Rural-urban migration and depression in ageing family members left behind.

Rural-urban migration and depression in ageing family members left behind.
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DOI:
10.1192/bjp.bp.108.056143
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发表时间:
2009-07
期刊:
The British journal of psychiatry : the journal of mental science
影响因子:
--
通讯作者:
Prince M
Prince M
中科院分区:
其他
文献类型:
--
作者:
Abas MA;Punpuing S;Jirapramukpitak T;Guest P;Tangchonlatip K;Leese M;Prince M

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有人认为,农村向城市的移徙将对留在当地的老年父母产生不利影响。目的描述外迁的相关因素,并估计任何外迁的儿童和抑郁症之间的关联,在农村居住的老年父母。方法对泰国农村1147名60岁及以上的父母进行以人群为基础的调查。 我们随机抽取了没有孩子的父母。我们将外来移民儿童定义为居住在父母所在地区之外,并使用泰国版EURO-D测量抑郁症的持续结果。结果与部分或无子女外移相比,所有子女外移与父母抑郁程度较低独立相关。在考虑了社会支持、父母特征、健康和财富之后,这种关联仍然存在。所有子女都移居国外的父母收到更多的经济汇款,他们认为得到的支助与子女离他们很近的父母一样好。结论:儿童外迁与老年父母的抑郁程度无关,在考虑了一系列可能的协变量后,实际上与父母抑郁程度较低有关。这可能是因为派遣更多移徙者的家庭已有优势,以及移徙的经济利益。
Background It has been suggested that rural–urban migration will have adverse consequences for older parents left behind. Aims To describe correlates of outmigration and to estimate any association between outmigration of children and depression in rural-dwelling older parents. Method Population-based survey of 1147 parents aged 60 and over in rural Thailand. We randomly oversampled parents living without children. We defined an outmigrant child as living outside their parent’s district, and measured depression as a continuous outcome with a Thai version of the EURO–D. Results Outmigration of all children, compared with outmigration of some or no children, was independently associated with less depression in parents. This association remained after taking account of social support, parent characteristics, health and wealth. Parents with all children outmigrated received more economic remittances and they perceived support to be as good as that of those with children close by. Conclusions Outmigration of children was not associated with greater depression in older parents and, after taking account of a range of possible covariables, was actually associated with less parental depression. This could be explained by pre-existing advantages in families sending more migrants and by the economic benefits of migration.
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