Migration, family context, and child health

随着国际劳动力流动成为全球更常见的生计战略，这一普遍的 人口和社会变化对人口和健康产生深远影响，包括对年轻人。 移民父母或家庭成员留下的儿童。许多留守儿童收到汇款 来自外来务工人员父母或家庭成员的收入。然而，确定这一额外收入对 鉴于与移徙有关的其他重要的、同时发生的家庭变化，儿童的健康是困难的，例如 因父母不在而引起的居住安排的变化。此外，对儿童的前瞻性识别 有流动的父母或家庭成员并收到汇款的可能性是理解的必要的 处于危险中的儿童人口，这对儿童健康政策和方案具有重要影响。 研究移民、汇款和儿童健康之间的联系需要随着时间的推移采取详细的措施。 因此，这项拟议的研究的目的有两个：第一，检查孩子有父母的风险 或家庭成员移民工作和获得汇款收入，第二，审查如何 汇款收入影响派遣移民家庭儿童的健康，同时考虑到 随着时间的推移，家庭构成和财富。 该项目使用了来自移民发送区的小组研究的数据，其中包括个人数据， 家庭和社区。一段时间内详细的移民、汇款和儿童健康数据的可用性 为从三个具体目标研究这些问题提供了一个独特的机会。第一个研究目标将使用 关于儿童及其父母、家庭和社区的预期数据，以估计儿童患癌症的风险 父母的迁移和汇款的收受。这一目标将建立关于移民儿童如何- 派遣家庭和非移民家庭不同，向移民派遣地区的两个公共卫生项目提供信息 以及移民和儿童健康的研究。第二个研究目标将改进先前对 汇款收入对留守儿童健康的影响 影响移民、汇款和儿童健康之间关系的家庭层面的因素 时间到了。第三个研究目的是考察汇款收入是否以及如何与汇款收入之间的关系。 根据家庭使用汇款收入的方式不同，儿童健康状况也不同。这些分析 将使用先进的流行病学方法和事件历史建模来研究这一复杂现象。 移徙及其相关的社会、人口和经济变化日益重要。 对政策制定者和其他寻求改善儿童健康的人的考虑。这项研究将加强 我们对父母迁徙塑造儿童健康的机制的理解 特别是汇款收入的背后；确定这一领域未来研究的有希望的途径；以及 为有效的儿童健康干预提供严格的证据。

As international labor migration becomes a more common livelihood strategy globally, this widespread population and social change has profound demographic and health consequences, including for young children left behind by migrating parents or family members. Many children left behind receive remittance income from migrant parents or family members. However, identifying the effects of this additional income on children’s health is difficult in light of other important, concurrent migration-related household changes, such as changes in living arrangements due to parental absence. Moreover, prospective identification of children’s likelihood of having a migrant parent or family member and receipt of remittance is necessary to understand the population of children at risk, which has important implications for child health policies and programs. Studying the links between migration, remittances, and children’s health requires detailed measures over time. Therefore, the objective of the proposed research is twofold: first, to examine children’s risks of having a parent or household member migrate for work and receive remittance income, and second, to examine how remittance income affects the health of children in migrant-sending households while accounting for changes in household composition and wealth over time. This project uses data from a panel study in a migrant-sending area that includes data on individuals, households, and communities. The availability of detailed migration, remittance, and child health data over time provides a unique opportunity to study these questions in three specific aims. The first research aim will use prospective data about children and their parents, households, and communities to estimate children’s risks of parental migration and receipt of remittances. This aim will build knowledge about how children in migrant- sending and non-migrant households differ, informing both public health programs in migrant-sending areas and studies of migration and child health. The second research aim will improve upon prior estimates of the effects of remittance income on the health of children left behind by appropriately accounting for individual and household-level factors that shape the relationships between migration, remittances, and child health over time. The third research aim will investigate the whether and how the relationship between remittance income and child health varies depending on the ways in which households use remittance income. These analyses will use advanced epidemiologic methods and event history modeling to study this complex phenomenon. Migration and its related social, demographic, and economic changes are increasingly important considerations for policymakers and others seeking to improve children’s health. This research will enhance our understanding of the mechanisms through which parental migration shapes the health of children left behind, in particular, remittance income; identify promising avenues for future research in this area; and generate rigorous evidence for effective child health interventions.