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Migration and depressive symptoms in migrant-sending areas: findings from the survey of internal migration and health in China

Abstract

Objectives

China has experienced large-scale internal migration and growing mental health disorders. Limited research has examined the relationship between the two processes. We examined the association between labor out-migration and depressive symptoms of family members left behind in migrant-sending areas.

Methods

We conducted a multistage probability sample survey of Chinese adults in 2008 (“Internal Migration and Health in China”), including 787 people in rural migrant-sending areas. To study whether adults in out-migrant households were more likely to experience depressive symptoms (CES-D) than were adults in non-migrant households, we used multivariate regressions and adjusted for a wide range of confounding factors and for the complex sampling design.

Results

Adults in households with labor out-migrants were more likely to report depressive symptoms than those in households without out-migrants, presumably a result of the absence of family members. However, monetary remittances from labor migrants buffered the mental health costs of out-migration.

Conclusions

Labor out-migration has important consequences for the mental health in migrant-sending communities. There is an urgent need to address the psychological costs of migration and to promote regular remittances.

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References

  1. Abraído-Lanza AF, Chao MT, Flórez KR (2005) Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Soc Sci Med 61:1243–1255

    PubMed  Article  Google Scholar 

  2. Bhugra D (2004) Migration and mental health. Acta Psychiatr Scand 109:243–258

    PubMed  Article  CAS  Google Scholar 

  3. Braman D (2004) Doing time on the outside: incarceration and family life in Urban America. University of Michigan Press

  4. Chan KW, Zhang L (1999) The hukou system and rural-urban migration in China: processes and changes. China Q 160:818–855

    PubMed  Article  Google Scholar 

  5. Cohen S, Wills T (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357

    PubMed  Article  CAS  Google Scholar 

  6. He J, Gu D, Wu X, Reynolds K, Duan X, Yao C, Wang J, Chen CS, Chen J, Wildman RP, Klag MJ, Whelton PK (2005) Major causes of death among men and women in China. N Engl J Med 353:1124–1134

    PubMed  Article  CAS  Google Scholar 

  7. Hilderbrandt N, McKenzie D (2005) The effect of migration on child health in Mexico. Economia 6:257–289

    Google Scholar 

  8. Hirsch JS, Higgins J, Bentley ME, Nathanson CA (2002) The social constructions of sexuality: marital infidelity and sexually transmitted disease–HIV risk in a Mexican migrant community. Am J Public Health 92:1227–1237

    PubMed  Article  Google Scholar 

  9. International Organization for Migration (IOM) (2005) Internal migration and development: a global perspective. Migration Research Series 19. IOM Geneva, Switzerland

  10. Kahn RS, Wise PH, Kennedy BP, Kawachi I (2000) State income inequality, household income, and maternal mental and physical health: cross sectional national survey. Br Med J 321:1311–1315

    Article  CAS  Google Scholar 

  11. Kelley ML, Hock E, Bonney JF, Jarvis MS, Smith KM, Gaffney MA (2001) Navy mothers experiencing and not experiencing deployment: reasons for staying in or leaving the military. Mil Psychol 13:55–71

    Article  Google Scholar 

  12. Li Q, Mao X, Zhang T (2008) Migrant worker’s remittances: quantity and usage. China Rural Obs 3:2–12

    Google Scholar 

  13. Lu Y (2010) Rural-urban migration and health: evidence from longitudinal data in Indonesia. Soc Sci Med 70:412–419

    PubMed  Article  Google Scholar 

  14. Miller G (2006) Mental health in developing countries. The unseen: mental illness’s global toll. Science 311:458–461

    PubMed  Article  CAS  Google Scholar 

  15. Mino Y, Shigemi J, Otsu T, Ohta A, Tsuda T, Yasuda N, Babazono A, Yamamoto E (2001) Smoking and mental health: cross-sectional and cohort studies in an occupational setting in Japan. Prev Med 32:371–375

    PubMed  Article  CAS  Google Scholar 

  16. Murphy R (2002) How migrant labor is changing rural China. Cambridge University Press, Cambridge

    Book  Google Scholar 

  17. National Bureau of Statistics (China) (2008) Statistical Yearbook. National Bureau of Statistics

  18. National Bureau of Statistics (China) (2011) Demographic statistics from the 2010 census

  19. Radloff LS (1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401

    Article  Google Scholar 

  20. Richards M, Hardy R, Wadsworth M (1997) The effects of divorce and separation on mental health in a national UK birth cohort. Psychol Med 27:1121–1128

    PubMed  Article  CAS  Google Scholar 

  21. Roberts KD (1997) China’s tidal wave of migrant labor: what can we learn from Mexican undocumented migration to the United States? Int Migr Rev 31:249–293

    PubMed  Article  CAS  Google Scholar 

  22. Roberts RE, Vernon SW (1984) The center for epidemiologic studies depression scale: Its use in a community sample. Am J Psychiatry 140:41–46

    Google Scholar 

  23. Stark O, Bloom D (1985) The new economics of labor migration. Am Econ Rev 75:173–178

    Google Scholar 

  24. Sullivan LE, Fiellin DA, O’Connor PG (2005) The prevalence and impact of alcohol problems in major depression: a systematic review. Am J Med 118:330–341

    PubMed  Article  Google Scholar 

  25. Takeuchi DT, Alegría M, Jackson JS, Williams DR (2007) Immigration and mental health: diverse findings in Asian, Black, and Latino populations. Am J Public Health 97:11–12

    PubMed  Article  Google Scholar 

  26. Taylor JE, Arango J, Hugo G, Kouaouci A, Massey DS, Pellegrino A (1996) International migration and community development. Popul Index 62:397–418

    Article  Google Scholar 

  27. Wang X (1993) Rating scales for mental health (Chinese Journal of Mental Health Supplement). Chinese Association of Mental Health, Beijing

    Google Scholar 

  28. World Bank (2003) Workers remittances: an important and stable source of external development finance. World Bank, Washington, DC

    Google Scholar 

  29. Zhang KH, Song SF (2003) Rural–urban migration and urbanization in China: evidence from time-series and cross-section analysis. China Econ Rev 14:386–400

    Article  Google Scholar 

Download references

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Correspondence to Yao Lu.

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Lu, Y., Hu, P. & Treiman, D.J. Migration and depressive symptoms in migrant-sending areas: findings from the survey of internal migration and health in China. Int J Public Health 57, 691–698 (2012). https://doi.org/10.1007/s00038-011-0314-0

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Keywords

  • Depression
  • Mental health
  • Migration
  • Internal migration
  • Sending areas
  • China