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1.
Demography ; 61(2): 569-593, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38506316

RESUMO

Although growing research has emphasized the critical importance of studying returns for understanding various aspects of migration processes, knowledge regarding return migrants' fertility behaviors remains limited. This study addresses this knowledge gap by comparing rates of first births and completed fertility among three groups: nonmigrants (at origin), migrants, and return migrants. Using extensive data collected both in the home regions and at destination, we analyze female migration from Martinique, Guadeloupe, French Guiana, and Réunion Island to metropolitan France (European France). We find intermediate fertility behaviors for return migrants relative to nonmigrants and migrants: on average, completed fertility levels are lower among return migrants than nonmigrants but slightly higher among return migrants than migrants. Some of these differences can be attributed to selection into migration and return, although significant gaps persist among women with similar socioeconomic characteristics. Our findings highlight three key observations. First, when migrants return before beginning childbearing, their transition to motherhood closely resembles that of nonmigrants with similar characteristics. Second, the lower fertility rates among prospective return migrants indicate an anticipation of disruption effects. Finally, reduced fertility while residing in metropolitan France translates into lower completed fertility rates for return migrants.


Assuntos
Emigrantes e Imigrantes , Migrantes , Feminino , Humanos , Dinâmica Populacional , Demografia , Estudos Prospectivos , Países em Desenvolvimento , Emigração e Imigração , Fertilidade , Economia
2.
Soc Sci Res ; 122: 103041, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39216911

RESUMO

As a neglected group, the number of return migrant children is growing with China's monumental volume of labor migration. Using data from 2013 to 2014 China Education Panel Survey, this study examines heterogeneous effects of return migration on children's mental health and cognitive outcomes. Our results show that the effects of return migration on children vary with the propensity for return migration. More importantly, when children are at risk of return migration, even if that risk is small, it already has a negative impact on children's mental health, which reminds us that it needs to take a dynamic view to study the impact of return migration on children. However, the impact of return migration is not all negative, and the findings suggest that return migration can promote the cognitive development of urban-origin migrant children. A striking regional difference emerges from our analysis: due to urban-rural gap, the impact of return migration on children from urban and rural areas is different. Specifically, return migration has a positive effect on the cognitive development of urban-origin migrant children while return migration does some harm to that of rural-origin migrant children, which implies that return migration may widen the gap between urban and rural children.

3.
Popul Space Place ; 30(3)2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38699176

RESUMO

There are well-documented associations between life course changes and migration; yet, the occurrence, order, and timing of reasons for migrating are growing increasingly diverse. Migration following adverse life events, such as a divorce or an involuntary job loss, may be qualitatively distinct from migration undertaken for other reasons. Moves, especially long-distance moves, following adverse life events, may be defined more by seeking family and familiar locations. Moreover, a heightened probability of migration may occur not only immediately after an adverse life event but also in the years after. We explore these questions in the US context with longitudinal data from the 1983 to 2019 waves of the Panel Study of Income Dynamics, which provides information on residential locations, locations of family members, and adverse life events for individuals over time. We focus on five specific events: divorce, the death of a spouse, involuntary job loss, the onset of a chronic physical health condition, and the onset of a chronic mental health condition. Using multivariate regression, we find that divorce and job loss induce long-distance moves, especially return moves and moves towards family. Chronic physical conditions deter moving in general but increase the chances of return moves (after a period of time) and moves towards family. These results have implications for understanding migration as a response to adverse life events, both immediately and over time.

4.
Demography ; 60(5): 1335-1357, 2023 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-37650652

RESUMO

The migrant mortality advantage (MMA) has been observed in many immigrant-receiving countries, but its underlying factors remain poorly understood. This article examines the role of return migration selection effects in explaining the MMA among males aged 65+ using a rich, unique dataset from France. This dataset contains information on native-born and foreign-born pensioners who are tracked worldwide until they die, providing a rare opportunity to assess return migration selection effects and their impact on the MMA. Results provide evidence of substantial and systematic negative return migration selection among foreign-born males in France. Old-age returns, in particular, appear particularly affected by such selection; however, they are not frequent enough to explain the MMA at ages 65+. By contrast, returns at younger ages are much more frequent, and the MMA at ages 65+ essentially disappears once these earlier returns are considered. This study extends the literature on negative selection at return and its impact on the MMA by providing evidence that such negative selection may operate not only at older ages but throughout the life course, with impacts on the MMA that are larger than previously suggested.


Assuntos
Emigrantes e Imigrantes , Migrantes , Masculino , Humanos , Emigração e Imigração , França/epidemiologia , Pensões
5.
Demography ; 60(3): 809-835, 2023 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-37083302

RESUMO

Considerable wealth stratification exists between U.S.-born and foreign-born populations (Campbell and Kaufman 2006), with low wealth attainment documented among Mexican immigrants (Hao 2007). High rates of Mexican return migration (Azose and Raftery 2019) suggest that nonrandom selection into return migration on wealth is a potential driver of stratification. Existing theories do not conclusively predict asset accumulation among returnees versus stayers, and empirical research on return migration and wealth stratification is scarce. Combining data from the 2000 U.S. Health and Retirement Study and the 2001 Mexican Health and Aging Study to create a novel data set representing all Mexicans aged 50 and older with a history of migration to the United States and adopting a life course perspective, I find that return migration at younger and older ages is associated with higher wealth accumulation and might be a way to maximize assets at older ages. Thus, return migration may contribute to nativity-based wealth stratification in the United States. The study's findings point to the greater financial risks for new cohorts of immigrants aging in place, suggest caution in interpreting wealth stratification as a measure of mobility, and inform theories about the links between return migration and wealth across the life course.


Assuntos
Emigrantes e Imigrantes , Emigração e Imigração , Renda , Idoso , Humanos , Pessoa de Meia-Idade , Envelhecimento , Vida Independente , Americanos Mexicanos , México , Estados Unidos
6.
Asian Pac Migr J ; 31(2): 176-189, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35991298

RESUMO

Emigrants from Kerala, India, were among the international migrants affected by the displacing consequences of COVID-19 - job losses, decreasing wages, inadequate social protection systems, xenophobia and overall uncertainty - which led to large-scale return migration to India. Returning home due to exogenous shocks calls into question the voluntary nature of return, the ability of returnees to reintegrate and the sustainability of re-embedding in the home country. The role of return migrants in the development of their societies of origin is also unclear. In this commentary, we explore the circumstances of return migration since the beginning of the COVID-19 pandemic by focusing on a case study of Kerala and provide insights on the future of emigration from this corridor along with policy suggestions. The role of return migrants in the development of their societies of origin requires further research and policy interventions.

7.
For Policy Econ ; 131: 102550, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36570104

RESUMO

For those concerned with the future of forests, the COVID-19 pandemic has simultaneously offered cause for great concern, and renewed hope. On one hand, the pandemic is occurring at a time when forests are already under unprecedented pressures from climate change, amplifying concerns about unsustainable forest extraction in the name of economic recovery. On the other hand, however, the crisis has helped to gather momentum around the notion of a "green recovery," including setting aside additional land for forest conservation. Drawing insights from past and ongoing research in India, we highlight an issue that exemplifies the tension between these two poles: the role of forests as social safety nets for rural communities in developing countries. It is well established that forests can provide critical resources for rural livelihoods, especially in times of crisis, and preliminary reports suggest that these resources have become even more important in the context of India's COVID lockdowns, and mass return migration from urban to rural areas. As the second wave of the pandemic continues to unfold in India, we highlight some key research priorities, including: 1) understanding how and to what extent forest-dependent communities and industries are changing their use of wood- and non-wood resources in the context of return migration and economic stress; 2) tracking shifts in forest cover, structure, and composition that may result from increased extractive pressures; 3) assessing the role of institutions, whether local, national, or international, in mediating these outcomes. Drawing on these observations, we suggest some key principles for integrating forest-based livelihoods into "green recovery," founded on principles that articulate forests as complex and integrated social-ecological systems, prioritize equity, and build on past learnings of community-based forest management.

8.
Soc Sci Res ; 96: 102539, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33867010

RESUMO

Separation from a spouse or cohabiting partner is associated with a high likelihood of moving, even over long distances. In this paper, we use longitudinal data from the Panel Study of Income Dynamics for the United States to analyze the role of non-resident family in the migration of separated people immediately after and in the years following union dissolution. We explore both migration in general and return migration among separated people, drawing comparisons to married and never-married people. We find that having parents, children, or siblings living close by substantially deters migration, especially among separated people. We also find marked positive effects of having family members in the county where the respondent grew up on the likelihood of returning there. Separated people are especially likely to return, compared to others, if they have parents in their county of origin. Furthermore, a lack of an effect of years of education on migration, and a negative effect of this variable on return migration, suggest that migration after separation is less related to human-capital considerations than other types of migration.


Assuntos
Divórcio , Emigração e Imigração , Criança , Humanos , Casamento , Fatores Socioeconômicos , Estados Unidos
9.
Risk Anal ; 40(4): 800-817, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31858637

RESUMO

Return migration is key to community recovery from many disasters. Japanese governments have conducted radiation decontamination efforts in the Exclusion Zone designated after the 2011 Fukushima nuclear disaster in order to encourage this outcome. Little is known, however, about the factors that influence post-disaster migrants to return, and, if people are relatively unresponsive to decontamination, then the costs of promoting recovery may exceed the benefits. We exploit a unique survey of Fukushima evacuees to determine the factors that influence their decision to return after a disaster. Location-specific capital characteristics, such as housing tenure and the extent of property damage, are estimated to be strong factors. The radiation dose rate of the home location is found to be a statistically significant factor for intent to return, but its effect is small. We also found that households with various other characteristics were noncommittal about the return option and likely to defer their decisions, which implies that "return" and "not-return" are asymmetric. Our simulation analysis found that the number of returnees encouraged by this decontamination was 12,882, less than 8% of the total evacuees, while the decontamination cost per returnee was 3.36 million USD. This result implies that the government could have improved the well-being of evacuees at a lower cost by policies other than decontamination.


Assuntos
Descontaminação , Emigração e Imigração , Acidente Nuclear de Fukushima , Humanos , Japão
10.
Disasters ; 44(3): 569-595, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31251401

RESUMO

This paper explores two groups of factors, individual and institutional, that have influenced return migration since the Fukushima Daiichi nuclear accident in Japan on 11 March 2011. Based on an analysis of statistical data on evacuees, a questionnaire completed by 289 people who migrated, and 19 semi-structured interviews with disaster-affected people, the research found (apropos of institutional factors) that while the lifting of the government's evacuation order has had no immediate effect on return decisions, the termination of monetary compensation and housing subsidies has had a significant bearing on them. As for individual factors, a strong sense of attachment to home and the possession of property, job obligations, and having family members in the home location are key determinants of return decisions. Moreover, the paper suggests that there could be differing opinions among Japanese government officials and evacuees regarding radiation exposure risk and the degree to which infrastructure and social services have been rehabilitated.


Assuntos
Desastres , Emigração e Imigração/estatística & dados numéricos , Acidente Nuclear de Fukushima , Socorro em Desastres/organização & administração , Adulto , Idoso , Criança , Feminino , Humanos , Japão , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Fatores Socioeconômicos
11.
World Dev ; 1362020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32905509

RESUMO

This study investigates the effect of international migration experience on entrepreneurship in sending areas. To identify prosperous businesses that create jobs and encourage economic development, this study isolates businesses other than street-vending enterprises with non-family employees. Retrospective life history data from the Mexican Migration Project (N = 11,789 persons & 146,372 person-years) was used to estimate the annual probability of becoming an entrepreneur across 170 Mexican communities between 1975-2017. This study found that (1) any prior migration experience increases the probability of entrepreneurial entry relative to non-migrants; (2) accumulated months of migration experience are positively associated with the probability of entrepreneurial entry; (3) undocumented status is associated with a lower probability of entrepreneurial entry. The positive effect of accumulated migration experience on entrepreneurship suggests that international migrants can accumulate human and financial resources that are essential to early stage entrepreneurship. Thus, entrepreneurship represents an important pathway through which international migration can encourage economic development in less developed regions. At the same time, the results suggest that that immigration policies in receiving countries can undercut migrants' capacities to mobilize resources and contribute to economic development upon return. These findings suggest that target migration creates a win-win by addressing labor shortages in receiving countries, while transferring resources to sending areas that enable economic mobility and development.

12.
Popul Space Place ; 26(7): e2354, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33935603

RESUMO

Living in cities affects young adults' access to education and work. With the use of register data for 2000-2013, we examined the role of having siblings and parents living close by and having siblings and parents living in the area of origin, in young adults' return migration from the four largest cities in Sweden. We found that young adults were less likely to return, and also less likely to migrate elsewhere, if they had siblings or parents living in the city of residence than if this was not the case. If the parents no longer lived in the region of origin, the young adults were very unlikely to return. Young adults were more likely to return if they had siblings living in that region than if they had no siblings or the siblings lived elsewhere. Adverse circumstances such as dropping out of tertiary education, low income, and unemployment were associated with a greater likelihood of return migration.

13.
Demography ; 56(4): 1453-1461, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31183621

RESUMO

In the past 10 years, a historical change occurred in migration flows within North America: specifically, Mexico-U.S. migration reached zero net migration. Alongside Mexican adults returning to their homeland was an unprecedented number of U.S.-born minors. Little is known about this massive migration of U.S. citizen children. We analyze Mexican census data from 2000 to 2015 to estimate the size and characteristics of the population of U.S.-born minors residing in Mexico. Between 2000 and 2010, the population of U.S.-born minors doubled to more than half a million. The population stabilized, aged, and became longer-term Mexican residents thereafter. The large majority of U.S.-born minors are primary school-aged. Although concentrated in the northern border and traditional migrant-sending regions, U.S.-born minors are distributed throughout Mexico. The majority of U.S.-born minors live in Mexico with two Mexican-born parents, but one-third are separated from one or both parents, and most of those separated from parents reside with grandparents. We interpret these trends in reference to the determinants of Mexico-U.S. migration, transnational and mixed-status families, and the future spatial and social mobility of U.S.-born minors living in Mexico.


Assuntos
Emigrantes e Imigrantes/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Características da Família , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , México/epidemiologia , Dinâmica Populacional , Fatores Socioeconômicos , Estados Unidos/etnologia
14.
BMC Public Health ; 19(1): 913, 2019 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288788

RESUMO

BACKGROUND: Cohort-type data are increasingly used to compare health outcomes of immigrants between countries, e.g. to assess the effects of different national integration policies. In such international comparisons, small differences in cardiovascular diseases risk or mortality rates have been interpreted as showing effects of different policies. We conjecture that cohort-type data sets available for such comparisons might not provide unbiased relative risk estimates between countries because of differentials in migration patterns occurring before the cohorts are being observed. METHOD: Two simulation studies were performed to assess whether comparisons are biased if there are differences in 1. the way migrants arrived in the host countries, i.e. in a wave or continuously; 2. the effects on health of exposure to the host country; or 3., patterns of return-migration before a cohort is recruited. In the first simulation cardiovascular disease was the outcome and immortality in the second. Bias was evaluated using a Cox regression model adjusted for age and other dependant variables. RESULTS: Comparing populations from wave vs. continuous migration may lead to bias only if the duration of stay has a dose-response effect (increase in simulated cardiovascular disease risk by 5% every 5 years vs. no risk: hazard-ratio 1.20(0.15); by 10% every 5 years: 1.47(0.14)). Differentials in return-migration patterns lead to bias in mortality rate ratios (MRR). The direction (under- or overestimation) and size of the bias depends on the model (MRR from 0.92(0.01) to 1.09(0.01)). CONCLUSION: The order of magnitude of the effects interpreted as due to integration policies in the literature is the same as the bias in our simulations. Future studies need to take into account duration and relevance of exposure and return-migration to make valid inferences about the effects of integration policies on the health of immigrants.


Assuntos
Viés , Estudos de Coortes , Emigrantes e Imigrantes/estatística & dados numéricos , Nível de Saúde , Doenças Cardiovasculares/epidemiologia , Simulação por Computador , Emigração e Imigração/estatística & dados numéricos , Humanos , Internacionalidade , Mortalidade/tendências
15.
Teach Learn Med ; 31(4): 412-423, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30849234

RESUMO

Phenomenon: Internationally, efforts to produce an adequate supply of effective generalist physicians commonly encounter resistance. Achieving reform requires changes in educational and clinical practice cultures, and clinician educators play a central role in championing change. In Japan, training in generalist fields has historically been lacking, but for decades the government has advocated alignment with Western models. Meanwhile, some Japanese physicians have pursued U.S. training in generalist fields with intention to help change the clinical education and practice systems back in Japan. This study examines the endeavors of repatriated Japanese International Medical Graduates and provides a lens to understanding national challenges with reform and insights into strategizing next steps. Approach: Individual, semi-structured interviews were conducted with 19 purposively sampled Japanese IMGs who had repatriated across Japan after completing U.S. clinical residency in generalist fields. Iterative data collection and thematic analyses were performed using constant comparison. Findings: Participants identified Japanese medical universities and public sectors as steeped in traditions with systemic inertia. In turn, participants described well-informed career decision making involving connections and teammates, which commonly resulted in employment at new or smaller hospitals. Education-related efforts prioritized direct clinical work with physician trainees in the hope of building expansive lineages of educators. Main challenges were Japanese structural and cultural incongruences with Western generalist-based clinical practice. Participants described a competitive relationship with the long-standing ikyoku-based postgraduate education model and associated organ-based organization of clinical practice. Insights: Japanese IMG championing of clinical education and practice in generalist fields is largely marginalized within Japan's clinical education and practice landscape. National-level reform will require transforming or displacing the structurally and culturally rooted traditional infrastructure. Specific measures must be culturally nuanced but likely include those proven effective for similar reforms elsewhere. Based on Japan's national cultural characteristics, sustained leadership is anticipated to be particularly important.


Assuntos
Educação Médica , Médicos Graduados Estrangeiros , Internato e Residência , Inovação Organizacional , Feminino , Humanos , Entrevistas como Assunto , Japão , Masculino , Pesquisa Qualitativa , Estados Unidos
16.
Ann Am Acad Pol Soc Sci ; 684(1): 212-226, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34305146

RESUMO

This article examines continuities and changes in the prevalence and determinants of first migration and return between Mexico and the United States. Results show a dramatic decline over time in the likelihood of migrants' making a first trip. The empirical design distinguishes processes affecting migrating cohorts from those emanating from period conditions, paying particular attention to changes in educational selectivity and the legal status of the flows. The definition of cohort and period corresponds roughly to changes in U.S. migration policy and the American economy. We find that the likelihood of return migration also declined in conjunction with period conditions that are related to border enforcement. The drop in the likelihood of return was particularly sharp for undocumented migrants, and over time return flows increasingly consist of documented migrants. The implications of these findings for immigration policy in the United States and for the incorporation of returnees in Mexico are discussed.

17.
Soc Sci Res ; 81: 117-131, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31130190

RESUMO

Using novel panel data spanning 1940-2000, we examine the adult offspring of the Great Migration who returned to the South. We observe two types of return migrants: (1) southern-born, "lifetime" return migrants who were born in the South, resided outside of the South in 1940, and returned to the South by 2000, and (2) northern-born, "generational" return migrants whose parents were born in the South but who, themselves, were born in the North, resided in the North in 1940, and had returned to the South by 2000. These data also allow us to observe return migrants and their parents over a longer period of time than any previous data source, permitting us to consider the early-life predictors of return migration. We find that generational migrants comprise a sizeable segment of all second-generation return migrants to the South and that these migrants are positively selected on their own and their parents' socioeconomic characteristics, relative to the second-generation migrants who remain in the North. Conversely, southern-born, lifetime, return migrants are negatively selected. Our investigation provides a broader and more representative view of who return migrants are and illustrates the underappreciated importance of generational ties to place for migration decisions.


Assuntos
Emigração e Imigração/estatística & dados numéricos , Emigração e Imigração/tendências , Fatores Socioeconômicos , Migrantes/psicologia , Migrantes/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Feminino , Previsões , Humanos , Masculino , Dinâmica Populacional , Estados Unidos
18.
J Cross Cult Gerontol ; 34(4): 417-437, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31396808

RESUMO

Data from the Mexican Census reveal that between 2005 and 2015, nearly two million migrants returned voluntarily to Mexico from the United States. Currently, high rates of voluntary-return migration to Mexico continue at the same time that migration flows to the U.S. steadily decline. This return migration trend presents serious challenges for Mexico, a country that has long struggled to satisfy the health care demands of its population. However, little is known about return migrants' health care needs. In this study, we examine the health risk profiles and healthcare utilization for Mexican return migrants and the non-migrant population. We examine how these outcomes are affected by both the migration and return migration experience of the returnee population, while paying close attention to age-group differences. We employ inverse probability weighting regression adjustment (IPWRA) and logistic regression analysis of a sample of 348,450 respondents from the 2014 National Survey of Demographic Dynamics (ENADID) to test for differences in health conditions between those Mexican return migrants and non-migrants. We then turn to the Survey of Migration at Mexico's Northern Border (EMIF Norte, for its Spanish acronym) for the 2014-2017 period to further assess whether certain characteristics linked to aging and the migration experience influence the prevalence of chronic health conditions, and health insurance coverage among 17,258 returned migrants. Findings reveal that compared to non-migrants, returnees are more likely to be physically impaired. These poor health outcomes are influenced by the migration and return migration experience and vary by age group and duration of residence, the time that has elapsed since returning to Mexico. We do not find an association between return migration and mental or emotional distress. Policy implications are discussed in light of immigration reform and restrictions on eligibility for health insurance coverage for older adults in Mexico.


Assuntos
Emigração e Imigração/tendências , Acessibilidade aos Serviços de Saúde , Nível de Saúde , Cobertura do Seguro , Americanos Mexicanos , Migrantes , Adolescente , Adulto , Fatores Etários , Idoso , Feminino , Humanos , Masculino , México/etnologia , Pessoa de Meia-Idade , Fatores Sexuais , Estados Unidos , Adulto Jovem
19.
Scand J Public Health ; 46(2): 221-228, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28992795

RESUMO

AIMS: A number of aspects of the health status of migrants who return to their country of origin have been explored in the literature; however, a more general description of the incidence of disease and demographic characteristics is lacking. The aim of this research was to contribute such a description. METHODS: A nationwide cohort study was conducted of 114,331 migrants who obtained residence in Denmark between 1 January 1993 and 31 December 2010. Demographic characteristics and ten disease groups were included as explanatory variables and hazards ratios for the association between return migration and disease incidence, as well as demographic characteristics, were estimated using Cox regressions. RESULTS: The tendency to return-migrate when ill was not the same among younger and elderly migrants; migrants <55 years of age had a significantly smaller propensity to return-migrate if they had suffered from a disease during the 18 years of follow-up compared with those who had not had a disease, whereas migrants ≥55 years of age were more prone to return if ill. The likelihood of returning decreased with increasing comorbidity in both age groups. Among those who were <55 years of age, the tendency to return increased with age at obtainment of residence; among those who were ≥55 years, more men than women return-migrated. CONCLUSIONS: In Denmark, younger migrants are less inclined to return-migrate if they are ill compared with healthy migrants, whereas elderly migrants are more inclined to return if ill. The returnees also differ demographically from non-returnees in various ways.


Assuntos
Doença , Emigração e Imigração/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Idoso , Estudos de Coortes , Dinamarca/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sistema de Registros , Adulto Jovem
20.
Int Nurs Rev ; 64(4): 494-501, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28168716

RESUMO

AIM: To illuminate the lived experiences of Indonesian nurses who previously worked as caregivers in Japanese residential care facilities, by exploring the journey of becoming returnees. BACKGROUND: The creation of bilateral agreements between Indonesia and Japan has facilitated the movement of Indonesian nurses to work as caregivers in Japan since 2008. While this decision raised concerns with regard to the degradation of nursing skills, little is known about this issue from the perspective of nurse returnees and how the experience affects their life. METHOD: A hermeneutic phenomenological method was employed for this study. A purposive sample of 15 Indonesian nurse returnees participated in this study. Semi-structured interviews were conducted in four of Indonesia's provinces between August and October 2015. Data were analysed thematically, supported by QSR NVIVO 10 software. FINDINGS: Four key themes emerged from the data analysis: (i) returning home; (ii) going back to zero; (iii) walking through a difficult journey; and (iv) overcoming barriers. These findings described the lived experiences of nurse returnees when they got back to the country of origin. CONCLUSION: Indonesian nurse returnees experienced deskilling and struggled to re-enter the nursing profession or to find other non-nursing jobs. The significant impact of this migration on individual nurses with regard to maximizing the benefits of return migration deserves further investigation. IMPLICATION FOR NURSING AND HEALTH POLICY: The Indonesian government, jointly with other stakeholders, should develop a brain gain strategy to align returnees' expertise with the needs of the national labour market. The public-private partnership should be strengthened to utilize returnees in healthcare services.


Assuntos
Atitude do Pessoal de Saúde , Emigrantes e Imigrantes/psicologia , Emigração e Imigração , Recursos Humanos de Enfermagem/psicologia , Adulto , Feminino , Humanos , Indonésia , Japão , Masculino
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