者：
BULUSU, L
影响因子：
5.4
作者：
Lu, Yao
通讯作者：
Lu, Yao