Migration and Health in Thailand

说明(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移徙所导致的年轻人(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移徙决定之间的关系，即移徙选择性。拟议研究的具体目的是为移民和非移民提供多层面的青年健康评估，包括移民地区(泰国关塔那武里省农村)和接收地(泰国关塔那武里市和曼谷大都市地区)；评估移民和非移民健康状况各方面的变化；并评估移民和非移民之间的健康差异在多大程度上是由于移徙过程本身、城乡环境中的背景因素、与富裕有关的家庭因素以及与移徙决定和健康状况的各个方面(选择因素)有关的先验的个人差异。这些目标和目的将通过在泰国Kanachanaburi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。来自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。研究设计包括三波数据收集，以及比较农村非流动人口、城市非流动人口和基准线上的农村居民在第二或第三波数据收集后迁移到城市中心的健康状况随时间的变化。

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.