There are currently around 120 million rural–urban migrants in China. Elsewhere migration has been associated with increased vulnerability to mental health problems. This study was conducted to explore the mental health status and help seeking behaviours of migrant workers in Hangzhou city, Zhejiang Province, and to compare them with permanent urban and rural dwellers.
A self-completion questionnaire including items relating to sociodemographics, health and lifestyles and mental health, was completed by 4453 migrant workers and 1957 urban workers in Hangzhou city, and by 1909 rural residents in Western Zhejiang Province.
The mean age of the migrants was 27 years, (male 29 years, female 25 years). They worked long hours (28% >12 h per day, 81% 6 or 7 days per week) and their living conditions were very basic. On the SF-36 mental health scale migrants had lower scores (52.4) than rural residents (60.4, P < 0.0001) but scored higher than urban residents (47.2, P = 0.003). The difference between urbanites and migrants disappeared after adjustment for confounders (P = 0.06). Independent predictors of better mental health status among migrants were being unmarried, migrating with a partner, higher salary, good self-reported health and good relationships with co-workers. There were small significant differences in suicide ideation and attempts between the three groups with suicide ideation commonest in migrants and suicide attempts most common in the rural population. Fewer than 1% across all three groups had received any professional help for depression or anxiety.
Rural–urban migrant workers in this part of China are not especially vulnerable to poor mental health. This may result from a sense of well being associated with upward economic mobility and improved opportunities, and the relatively high social capital in migrant communities.
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Bhugra D (2004) Migration and mental health. Acta Psychiatr Scand 109:243–258
Cai F, Wang D (2003) Migration as marketisation: what can we learn from China’s 2000 census data? The China Rev 3(2):73–93
Chan KW, Zhang L (1998) The hukou system and rural-urban migration in China: processes and changes. Centre for Studies in Demography and Ecology Working Paper, University of Washington
Conner KR, Phillips MR, Meldrum SC (2007) Predictors of low-intent and high-intent suicide attempts in rural China. Am J Public Health 97(5):1–5
Coutinho Eda S, de Almeida Filho N, Mari J, et al. (1996) Minor psychiatric morbidity and internal migration in Brazil. Soc Psychiatry Psychiatr Epidemiol 31:173–179
De Silva MJ, Huttly S, Harpham T, Kenward MG (2007) Social capital and mental health: a comparative analysis of four low income countries. Soc Sci Med 64:5–20
De Silva MJ, McKenzie K, Harpham T, Huttly S (2005) Social capital and mental illness: a systematic review. J Epidemiol Community Health 59:619–627
Escobar JL, Hoyos Nervi C, Gara MA (2000) Immigration and mental health: Mexican Americans in the United States. Harv Rev Psychiatry 8(2):64–72
Fox PG, Burns KR, Popovich JM, et al. (2001) Depression among immigrant Mexican women and Southeast Asian refugee women in the U.S. Int J Psychiatr Nurs Res 7:778–792
Guan XP, Jiang MY (2002) Basic life and health services for migrants in cities. In Peilin L (ed) Peasant workers: economic and social analysis of peasant workers in the city. Social Sciences Documentation Publishing House, Beijing
Hovey JD, Magana CG (2002) Exploring the mental health of Mexican migrant farm workers in the Midwest: psychosocial predictors of psychological distress and suggestions for prevention and treatment. J Psychol 136:493–513
Hu JN, Higgins J, Higgins LT (2006) Development and limits to development of mental health services in China. Crim Behav Mental Health 16(2):69–76
Ji J, Kleinmann A, Becker AE (2001) Suicide in contemporary China: a review of China’s distinctive suicide demographics in their sociocultural context. Harv Rev Psychiatry 9(1):1–12
Krahl W, Hashim A (1998) Psychiatric disorders in ASEAN-migrants in Malaysia-a university hospital experience. Med J Malaysia 53:232–238; 31. Kwan
Kwan YK, Ip WC (2007) Suicidality and migration among adolescents in Hong Kong. Death Stud 31(1):45–66
Lam C, Tse E, Gandek B, Fong D (2005) The SF-36 summary scales were valid, reliable and equivalent in a Chinese population. J Clin Epidemiol 58:815–822; 21
Li L, Wang HM, Shen Y (2003) Chinese SF-36 health survey: translation, cultural adaptation, validation, and normalization. J Epidemiol Community Health 57:259–263
National Bureau of Statistics of China (NBSC) (2002) Statistics of the Fifth National Census in 2000. Available at http://www.china.org.cn Accessed September 1, 2006
Noh S, Avison WR (1992) Assessing psychopathology in Korean immigrants: some preliminary results on the SCL-90. Can J Psychiatry 37:640–645
Pumariega AJ, Rothe E, Pumariega JB (2005) Mental health of immigrants and refugees. Community Ment Health J 41(5):581–597
Saywell T (2000) Hit the high road. Far East Econ Rev May, 35–39
Seeborg MC, Jin Z, Zhu Y (2000) The new rural-to-urban mobility in China: causes and implications. J Socio Econ 29:39–46
Shen YC (1996) Mental health challenges in China in the twenty-first century. Chinese J Psychiatry 29:5–6
Sjostrom O, Holst D (2002) Validity of a questionnaire survey: response patterns in different subgroups and the effect of social desirability. Acta Odontol Scand 60:136–140
Stack S (1980) The effects of interstate migration on suicide. Int J Soc Psychiatry 26:17–26
Ware JE, Snow KK, Kosinski M (1993) SF-36 health survey: manual and interpretation guide. The Health Institute, New England Medical Centre, Boston Massachusetts
Wu JL, Bao YQ (1999) Beijing migrants reproductive health. Chinese MCH J 14(4):234–236
Yan HQ (1998) New challenges of psychiatry: the development of mental health service in Shanghai. Psychiatry Clin Neurosci 52:S357–S358
Yang TZ, Liu XL (2003) Public health issues on psychological stress and preventive countermeasures. Chinese J Prev Med 37:207–209
Ye XJ, She WX, Li L (2004) Health status of migrant workers in cities and policy suggestions. Chin J Hosp Admin 20:562–566
Ye LM, Wang JJ, Mei LY (2004) Health maintenance and countermeasures for rural migrant workers. J Pub Health Prev Med 15:75–76
Zhejiang Provincial Statistics Bureau (2005) Zhejiang statistical year book 2004. Zhejiang People’s Publisher, Hangzhou
Zheng Z, Zhou Y, Zheng L, Yang Y, Zhao D, Lou C, Zhao S (2001) Sexual behaviour and contraceptive use among unmarried young women migrant workers in five cities in China. Reprod Health Matters 9(17):118–127
The study was funded through a Wellcome Trust project grant No 069355
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Li, L., Wang, H., Ye, X. et al. The mental health status of Chinese rural–urban migrant workers. Soc Psychiat Epidemiol 42, 716–722 (2007). https://doi.org/10.1007/s00127-007-0221-0
- mental health
- migrant workers