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Children’s migration and chronic illness among older parents ‘left behind’ in China

机译:在中国“留守”的大父母中的儿童迁徙和慢性病

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The relationship between adult children’s migration and the health of their older parents ‘left behind’ is an emerging research area and existing studies reflect mixed findings. This study aims to investigate the association between having migrant (adult) children and older parents’ chronic illness in China, using chronic stomach or other digestive diseases as a proxy. Secondary analysis of the national baseline survey of the 2011 China Health and Retirement Longitudinal Study (CHARLS) was conducted. Analyses were conducted in a total of sample of 6495 individuals aged 60 years and above from 28 out of 31 provinces in China, who had at least one child at the baseline survey. Binary logistic regression was used. The prevalence of any of the diagnosed conditions of chronic stomach or other digestive diseases was higher among older people with a migrant son than among those without (27 percent vs 21 percent, p < 0.001). More specifically, the odds ratio of reporting a disease was higher among older adults with at least one adult son living in another county or province than among those with all their sons living closer (OR = 1.29, 95% CI = 1.10–1.51). The results from this large sample of older adults support the hypothesis that migration of sons significantly increases the risk of chronic stomach and other digestive diseases among ‘left behind’ elderly parents in contemporary China. Highlights ? Older adults with at least one migrant son were more likely to report a chronic stomach or other digestive disease than others. ? Being female was independently associated with a higher risk of reporting such diseases. ? Rural vs. urban, and regional, disparity were independently associated with the risk of reporting the chronic digestive disorders.
机译:成年子女的迁徙与年长父母“被遗弃”之间的健康之间的关系是一个新兴的研究领域,现有研究反映了不同的发现。这项研究的目的是研究以慢性胃病或其他消化系统疾病为代表的中国有外来(成年)儿童和大父母的慢性病之间的关系。对《 2011年中国健康与退休纵向研究》(CHARLS)的国家基线调查进行了二级分析。对来自中国31个省中的28个省中的28个县的6495名年龄在60岁及以上的个人进行了分析,这些人在基线调查中至少有一个孩子。使用二元逻辑回归。有流动儿子的老年人的任何慢性胃病或其他消化系统疾病的诊断患病率均高于没有流动儿子的老年人(27%比21%,p <0.001)。更具体地说,在至少一个成年儿子住在另一个县或省的老年人中,报告疾病的几率比在其所有儿子都住在附近的老年人中更高(OR = 1.29,95%CI = 1.10-1.51)。大量老年人的抽样结果支持了这样一个假说,即儿子的迁徙显着增加了当代中国“留守”老年父母中患慢性胃病和其他消化系统疾病的风险。强调 ?有至少一个外来儿子的老年人比其他人更容易报告慢性胃病或其他消化系统疾病。 ?女性是独立发生这种疾病的风险较高的人。 ?农村与城市以及地区之间的差异与报告慢性消化系统疾病的风险独立相关。

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