Mexican migration and the economic recession: Effects on health and well-being

描述(申请人提供)：这项研究扩展了一项正在进行的关于移民和健康之间的联系的两国调查，以检查经济衰退的健康后果，并确定美国(北卡罗来纳州达勒姆)的移民接收社区和墨西哥的移民发送社区所采用的应对策略。移民可以说是最容易受到经济衰退影响的群体之一。此外，其后果超越了国界，因为美国不断下降的经济状况也可能对派遣社区产生负面影响。通过将2006/7年度作为父母拨款的一部分收集的两国衰退前数据与2010/11年度新收集的数据进行比较，我们将评估经济衰退对美国和墨西哥的健康指标的影响，如抑郁、酒精消费、家庭暴力和获得医疗保健的机会，以及感知到的歧视和文化冲击。我们还将评估经济衰退对两国墨西哥人的社会和经济地位的影响，重点是就业模式(收入、就业不稳定、分包和账外就业)、经济困难、汇款行为(寄送和接收)、生活安排、资源汇集和社会支持。然后，我们将模拟个人、家庭和社会经济特征对达勒姆和墨西哥经济衰退前后健康结果的影响。该分析将确定有助于缓冲经济衰退的负面健康后果的因素，以及这些负面后果在性别、健康结果和居住国之间的差异程度。它还将确定对健康影响最不利的是财政压力、就业损失，还是就业不稳定加剧。最后，我们将评估经济收缩对墨西哥和美国之间劳动力迁移动态的影响。使用两国数据，我们将评估回返移徙的流行率和时间、报告的回返可能性的变化以及按性别分列的移徙概率。研究结果将对公共卫生产生许多影响，因为它们可以作为旨在减少金融危机对边境两侧移民家庭的负面影响的政策的基础。此外，该项目扩大了我们与墨西哥同事的合作，建设能力，支持两国研究和研究成果的传播。 公共卫生相关性：这项研究扩展了一项正在进行的关于移民和健康之间的联系的两国调查，以检查当前经济衰退的健康后果，并确定美国(北卡罗来纳州达勒姆)的移民接收社区和墨西哥的移民发送社区所采用的应对策略。研究结果将对公共卫生产生许多影响，因为它们可以作为旨在减少金融危机对边境两侧移民家庭的负面影响的政策的基础。

DESCRIPTION (provided by applicant): This research expands on an on-going bi-national investigation of the connection between migration and health to examine the health consequences of the recession and identify the coping strategies employed in a migrant receiving community in the U.S. (Durham, NC) and sending communities in Mexico. Immigrants are arguably one of the groups most vulnerable to economic downturns. Moreover, the consequences transcend national borders, as declining economic conditions in the U.S. can also have negative implications for sending communities. By comparing bi-national pre-recession data collected in 2006/7 as part of the parent grant with newly collected data in 2010/11, we will assess the impact of the recession on health indicators such as depression, alcohol consumption, domestic violence, and access to health care, as well as perceived discrimination and acculturative shock, in both the U.S. and Mexico. We will also evaluate the impact of the recession on the social and economic position of Mexicans in both countries, focusing on employment patterns (income, employment instability, subcontracting, and off-the-books employment), financial hardship, remittance behavior (both sending and receiving), living arrangements, resource pooling, and social support. We will then model the effect of personal, family, and socioeconomic characteristics on health outcomes before and after the recession in Durham and Mexico. The analysis will identify factors that help buffer against the negative health consequences of recessions, and the extent to which they vary by gender, across health outcomes, and by country of residence. It will also identify whether it is financial strain, loss of employment, or increase in employment instability that most adversely impacts health. And finally, we will assess the impact of the economic contraction on the dynamics of labor migration between Mexico and the United States. Using bi- national data we will assess the prevalence and timing of return migration, changes in the reported likelihood of return, and probability of migrating by gender. Findings from the study will have numerous public health implications since they can serve as the basis for policies oriented towards reducing the negative impact of financial crises on migrant families on both sides of the border. In addition, the project expands our collaboration with Mexican colleagues, building capacity and supporting bi-national research and dissemination of findings. PUBLIC HEALTH RELEVANCE: This research expands on an on-going bi-national investigation of the connection between migration and health to examine the health consequences of the current recession and identify the coping strategies employed in a migrant receiving community in the U.S. (Durham, NC) and sending communities in Mexico. Findings from the study will have numerous public health implications since they can serve as the basis for policies oriented towards reducing the negative impact of financial crises on migrant families on both sides of the border.