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

描述（由申请人提供）：这项研究扩展了正在进行的移民与健康之间的联系的两国调查，以检查经济衰退的健康后果，并确定在美国（达勒姆，NC）和墨西哥发送社区的移民接收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，其后果超越国界，因为美国经济状况的下降也会对派遣社区产生负面影响。通过比较2006/7年度作为父母补助金的一部分收集的两国经济衰退前的数据与2010/11年度新收集的数据，我们将评估经济衰退对健康指标的影响，如抑郁症，酒精消费，家庭暴力，获得医疗保健，以及感知歧视和文化冲击，在美国和墨西哥。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，分包和表外就业），财务困难，汇款行为（发送和接收），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对健康的负面影响的因素，以及这些因素在性别、健康结果和居住国之间的差异程度。它还将确定对健康产生最不利影响的是财政紧张、失业还是就业不稳定性增加。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。我们将利用两国数据评估返回移民的普遍性和时间、报告的返回可能性的变化以及按性别分列的移民概率。这项研究的结果将对公共卫生产生许多影响，因为这些结果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，支持两国研究和传播研究结果。 公共卫生相关性：这项研究扩大了正在进行的移民和健康之间的联系，以检查目前的经济衰退的健康后果，并确定在移民接收社区在美国（达勒姆，NC）和发送社区在墨西哥的应对策略。这项研究的结果将对公共卫生产生许多影响，因为这些结果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.