Internal migration, mental health, and suicidal behaviors in young rural Chinese
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There is a dearth of data on the association of internal migration with mental health in young rural Chinese. This study aims to explore the associations between migrant status, mental health, and suicidal behaviors in young rural Chinese.
We recruited 1,646 rural subjects aged 16–34 years, of whom 756 were migrant workers and 890 non-migrants, from ten representative villages in rural Sichuan Province, the southwestern part of China. To assess subject’s depressive symptoms and general psychological quality of life (psycho-QOL), the study protocol included the Centre for Epidemiological Studies Depression Scale, and psycho-QOL subscale of the World Health Organization’s QOL Questionnaire-Brief Version, in addition to structured questions regarding one-year suicidal thoughts and behaviors (serious ideation, plan, and attempt), socio-demographic, social support, and physical health information.
After adjustment for confounders, migrant workers had relative to non-migrant rural residents a decreased risk for depression (OR = 0.69, P = 0.026), but comparable risk for poor psycho-QOL (OR = 0.91, P = 0.557) and one-year suicidal behaviors (OR = 0.59–1.10, P = 0.19–0.90). Migrant status only accounted for 0.5, 2.8, 4.7, 9.8, and 12.6 % of the total explainable variance for suicide attempt, poor psycho-QOL, suicide plan, depression and serious suicide ideation, respectively.
Our findings suggested that among young rural Chinese there were no significant associations involving migrant status and poor psycho-QOL or one-year suicidal behaviors, while migrant status significantly correlated with a decreased risk of depression. The unique contribution of migrant status to mental health among young rural Chinese participants in this study was very small.
KeywordsInternal migration Mental health Suicidal behavior Chinese Young
Centre for Epidemiological Studies Depression Scale
World Health Organization’s Quality of Life Questionnaire-Brief Version
This work was supported in part by an unrestricted educational grant from Lundbeck Export A/S (H. Chiu, PI); by Direct Grant 2041160 (S. Chan, PI), 2041727 (S. Chan, PI) and 2041728 (H. Chiu, PI) from The Chinese University of Hong Kong; by grant D43 TW05814 from the Fogarty International Center of NIH (E.D. Caine, PI); by grant R49 CE002093 (E.D. Caine, PI) from the US Centers for Disease Control and Prevention; and by JCYJ20130401155103435 (TB. Liu, PI) and JCYJ20130401155103442 (J. Dai, PI) from Shenzhen Science and Technology Innovation Committee. All the funding sources listed had no role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.
Conflict of interest
- 1.National Bureau of Statistics of China (2013) Statistical Report on National Economy and Social Development of People’s Republic of China in 2012. http://www.stats.gov.cn/tjgb/ndtjgb/qgndtjgb/t20130221_402874525.htm. Accessed 15 April 2013
- 4.BBC-news (2010) Foxconn suicides: ‘Workers feel quite lonely’. http://www.bbc.co.uk/news/10182824. Accessed 16 April 2013
- 5.CNN (2010) Report: China factory gives 2nd round of raises following suicides. http://edition.cnn.com/2010/WORLD/asiapcf/10/07/china.foxconn.raises/index.html?iref=allsearch. Accessed 16 April 2013
- 8.Laura M, Sally M, Anne E (2003) Migration and health: a review of the international literature. MRC Social & Public Health Sciences Unit, GlasgowGoogle Scholar
- 10.Breslau J, Borges G, Tancredi D, Saito N, Kravitz R, Hinton L, Vega W, Medina-Mora M, Aguilar-Gaxiola S (2011) Migration from Mexico to the United States and subsequent risk for depressive and anxiety disorders: a cross-national study. Arch Gen Psychiatry 68(4):428–433CrossRefPubMedCentralPubMedGoogle Scholar
- 13.Bursztein LC, Mäkinen IH, Apter A, De Leo D, Kerkhof A, Lönnqvist J, Michel K, Salander RE, Sayil I, Schmidtke A, van Heeringen C, Värnik A, Wasserman D (2012) Attempted suicide among immigrants in European countries: an international perspective. Soc Psychiatry Psychiatr Epidemiol 47(2):241–251CrossRefGoogle Scholar
- 21.Di X, Xiao S (2004) Prevalence and correlates of suicidal ideation mong constrcution migrant workers in Changsha city. Chin Ment Health J 18(12):867Google Scholar
- 23.Zhong B, Liu T, Chiu H, Chan S, Hu C, Hu X, Xiang Y, Eric E (2013) Prevalence of psychological symptoms in contemporary Chinese rural-to-urban migrant workers: an exploratory meta-analysis of observational studies using the SCL-90-R. Soc Psychiatry Psychiatr Epidemiol. doi: 10.1007/s00127-00013-00672-00124 PubMedGoogle Scholar
- 26.Li Y, Huang S, Wang B, Yang H (2009) Mental health survey on young migrant workers. Pub Med Forum Mag 13(27):815–816Google Scholar
- 30.National Bureau of Statistics of China (2010) The 2009 Report on the surveillance of China’s rural-to-urban migrants. Beijing. http://www.stats.gov.cn/tjfx/fxbg/t20100319_402628281.htm. Accessed 16 April 2013
- 31.Xiao S (1994) The theoretical basis and research application of Social Support Rating Scale. J Clin Psychiatr 4(2):98–100Google Scholar
- 32.Liu J, Li F, Lian Y (2008) Investigation of reliability and validity of the social support scale. J Xinjiang Med Univ 31(1):1–3Google Scholar
- 33.Zhang J, Wu Z, Fang G, Li J, Han B, Chen Z (2010) Development of the Chinese age norms of CES-D in urban area. Chin Ment Health J 24(2):139–143Google Scholar
- 34.Wang X, Wang X, Ma H (1999) Rating Scales for Mental Health. Chin Ment Health J Suppl:200–202Google Scholar
- 35.Zhang J, Kong Y, Zhou L (2009) Reliability and validity of the center for epidemiologic studies depression scale in rural populations. Chin J Behav Med Brain Sci 18(4):372–374Google Scholar
- 36.Zhang ZJ (2005) Rating Scales for Behavior Medicine. Chinese Medical Multimedia Press, BeijingGoogle Scholar
- 38.Skevington S, Lotfy M, O’Connell K, WHOQOL G (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res 13(2):299–310Google Scholar
- 50.Yang X, Liu T, Yang H, Shu M, Hu C, Jin D, Zhang F, Fang L, Gao B, Li X, Jia F, Ma H, Ling L (2012) The cause of suicide cluster of 12 workers committed and attempted suicide in Foxconn’s Shenzhen factory: a retrospective study. Chin Ment Health J 26(2):120–123Google Scholar