Migration, family context, and child health

随着国际劳动力迁移成为全球范围内更为普遍的生计策略， 人口和社会变化对人口和健康，包括对年轻人， 移徙父母或家庭成员留下的儿童。不少留守儿童收到汇款 来自移民父母或家庭成员的收入。然而，确定这一额外收入的影响， 鉴于其他与移徙有关的重要的、同时发生的家庭变化， 由于父母不在而改变生活安排。此外，对儿童的预期识别 有可能有一个移民父母或家庭成员和收到汇款是必要的，以了解 这对儿童健康政策和方案具有重要意义。 研究移民、汇款和儿童健康之间的联系需要长期的详细措施。 因此，本研究的目的有两个：第一，研究儿童有父母的风险 或家庭成员迁移工作和接收汇款收入，第二，研究如何 汇款收入影响到移民家庭子女的健康，同时也影响到 家庭组成和财富。 该项目使用的数据来自移民输出地区的一项小组研究，其中包括个人数据， 家庭和社区。提供详细的移民、汇款和儿童健康数据 提供了一个独特的机会，研究这些问题的三个具体目标。第一个研究目标将使用 关于儿童及其父母、家庭和社区的前瞻性数据，以估计儿童 父母移民和收到汇款。这一目标将使人们了解移徙儿童如何- 派遣和非移民家庭不同，在移民派遣地区的公共卫生计划 以及移民和儿童健康的研究。第二个研究目标将改善先前的估计， 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因素， 时间第三个研究目的是探讨汇款收入是否与汇款收入之间存在关系以及如何存在关系 而儿童健康则因家庭使用汇款收入的方式而异。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。 移民及其相关的社会、人口和经济变化越来越重要 政策制定者和其他寻求改善儿童健康的人的考虑因素。这项研究将提高 我们对父母移民影响儿童健康的机制的理解 特别是汇款收入的背后;为这一领域的未来研究确定有希望的途径; 为有效的儿童健康干预措施提供严格的证据。

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.