RÉSUMÉ
BACKGROUND: Children of immigrants often have excess mortality rates, in contrast to the low mortality typically exhibited by their parents' generation. However, prior research has studied children of immigrants who were selected for migration, thereby rendering it difficult to isolate the intergenerational impact of migration on adult mortality. METHODS: We use semiparametric survival analysis to carry out a total population cohort study estimating all-cause and cause-specific mortality among all adult men and women from age of 17 years among all men and women born in 1953-1972 and resident in Finland in 1970-2020. We compare children of forced migrants from ceded Karelia, an area of Finland that was ceded to Russia during the Second World War, with the children of parents born in present-day Finland. RESULTS: Children with two parents who were forced migrants have higher mortality than children with two parents born in Northern, Southern, and Western Finland, but similar or lower mortality than the subpopulation of children whose parents were born in the more comparable areas of Eastern Finland. For women and men, a mortality advantage is largest for external causes and persists after controlling for socioeconomic factors. CONCLUSION: Our findings suggest that forced migration can have a beneficial impact on the mortality of later generations, at least in the case where forced migrants are able to move to contextually similar locations that offer opportunities for rapid integration and social mobility. The findings also highlight the importance of making appropriate comparisons when evaluating the impact of forced migration.
Sujet(s)
Mortalité , Humains , Finlande/épidémiologie , Mâle , Femelle , Adulte , Mortalité/tendances , Adolescent , Adulte d'âge moyen , Études de cohortes , Émigrants et immigrants/statistiques et données numériques , Population de passage et migrants/statistiques et données numériques , Jeune adulte , Analyse de survie , Russie/épidémiologie , Émigration et immigration/statistiques et données numériques , Facteurs socioéconomiques , Cause de décèsRÉSUMÉ
BACKGROUND: Younger age of migration is associated with higher risk of psychotic disorders but the relationship between age of migration and common mental disorders is less clear. This study investigates the association between age of migration and diagnosed common mental disorders among migrants living in Norway. METHODS: Using national Norwegian register data from 2008 to 2019, we compared the odds of a common mental disorder diagnosis in healthcare services during early adulthood among non-migrants, descendants and migrants with different ages of migration and lengths of stay. We also investigated differences in the relationship for different migrant groups and for men and women. RESULTS: Descendants and childhood migrants with ≥ 19 years in Norway had higher odds of common mental disorders than non-migrants, while those migrating during adolescence with ≥ 19 years in Norway had similar odds. Those migrating during emerging and early adulthood had lower odds. Overall among migrants, the relationship between age of migration and common mental disorders was more pronounced for migrants < 19 years in Norway than ≥ 19 years and for non-refugees compared with refugees, especially men. CONCLUSIONS: Descendants and childhood migrants with long stays may have higher odds of common mental disorders due to the associated stress of growing up in a bicultural context compared with non-migrants. Age of migration has a negative association with diagnosed common mental disorders but much of this effect may attenuate over time. The effect appears weaker for refugees, and particularly refugee men, which may reflect higher levels of pre-migration trauma and stress associated with the asylum-seeking period for those arriving as adults. At the same time, migrants, especially those arriving as adults, experience barriers to care. This could also explain the particularly low odds of diagnosed common mental disorders among adult migrants, especially those with shorter stays.
Sujet(s)
Troubles mentaux , Enregistrements , Population de passage et migrants , Humains , Norvège/épidémiologie , Mâle , Femelle , Troubles mentaux/épidémiologie , Jeune adulte , Adolescent , Population de passage et migrants/statistiques et données numériques , Population de passage et migrants/psychologie , Adulte , Facteurs âges , Réfugiés/statistiques et données numériques , Réfugiés/psychologie , Émigration et immigration/statistiques et données numériques , Émigrants et immigrants/statistiques et données numériques , Émigrants et immigrants/psychologieRÉSUMÉ
Objectives. To examine how having a parent deported in childhood and immigration enforcement encounters relate to posttraumatic stress disorder (PTSD) among a sample of US-born Latinos. Methods. In 2021, a national sample of 1784 US-born Latinos was recruited to complete a questionnaire. The questionnaire elicited data on sociodemographics, mental health, and immigration-related experiences. The dependent variable was past-year symptoms of PTSD. Immigration-related variables included (1) having a parent deported during their childhood, (2) having a (nonparent) family member deported, (3) fear of having a parent or loved one deported, (4) fear of immigration enforcement encounters, and (5) having experienced an immigration raid. A multivariable logistic regression was conducted to examine independent associations between immigration-related variables and PTSD. Results. Having a parent deported during childhood was associated with more than twice the odds of meeting criteria for PTSD symptoms. Having a loved one deported, fearing the deportation of a loved one, and having experienced an immigration raid were all associated with PTSD. Conclusions. It is imperative to better understand the long-term implications of immigration policies in perpetuating health inequities among US-born Latinos. (Am J Public Health. 2024;114(S6):S495-S504. https://doi.org/10.2105/AJPH.2024.307660) [Formula: see text].
Sujet(s)
Émigration et immigration , Hispanique ou Latino , Troubles de stress post-traumatique , Humains , Troubles de stress post-traumatique/ethnologie , Troubles de stress post-traumatique/psychologie , Hispanique ou Latino/psychologie , Hispanique ou Latino/statistiques et données numériques , Mâle , Femelle , Adulte , États-Unis , Émigration et immigration/législation et jurisprudence , Émigration et immigration/statistiques et données numériques , Expulsion (ressortissant étranger) , Adulte d'âge moyen , Parents/psychologie , Émigrants et immigrants/psychologie , Émigrants et immigrants/statistiques et données numériques , Enquêtes et questionnaires , Adolescent , Jeune adulteRÉSUMÉ
The following article presents an analysis of the impact of the Environmental, Social and Governance-ESG determinants on Hospital Emigration to Another Region-HEAR in the Italian regions in the period 2004-2021. The data are analysed using Panel Data with Random Effects, Panel Data with Fixed Effects, Pooled Ordinary Least Squares-OLS, Weighted Least Squares-WLS, and Dynamic Panel at 1 Stage. Furthermore, to control endogeneity we also created instrumental variable models for each component of the ESG model. Results show that HEAR is negatively associated to the E, S and G component within the ESG model. The data were subjected to clustering with a k-Means algorithm optimized with the Silhouette coefficient. The optimal clustering with k=2 is compared to the sub-optimal cluster with k=3. The results suggest a negative relationship between the resident population and hospital emigration at regional level. Finally, a prediction is proposed with machine learning algorithms classified based on statistical performance. The results show that the Artificial Neural Network-ANN algorithm is the best predictor. The ANN predictions are critically analyzed in light of health economic policy directions.
Sujet(s)
Hôpitaux , Italie , Humains , Hôpitaux/statistiques et données numériques , , Émigration et immigration/statistiques et données numériques , Algorithmes , Environnement , Analyse de regroupementsRÉSUMÉ
Objectives. To determine facility-level factors associated with COVID-19 outbreaks in US Immigration and Customs Enforcement (ICE) detention centers. Methods. We obtained COVID-19 case counts at 88 ICE detention facilities from May 6, 2020, through June 21, 2021, from the COVID Prison Project. We obtained information about facility population size, facility type (dedicated to immigrants or mixed with other incarcerated populations), and facility operator (public vs private contractor) from third-party sources. We defined the threshold for a COVID-19 outbreak as a cumulative 3-week incidence of 10% or more of the detained population. Results. Sixty-three facilities (72%) had at least 1 outbreak. Facilities with any outbreak were significantly more likely to be privately operated (P < .001), to have larger populations (113 vs 37; P = .002), and to have greater changes in their population size over the study period (â56% vs -26%; P < .001). Conclusions. Several facility-level factors were associated with the occurrence of COVID-19 outbreaks in ICE facilities. Public Health Implications. Structural and organizational factors that promote respiratory infection spread in ICE facilities must be addressed to protect detainee health. (Am J Public Health. 2024;114(9):909-912. https://doi.org/10.2105/AJPH.2024.307704).
Sujet(s)
COVID-19 , Humains , COVID-19/épidémiologie , États-Unis/épidémiologie , Épidémies de maladies , Émigration et immigration/législation et jurisprudence , Émigration et immigration/statistiques et données numériques , SARS-CoV-2 , Prisons/statistiques et données numériques , /statistiques et données numériquesRÉSUMÉ
In Canada, a majority of federal constituency offices deal primarily with immigration files. The few qualitative studies on the subject show that the resources dedicated to these files and the type of work carried out on the immigration files handled vary between offices, thus contributing to disparities in service between federal electoral districts. How can such variation be explained? Based on the quantitative analysis of unpublished administrative data, this article first highlights the diversity of files handled by constituency offices, as well as the types of intervention carried out by constituency assistants. It then aims to explain the variations in case processing according to the type of case and the volume of requests handled. Studies of constituents' files received and processed at constituency office level have argued that the political ideology, gender and ethnicity of the deputy as well as the demographics of the constituency are explanatory factors. This analysis shows that in the case of immigration files, constituency demography is the most important factor, while the MP's political affiliation plays a very limited role. These results shed new light on the factors involved in the processing of immigration cases at constituency level, and add nuance to previous, mainly qualitative analyses. Our results also contribute to understanding the work of constituency offices for constituents, which appears to be far less partisan than in other countries where similar offices exist.
Au Canada, une majorité de bureaux de circonscription fédérale traite principalement des dossiers d'immigration. Les quelques études qualitatives portant sur le sujet montrent que les ressources dédiées à ces dossiers et le type de travail effectué sur les dossiers dʼimmigration traités varient entre les bureaux, contribuant ainsi à des disparités de services entre les circonscriptions électorales fédérales. Comment expliquer une telle variation? En sʼappuyant sur lʼanalyse quantitative de données administratives inédites, cet article met dʼabord en évidence la diversité des dossiers traités par les bureaux de circonscription ainsi que les types d'intervention effectués par les adjoints de circonscription. Ensuite, il vise à expliquer les variations du traitement des dossiers en fonction du type de dossier et du volume des demandes traité. Les études sur les dossiers de commettants reçus et traités au niveau des bureaux de circonscription ont soutenu que lʼidéologie politique, le genre et lʼethnicité du député ainsi que la démographie de la circonscription sont des facteurs explicatifs. Cette analyse montre que dans le cas des dossiers dʼimmigration, la démographie de la circonscription est le facteur le plus important, tandis que l'appartenance politique du député joue un rôle très limité. Ces résultats apportent un nouvel éclairage sur les facteurs du traitement des dossiers dʼimmigration au niveau des circonscriptions et nuancent les analyses antérieures, principalement qualitatives. Nos résultats contribuent également à la compréhension du travail des bureaux de circonscription pour les commettants, qui semble être bien moins partisan que dans dʼautres pays où des bureaux semblables existent.
Sujet(s)
Émigration et immigration , Politique , Canada , Émigration et immigration/statistiques et données numériques , Émigration et immigration/législation et jurisprudence , Humains , Gouvernement fédéral , FemelleRÉSUMÉ
Malnutrition remains a critical global health challenge, especially in rural areas, where it significantly impacts the health and economic stability of households. This study explores (1) the relationship between labor migration and dietary protein intake in households remaining in economically disadvantaged rural regions and (2) the influence of remittance income, farm earnings, self-produced food, and changes in family size due to migration on their dietary protein. Panel data were collected through a three-wave household survey of 1368 rural households across six counties in the provinces of Guizhou, Yunnan, and Shaanxi during 2012, 2015, and 2018. Employing a two-way fixed effects model, we found that labor migration positively affects the protein consumption of families left behind. The mediated effects model indicated that decreases in family size had the most significant impact on protein intake, with a value of 8.714, accounting for 0.729 of the total effect; followed by the mediating effect through crop income, at 2.579, representing 0.216 of the total effect; and livestock income, at 0.772, contributing 0.073 of the total effect. However, the mediating effects of remittance income and self-production were found to be insignificant. In conclusion, our study found that migration improves protein intake primarily through increased crop and livestock production and decreased family size. These results highlight the critical role of family structure and farm productivity in enhancing the nutrition of families affected by labor migration, offering valuable insights for policymakers.
Sujet(s)
Protéines alimentaires , Caractéristiques familiales , Population rurale , Chine , Humains , Population rurale/statistiques et données numériques , Femelle , Adulte , Mâle , Adulte d'âge moyen , Revenu , Population de passage et migrants/statistiques et données numériques , Émigration et immigration/statistiques et données numériquesRÉSUMÉ
BACKGROUND: Our study examined the acute and sustained impact of immigration policy changes announced in January 2017 on preterm birth (PTB) rates among Hispanic and non-Hispanic white women in Texas's border and nonborder regions. METHODS: Using Texas birth certificate data for years 2008 through 2020, we used a multiple group interrupted time series approach to explore changes in PTB rates. RESULTS: In the nonborder region, the PTB rate among Hispanic women of any race was 8.64% in 2008 and was stable each year before 2017 but increased by .29% (95% CI [.12, .46]) annually between 2017 and 2020. This effect remained statistically significant even when compared with that of non-Hispanic white women (p = .014). In the border areas, the PTB rate among Hispanic women of any race was 11.67% in 2008 and remained stable each year before and after 2017. No significant changes were observed when compared with that of non-Hispanic white women (p = .897). In Texas as a whole, the PTB rate among Hispanic women of any race was 10.16% in 2008 and declined by .07% (95% CI [-.16, -.03]) per year before 2017, but increased by .16% (95% CI [.05, .27]) annually between 2017 and 2020. The observed increase was not statistically significant when compared with that of non-Hispanic white women (p = .326). CONCLUSIONS: The January 2017 immigration policies were associated with a sustained increase in PTB among Hispanic women in Texas's nonborder region, suggesting that geography plays an important role in perceptions of immigration enforcement. Future research should examine the impact of immigration policies on maternal and child health, considering geography and sociodemographic factors.
Sujet(s)
Émigration et immigration , Hispanique ou Latino , Naissance prématurée , , Humains , Texas/épidémiologie , Femelle , Naissance prématurée/ethnologie , Naissance prématurée/épidémiologie , Émigration et immigration/législation et jurisprudence , Émigration et immigration/statistiques et données numériques , Hispanique ou Latino/statistiques et données numériques , Grossesse , Adulte , /statistiques et données numériques , Analyse de série chronologique interrompue , Émigrants et immigrants/statistiques et données numériques , Certificats de naissanceRÉSUMÉ
AIMS: To (1) explore the intramigration experience of HCWs within Nigeria, (2) explore the migration intention of health care workers (HCWs) in Nigeria and (3) identify the predictors of migration intention among HCWs in Nigeria. DESIGN: Cross-sectional study. METHODS: The online survey was used to collect data from 513 HCWs in Nigeria between May and June 2023. Crude and adjusted logistic regression were used to identify factors associated with emigration intention. Analyses were performed on SPSS version 26 at a 95% confidence interval. RESULTS: The study found that 34.4% had intramigration experience, and the rate of intention to emigrate to work in another country was 80.1%. The United Kingdom was the most preferred destination (109 HCWs), followed by Canada (92 HCWs) and the United States (82 HCWs). At the multivariate level, emigration intention was associated with the experience of burnout and duration of practice as a HCW. Nurses had higher emigration intentions than medical doctors. CONCLUSIONS: Many HCWs in Nigeria appear to have emigration intent, and nurses are more likely to be willing to migrate than doctors. The Nigerian government may want to explore strategies to reverse the emigration intent of the HCWs in Nigeria.
Sujet(s)
Émigration et immigration , Personnel de santé , Intention , Humains , Études transversales , Femelle , Mâle , Émigration et immigration/statistiques et données numériques , Nigeria , Adulte , Personnel de santé/psychologie , Personnel de santé/statistiques et données numériques , Enquêtes et questionnaires , Adulte d'âge moyen , Attitude du personnel soignant , CanadaRÉSUMÉ
Rural communities in Alberta, Canada have faced physician shortages for decades. Attracting internationally educated physicians, including many South African physicians, is one way to address this problem. While much of the research on international medical graduates (IMGs) focuses on the push and pull of attraction and retention, I situate the decision to stay as a matter of geographic and professional mobility, all within a life course perspective. More specifically, I explore physicians' decisions to migrate from South Africa to rural Alberta and the impact of professional mobility on their migrations. To understand the processes, I collected data via semi-structured virtual interviews with 29 South African educated generalist/family physicians with experience in rural Alberta. Research was guided by abductive grounded theory and data was analysed using open thematic coding. I found that South African educated physicians made the decision to leave South Africa and to come to Canada to pursue prestige and opportunity they perceived to be inaccessible in South Africa. However, physicians were limited to perceived low prestige work as rural generalists, while they understood that more prestigious work was reserved for Canadian educated physicians. Physicians who remained in rural communities brought their aspirations to life, or achieved upward professional mobility in rural communities, through focused clinical and administrative opportunities. The decision to leave rural communities was often a matter of lifestyle and burnout over prestige.
Sujet(s)
Émigration et immigration , Médecins diplômés à l'étranger , Humains , République d'Afrique du Sud , Femelle , Mâle , Médecins diplômés à l'étranger/psychologie , Médecins diplômés à l'étranger/statistiques et données numériques , Alberta , Émigration et immigration/statistiques et données numériques , Adulte , Services de santé ruraux , Recherche qualitative , Mobilité de carrière , Population rurale/statistiques et données numériques , Médecins/psychologie , Médecins/ressources et distribution , Médecins/statistiques et données numériques , Adulte d'âge moyenRÉSUMÉ
International migration is increasingly characterized by the need to evade threats to survival. Nevertheless, demographic understandings of how families-rather than individuals alone-decide to migrate or separate in response to threats remain limited. Focusing on the recent humanitarian crisis in Venezuela, we analyze 2012-2016 data on Venezuelans in Venezuela and 2018-2020 data on UNHCR (United Nations High Commissioner for Refugees)-registered Venezuelans in nine receiving countries to illuminate the evolution of threats Venezuelans sought to evade, how threat evasion transformed households away from previous norms, the selection of migrants into different receiving countries and household structures, and demographic disparities in migrants' odds of reporting changes to their household because of specific migration-related processes (e.g., leaving someone in Venezuela, leaving someone in another country). Results underscore a simultaneous escalation of economic, safety, and political concerns that informed Venezuelans' increasing intentions to out-migrate. Where Venezuelans migrated and who ended up in their households abroad varied by demographic background and migration experiences. Among UNHCR-registered Venezuelans, 43% left family members in Venezuela, and more than 10% left or were left behind by members in another country. Such household separations, however, were unevenly distributed across factors such as age, gender, and country of reception.
Sujet(s)
Caractéristiques familiales , Humains , Venezuela , Femelle , Mâle , Adulte , Réfugiés/statistiques et données numériques , Adulte d'âge moyen , Adolescent , Émigration et immigration/statistiques et données numériques , Jeune adulte , Altruisme , Population de passage et migrants/statistiques et données numériques , Facteurs socioéconomiques , Facteurs sociodémographiques , Sud-AméricainsRÉSUMÉ
One-fourth of nursing home residents are diagnosed with anxiety disorders and approximately half live with depression. Nursing homes have long struggled with staffing shortages, and the lack of care has further heightened the risk of poor mental health. A key solution to both problems could be immigration. Prior studies have documented how immigrant labor could strengthen the long-term care workforce. We add to this picture by exploring the impact of immigrant inflows on the mental health outcomes of nursing home residents. Using a nationally representative dataset and a shift-share instrumental variable approach, we find empirical evidence that immigration reduces diagnoses of depression and anxiety, the use of antidepressant and antianxiety drugs, and self-assessed symptoms of depression. The results are robust to several sensitivity tests. We further find that the effect is more substantial in facilities with lower direct care staff hours per resident and with likely more immigrants without citizenship. Language barriers tend to be a minor issue when providing essential care. The findings suggest that creating a policy framework that directs immigrant labor to the long-term care sector can mutually benefit job-seeking immigrants and nursing home residents.
Sujet(s)
Soins de longue durée , Maisons de repos , Humains , Maisons de repos/statistiques et données numériques , Femelle , Mâle , Soins de longue durée/statistiques et données numériques , Émigration et immigration/statistiques et données numériques , Sujet âgé , États-Unis , Dépression/épidémiologie , Santé mentale/statistiques et données numériques , Adulte d'âge moyen , Anxiété , Émigrants et immigrants/psychologie , Émigrants et immigrants/statistiques et données numériques , Effectif/statistiques et données numériquesRÉSUMÉ
BACKGROUND: American pediatric anesthesiologists have a long history of international volunteerism. However, the US healthcare system also benefits from the contributions of a large number of physicians who come from other nations to work within its borders. Despite this fact, little is known about the contribution of international medical graduates (IMG) to the pediatric anesthesiology subspecialty. AIMS: To characterize the contribution of IMG to the field of pediatric anesthesiology in the United States, and to elucidate the geographic and demographic distribution of their national origins so as to understand the movement of skilled personnel between countries. METHODS: Online physician directories of American children's hospitals were searched, and anesthesiologists were recorded for their national origin of medical education. International graduates were reported as a percentage of the pediatric anesthesiology workforce. Those attending medical colleges catering to American students ("offshore" medical schools) were analyzed separately from other IMGs. The cohort of non-offshore IMGs were analyzed for national and continental origins, and by national level of economic development. RESULTS: Of 1979 anesthesiologists analyzed, 397 attended medical school outside the United States, with 58 being from offshore schools. The remaining 338 represented 17.1% of the total pediatric anesthesiology workforce. They came from 58 countries on six continents. Of those, 65.1% attended medical school in low- and middle-income countries. CONCLUSIONS: International medical graduates, disproportionately from low- and middle-income countries, compose a large proportion of the US Pediatric Anesthesiology workforce. While these clinicians play a vital role in providing care for American children, the potential impacts of skilled physician loss on their nations of origin must also be considered.
Sujet(s)
Anesthésiologistes , Anesthésiologie , Médecins diplômés à l'étranger , Humains , États-Unis , Anesthésiologistes/statistiques et données numériques , Anesthésiologie/statistiques et données numériques , Anesthésiologie/enseignement et éducation , Médecins diplômés à l'étranger/statistiques et données numériques , Pédiatrie/statistiques et données numériques , Démographie , Émigration et immigration/statistiques et données numériques , Enfant , Effectif/statistiques et données numériques ,RÉSUMÉ
INTRODUCTION: As immigrant women face challenges accessing health care, we hypothesized that immigration status would be associated with fewer women with breast cancer receiving surgery for curable disease, fewer undergoing breast conserving surgery (BCS), and longer wait time to surgery. METHODS: A population-level retrospective cohort study, including women aged 18-70 years with Stage I-III breast cancer diagnosed between 2010 and 2016 in Ontario was conducted. Multivariable analysis was performed to assess odds of undergoing surgery, receiving BCS and wait time to surgery. RESULTS: A total of 31,755 patients were included [26,253 (82.7%) Canadian-born and 5502 (17.3%) immigrant women]. Immigrant women were younger (mean age 51.6 vs. 56.1 years) and less often presented with Stage I/II disease (87.4% vs. 89.8%) (both p < .001). On multivariable analysis, there was no difference between immigrant women and Canadian-born women in odds of undergoing surgery [Stage I OR 0.93 (95% CI 0.79-1.11), Stage II 1.04 (0.89-1.22), Stage III 1.22 (0.94-1.57)], receiving BCS [Stage I 0.93 (0.82-1.05), Stage II 0.96 (0.86-1.07), Stage III 1.00 (0.83-1.22)], or wait time [Stage I 0.45 (-0.61-1.50), Stage II 0.33 (-0.86-1.52), Stage III 3.03 (-0.05-6.12)]. In exploratory analysis, new immigrants did not have surgery more than established immigrants (12.9% vs. 10.1%), and refugee women had longer wait time compared with economic-class immigrants (39.5 vs. 35.3 days). CONCLUSIONS: We observed differences in measures of socioeconomic disadvantage and disease characteristics between immigrant and Canadian-born women with breast cancer. Upon adjusting for these factors, no differences emerged in rate of surgery, rate of BCS, and time to surgery. The lack of disparity suggests barriers to accessing basic components of breast cancer care may be mitigated by the universal healthcare system in Canada.
Sujet(s)
Tumeurs du sein , Humains , Femelle , Adulte d'âge moyen , Tumeurs du sein/chirurgie , Tumeurs du sein/anatomopathologie , Adulte , Études rétrospectives , Sujet âgé , Adolescent , Jeune adulte , Ontario , Qualité des soins de santé , Émigrants et immigrants/statistiques et données numériques , Études de suivi , Délai jusqu'au traitement/statistiques et données numériques , Mastectomie partielle/statistiques et données numériques , Pronostic , Accessibilité des services de santé/statistiques et données numériques , Émigration et immigration/statistiques et données numériques , MastectomieRÉSUMÉ
This study assesses migratory drowning deaths along the southwest border of the US before and after the increase in border wall height.
Sujet(s)
Noyade , Émigration et immigration , Humains , Cause de décès/tendances , Noyade/épidémiologie , Noyade/étiologie , Noyade/mortalité , Mexique/épidémiologie , Facteurs de risque , États-Unis/épidémiologie , Émigration et immigration/statistiques et données numériques , Émigrants et immigrants/statistiques et données numériquesRÉSUMÉ
Historical demographic research shows that the factors influencing mortality risk are labile across time and space. This is particularly true for datasets that span societal transitions. Here, we seek to understand how marriage, migration, and the local economy influenced mortality dynamics in a rapidly changing environment characterized by high in-migration and male-biased sex ratios. Mortality records were extracted from a compendium of historical vital records for the Baja California peninsula (Mexico). Our sample consists of 1,201 mortality records spanning AD 1835-1900. Findings from Cox proportional hazard models indicate that (1) marriage was associated with a protective effect for both sexes; (2) residing in a mining town was associated with higher mortality for men, but not women; (3) migration was associated with decreased mortality risk for women, but not men; and (4) the risk of mortality increased in the face of infectious disease, but decreased over time. Despite the early initiation of reproduction for women, marriage had a protective effect, likely because marriage linked women to resources. Although mining boomtowns were associated with elevated risk factors generally, only men experienced greater mortality risk, likely due to dangerous working conditions that women did not experience. Last, female, but not male, migrants experienced greater longevity, possibly because exposure to harsh labor conditions eroded the protective effect of selection bias for men. Together, these results shed light on an understudied historical population and broaden our understanding of demographic dynamics in preindustrial settings.
Sujet(s)
Maladies transmissibles , Mariage , Mine , Mortalité , Humains , Mâle , Femelle , Mexique/ethnologie , Mexique/épidémiologie , Histoire du 19ème siècle , Mortalité/tendances , Mortalité/histoire , Maladies transmissibles/mortalité , Histoire du 20ème siècle , Adulte , Adulte d'âge moyen , Facteurs sexuels , Émigration et immigration/statistiques et données numériquesRÉSUMÉ
China has become an emerging destination for international migration, especially in some Association of South East Asian Nations countries, but the situation of migrants seeking medical care in China remains unclear. A retrospective cross-sectional study was conducted in a hospital in Chongzuo, which provides medical services for foreigners, to investigate the situation of Vietnamese people seeking health care in Guangxi, China. Vietnamese patients who visited the hospital between 2018 and 2020 were included in the study. Demographic characteristics, clinical characteristics, characteristics of payment for medical costs, and characteristics of hospitalization were compared between outpatients and inpatients. In total, 778 Vietnamese outpatients and 173 inpatients were included in this study. The percentages of female outpatients and inpatients were 93.44% and 88.44% (χ2 = 5.133, Pâ =â .023), respectively. Approximately 30% of outpatients and 47% of inpatients visited the hospital due to obstetric needs. The proportions of outpatients with basic medical insurance for urban residents, basic medical insurance for urban employees, and new cooperative medical schemes were 28.02%, 3.21%, and 2.31%, respectively. In comparison, the proportion of inpatients with the above 3 types of medical insurance was 16.76%, 1.73%, and 2.31%, respectively. The proportion of different payments for medical costs between outpatients and inpatients were significantly different (χ2 = 24.404, Pâ <â .01). Middle-aged Vietnamese females in Guangxi, China, may have much greater healthcare needs. Their main medical demand is for obstetric services. Measurements should be taken to improve the health services targeting Vietnamese female, but the legitimacy of Vietnamese in Guangxi is a major prerequisite for them to access more and better healthcare services.
Sujet(s)
Émigration et immigration , Besoins et demandes de services de santé , Assurance maladie , Obstétrique , Peuples d'Asie du Sud-Est , Femelle , Humains , Adulte d'âge moyen , Chine/épidémiologie , Études transversales , Assurance maladie/statistiques et données numériques , Études rétrospectives , Peuples d'Asie du Sud-Est/ethnologie , Peuples d'Asie du Sud-Est/statistiques et données numériques , Vietnam/ethnologie , Besoins et demandes de services de santé/économie , Besoins et demandes de services de santé/statistiques et données numériques , Population de passage et migrants/statistiques et données numériques , Émigration et immigration/statistiques et données numériques , Obstétrique/économie , Obstétrique/statistiques et données numériques , Acceptation des soins par les patients , Accessibilité des services de santé/statistiques et données numériquesRÉSUMÉ
ABSTRACT: The number of people immigrating from one country to another is increasing worldwide. Research has shown that immigration background is associated with chronic pain (CP) and pain disability in adults. However, research in this issue in children and adolescents has yielded inconsistent results. The aims of this study were to examine (1) the association between immigration background, CP, high-impact chronic pain (HICP) in a community sample of children and adolescents; and (2) the extent these associations differed as a function of sex and age. Participants of this cross-sectional study were 1115 school children and adolescents (mean age = 11.67; 56% girls). Participants were asked to provide sociodemographic information and respond to a survey including measures of pain (location, extension, frequency, intensity, and interference). Results showed that having an immigration background was associated with a greater prevalence of CP (OR = 1.91, p <.001) and HICP (OR = 2.55, p <. 01). Furthermore, the association between immigration background and CP was higher in children (OR = 6.92, p <.001) and younger adolescents (OR = 1.66, p <.05) than in older adolescents. Children and adolescents with an immigration background are at higher risk for having CP -especially younger children- and HICP. More resources should be allocated in the prevention of CP and HICP in children and adolescents with an immigration background.
Sujet(s)
Douleur chronique , Humains , Mâle , Adolescent , Femelle , Douleur chronique/épidémiologie , Douleur chronique/ethnologie , Enfant , Espagne/épidémiologie , Facteurs de risque , Études transversales , Émigration et immigration/statistiques et données numériques , Facteurs âges , Prévalence , Mesure de la douleur/méthodes , Émigrants et immigrants/statistiques et données numériquesRÉSUMÉ
El objetivo fue describir el estado actual del marco normativo de migración, y la tendencia de indicadores de población y migración en Venezuela en el periodo 2000-2022.Métodos: Estudio descriptivo del marco normativo de migración y la tendencia de indicadores de población y migración en Venezuela. Indicadores: población total, tasa de dependencia demográfica (total, niñez, adulto mayor) y tasa de migración. Fuentes de datos: plataforma informativa salud y migración(marco normativo), Anuario estadístico de América Latina y el Caribe año 2000 al 2022 (indicadores de población).Resultados: El marco normativo de la migración en Venezuela está contenido en escasas leyes y Convenios Internacionales y regionales. La variación porcentual en la población venezolana fue descendente durante casi todo el periodo, donde se presentan incluso valores negativos para 2018-2021. La tasa anual decrecimiento poblacional, demostró un descenso constante y marcado desde el año 2000 hasta el año 2018, con altos valores negativos, luego asciende mostrando valores positivos a partir del año 2022, con un valor equivalente al año 2000. Conclusiones: El marco legal migratorio en Venezuela, es deficitario y no acorde a las necesidades de los migrantes. Los cambios ocurridos en la población venezolana de 2000 a 2022 fue debido a varios factores, siendo de gran impacto el fenómeno migratorio. La tasa de migración en Venezuela muestra tendencia negativa lo que indica que el país pierde población.
Objective Describe the current state of the regulatory framework for migration and the trend of populationand migration indicators in Venezuela for the period2000-2022. Methods: Descriptive study of the regulatory framework for migration and the trend of population andmigration indicators in Venezuela. Sample of national and international documents (regulatory framework). Indicators: total population, demographic dependency rate (total,childhood, elderly) and migration rate. Data sources: health andmigration information platform (regulatory framework) LatinAmerica and the Caribbean Statistical Yearbook 2000 to 2022(population indicators) Results: The regulatory framework formigration in Venezuela is contained in few international andregional laws and agreements. The percentage variation in the Venezuelan population was downward during almost the entireperiod, where even negative values are presented for 2018-2021.The annual rate of population growth showed a constant andmarked decrease from the year 2000 to the year 2018 with highnegative values, then it ascends showing positive values from theyear 2022 with a value equivalent to the year 2000. Conclusions:The migratory legal framework in Venezuela is deficient anddoes not meet the needs of migrants. The changes that haveoccurred in the Venezuelan population from 2000 to 2022 wasdue to several factors, the migratory phenomenon being of greatimpact. the migration rate in Venezuela shows a negative trend,which indicates that the country is losing population.