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Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China
Background: This study aimed to examine the association of internal migration experience with depressive symptoms among middle-aged and elderly Chinese, as well as explore possible mechanisms of the relationship. Methods: Participants were from the China Health and Retirement Longitudinal Study (CHA...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744975/ https://www.ncbi.nlm.nih.gov/pubmed/35010562 http://dx.doi.org/10.3390/ijerph19010303 |
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author | Zheng, Xiaodong Zhang, Yue Chen, Yu Fang, Xiangming |
author_facet | Zheng, Xiaodong Zhang, Yue Chen, Yu Fang, Xiangming |
author_sort | Zheng, Xiaodong |
collection | PubMed |
description | Background: This study aimed to examine the association of internal migration experience with depressive symptoms among middle-aged and elderly Chinese, as well as explore possible mechanisms of the relationship. Methods: Participants were from the China Health and Retirement Longitudinal Study (CHARLS), a nationally representative sample of residents aged 45 years and older (n = 43,854). Survey data on depressive symptoms and internal migration experience were collected from biennial CHARLS surveys (CHARLS 2011/2013/2015) and a unique CHARLS life history survey in 2014, respectively. Multiple logistic regressions and the Karlson–Holm–Breen (KHB) method were employed in the statistical analyses. Results: The overall prevalence rate of depressive symptoms among middle-aged and older adults was 34.6%. Internal migration experience was associated with higher risks of depressive symptoms (OR = 1.07, 95% CI = 1.02–1.12, p < 0.01), especially among females (OR = 1.08, 95% CI = 1.01–1.14, p < 0.05), middle-aged adults (OR = 1.12, 95% CI = 1.06–1.19, p < 0.001), rural-to-urban migrants who had not obtained an urban hukou (OR = 1.13, 95% CI = 1.07–1.19, p < 0.001), and those who had low migration frequency and first migrated out at 35 years of age or older. Chronic disease (17.98%, p < 0.001), physical injury (7.04%, p < 0.001), medical expenditure (7.98%, p < 0.001), pension insurance (4.91%, p < 0.001), and parent–child interaction (4.45%, p < 0.01) were shown to mediate the association of internal migration experience with depressive symptoms. Conclusions: This study indicates that there is a significant association between internal migration experience and high risks of depression onset later in life. It is suggested to reduce institutional barriers for migrants and implement evidence-based interventions to improve migrants’ mental health. |
format | Online Article Text |
id | pubmed-8744975 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87449752022-01-11 Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China Zheng, Xiaodong Zhang, Yue Chen, Yu Fang, Xiangming Int J Environ Res Public Health Article Background: This study aimed to examine the association of internal migration experience with depressive symptoms among middle-aged and elderly Chinese, as well as explore possible mechanisms of the relationship. Methods: Participants were from the China Health and Retirement Longitudinal Study (CHARLS), a nationally representative sample of residents aged 45 years and older (n = 43,854). Survey data on depressive symptoms and internal migration experience were collected from biennial CHARLS surveys (CHARLS 2011/2013/2015) and a unique CHARLS life history survey in 2014, respectively. Multiple logistic regressions and the Karlson–Holm–Breen (KHB) method were employed in the statistical analyses. Results: The overall prevalence rate of depressive symptoms among middle-aged and older adults was 34.6%. Internal migration experience was associated with higher risks of depressive symptoms (OR = 1.07, 95% CI = 1.02–1.12, p < 0.01), especially among females (OR = 1.08, 95% CI = 1.01–1.14, p < 0.05), middle-aged adults (OR = 1.12, 95% CI = 1.06–1.19, p < 0.001), rural-to-urban migrants who had not obtained an urban hukou (OR = 1.13, 95% CI = 1.07–1.19, p < 0.001), and those who had low migration frequency and first migrated out at 35 years of age or older. Chronic disease (17.98%, p < 0.001), physical injury (7.04%, p < 0.001), medical expenditure (7.98%, p < 0.001), pension insurance (4.91%, p < 0.001), and parent–child interaction (4.45%, p < 0.01) were shown to mediate the association of internal migration experience with depressive symptoms. Conclusions: This study indicates that there is a significant association between internal migration experience and high risks of depression onset later in life. It is suggested to reduce institutional barriers for migrants and implement evidence-based interventions to improve migrants’ mental health. MDPI 2021-12-28 /pmc/articles/PMC8744975/ /pubmed/35010562 http://dx.doi.org/10.3390/ijerph19010303 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Zheng, Xiaodong Zhang, Yue Chen, Yu Fang, Xiangming Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China |
title | Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China |
title_full | Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China |
title_fullStr | Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China |
title_full_unstemmed | Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China |
title_short | Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China |
title_sort | internal migration experience and depressive symptoms among middle-aged and older adults: evidence from china |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744975/ https://www.ncbi.nlm.nih.gov/pubmed/35010562 http://dx.doi.org/10.3390/ijerph19010303 |
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