The effect of migration on social capital and depression among older adults in China

Li, Qiuju; Zhou, Xudong; Ma, Sha; Jiang, Minmin; Lu, Li

doi:10.1007/s00127-017-1439-0

Cited by 67 publications

(65 citation statements)

References 48 publications

(44 reference statements)

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“…We found that a higher level of social capital was associated with a lower likelihood of experiencing depressive disorders after adjustment for confounders in the total population, which is consistent with previous studies [6,10,11,27]. Li et al [10] and Han et al [6] showed that a lower level of social capital (concerning trust and reciprocity) was connected associated with suffering from depression among people in their later life. In line with a prior study [28], we also found social connection could reduce the risk of depression among older adults.…”

Section: Discussionsupporting

confidence: 91%

Association between social capital and depression among older people: evidence from Anhui Province, China

Bai

et al. 2020

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Background: To examine the relationship between social capital and depression among community-dwelling older adults in Anhui Province, China.Methods: A cross-sectional study was conducted among older people selected from three cities of Anhui Province, China using a multi-stage stratiﬁed cluster random sampling method. Data were collected through questionnaire interviews and information on demographic characteristics, social capital, and depression was collected. The generalized linear model and classification and regression tree model were employed to assess the association between social capital and depression. Results: Totally, 1,810 older people aged ≥ 60 years were included in the final analysis. Overall, all of the social capital dimensions were positively associated with depression: social participation (coefficient: 0.35, 95% CI: 0.22 - 0.48), social support (coefficient:0.18, 95% CI:0.07 - 0.28), social connection (coefficient: 0.76, 95% CI:0.53 - 1.00), trust (coefficient:0.62, 95% CI:0.33 - 0.92), cohesion (coefficient:0.31, 95% CI:0.17 - 0.44) and reciprocity (coefficient:0.30, 95% CI:0.11 - 0.48), which suggested that older people with higher social capital had a smaller chance to develop depression. A complex joint effect of certain social capital dimensions on depression was also observed. The association with depression and the combinative effect of social capital varied among older adults across the cities. Conclusions: Our study suggests that improving social capital could aid in the prevention of depression among older adults.

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Section: Discussionsupporting

confidence: 91%

Association between social capital and depression among older people: evidence from Anhui Province, China

Bai

et al. 2020

Preprint

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“…The same as in China, the health of the elderly worsens with age, suffering from both cognitive and physical health issue (Smith et al,2014). In the case of China, the urban-rural dualistic structure has created a dual lifestyle and cultural belief (Li et al,2017). As older people move, they face drastic change on lifestyle and living environment, which have been reported by World Health Organization as main factors affecting health.…”

Section: Health and Health Care Utilization Of The Elderly In Chinamentioning

confidence: 99%

“…Moreover, the Migrant Parents need to acculturate to a new environment and leave a familiar culture behind (Mjelde and Lou,2006;Zhao,1999). The elders who used to live in villages lost their daily work, lifestyle and community networks when their change residence from rural to urban (Li et al,2017). This changing social environment has been linked to elder depression (Wu et al,2004;Dong et al,2012;Shen and Takeuchi,2001;Wang and Zhao,2012).…”

Section: Introductionmentioning

confidence: 99%

Does Integrated Medical Insurance System (IMIS) Alleviate the Difficulty of Using Cross-Region Health Care for the Migrant Parents in China

Ma¹,

Huo

Chen

2020

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Background A large number of internal immigrants in the process of urbanization in China is Migrant Parents, the aging group who move to urban area involuntarily to support their family. They are more vulnerable economically and physically than the younger migrants. However, the fragmentation of rural and urban health insurance schemes divided by “hukou” household registration system limit migrant’s access to healthcare services in their resident location. Some provinces have started to consolidate the Urban Resident Basic Medical Insurance and the New Rural Cooperative Medical Scheme as one Integrated Medical Insurance Schemes (IMIS) to reduce the disparity between different schemes and increate the health care utilization of migrants. Methods Using China Migrants Dynamic Survey, we used OLS for regression in models. Results We found that the migrant parents who are covered by the IMIS are more likely to choose inpatient service and to seek medical treatment in the migrant destination, by improving the convenience of medical expense reimbursement and relieving the economic pressure. Discussion The potential mechanisms of our results could be that IMIS alleviates the difficulty of seeking medical care in migrant destination by improving the convenience of medical expense reimbursement and relieving the economic constrain.

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“…Moreover, urban environments provide more opportunities for various leisure activities, which may also contribute to the maintenance of cognitive function [10]. However, some empirical studies have also found that rural-to-urban elderly migrants adapted poorly to aspects of their daily lives [7] and were likely to lose their original social networks, which increased their risk of depression [11]. The association between migration and cognitive function change may show sex-related differences, as women tend to be more involved in family and social activities than men [12,13].…”

Section: Introductionmentioning

confidence: 99%

Association between rural-to-urban migration and the cognitive aging trajectories of older Chinese adults: results from a prospective cohort analysis

Liao¹,

Zhang²,

Xie³

2020

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Background: Increasingly, older Chinese adults from rural areas are moving to urban areas to live with their children who have already migrated to these areas. However, few studies have examined this pattern of migration and its effects on cognitive function. We aimed to investigate the association between domestic rural-to-urban migration and the trajectories of cognitive function in older Chinese adults, as well as the factors contributing to these association.Methods: Data for this study were drawn from three waves of the China Health and Retirement Longitudinal Study. Migrants were defined as participants who had rural hukou status (under China’s household registration system) but resided in an urban area. Cognitive functions were measured using an adapted Chinese version of the Mini-Mental State Examination. We used multilevel linear regression models to examine the association between internal migration and cognitive function trajectories.Results: The study included 3,876 Chinese adults aged ≥60 years at baseline. Compared with their rural non-migrant counterparts, migrants (n = 850) had higher levels of education and reported more interactions with family. Additionally, female migrants were more likely to participate in leisure activities. All cognitive function scores declined over time, but no significant differences were observed in rates of cognitive decline between migrants and non-migrants, regardless of sex. Female migrants exhibited significantly better performance in terms of total cognition (b = 0.77, P < .001) and mental status (b =0.68, P < .001) than female non-migrants, whereas no inter-group difference was observed regarding memory (b = 0.09, P > .05). Among the male subjects, no significant differences in cognitive function levels were observed between migrants and non-migrants. A series of adjusted models revealed that psychosocial factors such as residing with children, caring for grandchildren, depression and participation in leisure activities partly explained the association between migration and cognition in women.Conclusions: Rural-to-urban migration was positively associated with cognitive functions only in women. However, this pattern did not affect the rate of cognitive decline in either sex. Our findings indicate that interventions are warranted to increase the cognitive functions of male migrants and rural non-migrating older adults.

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The effect of migration on social capital and depression among older adults in China

Cited by 67 publications

References 48 publications

Association between social capital and depression among older people: evidence from Anhui Province, China

Association between social capital and depression among older people: evidence from Anhui Province, China

Does Integrated Medical Insurance System (IMIS) Alleviate the Difficulty of Using Cross-Region Health Care for the Migrant Parents in China

Association between rural-to-urban migration and the cognitive aging trajectories of older Chinese adults: results from a prospective cohort analysis

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