Migration and Health in Thailand

描述（由申请人提供）：拟议研究的总体目标是探索从农村地区向城市地区迁移导致的年轻人（15-29岁）健康状况变化的各个方面和决定因素；并探讨健康状况与随后的迁移决定之间的关系，即迁移选择性。拟议研究的具体目的是对移民和非移民的年轻人健康状况进行多维度评估，这些移民来自派遣地区（泰国北碧府农村地区）和接收地区（北碧府和曼谷大都市地区）；评估移徙者和非移徙者健康状况各方面随时间的变化；并评估移徙者和非移徙者之间的健康差异在多大程度上是由移徙过程本身、农村和城市环境中的背景因素、与富裕程度有关的家庭因素以及与移徙决定和健康状况各方面（选择因素）有关的先验个人差异造成的。这些目标和目的将通过在泰国卡纳卡纳武里省正在进行的人口研究项目中增加一项纵向健康研究来实现。拟议的健康研究的数据将与现有项目收集的个人、家庭和背景数据联系起来。研究设计包括3波数据收集，比较农村非流动人口健康状况随时间的变化；城市常住人口;在基线时是农村居民的个体在第二或第三波数据收集时迁移到城市中心。

DESCRIPTION (provided by applicant): The overall objectives of the proposed research are to explore the various dimensions and determinants of health status change among young adults (age 15-29) resulting from migration from rural areas to urban areas; and to explore the relationship between health status and subsequent decisions to migrate, i.e., migration selectivity. The specific aims of the proposed research are to provide a multidimensional assessment of young adult health for migrants and for non-migrants in sending areas (rural Kanchanaburi Province, Thailand), and receiving areas (Kanchanaburi and Bangkok metropolitan areas); to provide an assessment of changes in various dimensions of health status over time for both migrants and non-migrants; and to provide an assessment of the degree to which differences between the health of migrants and non-migrants are due to migration processes per se, to contextual factors in both rural and urban environments, to family-level factors related to affluence, and to a priori individual differences related both to decisions to migrate and to various dimensions of health status (selection factors). These objectives and aims will be accomplished by adding a longitudinal health study to an ongoing demographic research project in Kanachanaburi province, Thailand. Data from the proposed health study will be linked with the individual, family, and contextual data collected by the existing project. The research design consists of 3 waves of data collection, and a comparison of changes of health status over time among rural non-migrants; urban non-migrants; and individuals who were rural residents at baseline who subsequently migrate to urban centers by the second or third wave of data collection.