Social Psychiatry and Psychiatric Epidemiology
Volume 52, Issue 12, 2017, Pages 1513-1522

The effect of migration on social capital and depression among older adults in China (Article) (Open Access)

Li Q. , Zhou X. , Ma S. , Jiang M. , Li L.*
  • a School of Medicine, The Institute of Social and Family Medicine, Zhejiang University, 866 Yuhangtang Rd, Hangzhou, Zhejiang 310058, China
  • b School of Medicine, The Institute of Social and Family Medicine, Zhejiang University, 866 Yuhangtang Rd, Hangzhou, Zhejiang 310058, China
  • c School of Medicine, The Institute of Social and Family Medicine, Zhejiang University, 866 Yuhangtang Rd, Hangzhou, Zhejiang 310058, China
  • d School of Medicine, The Institute of Social and Family Medicine, Zhejiang University, 866 Yuhangtang Rd, Hangzhou, Zhejiang 310058, China
  • e School of Medicine, The Institute of Social and Family Medicine, Zhejiang University, 866 Yuhangtang Rd, Hangzhou, Zhejiang 310058, China

Abstract

Purpose: An estimated 9 million elderly people accompanied their adult children to urban areas in China, raising concerns about their social capital and mental health following re-location. The aim of this study was to examine the effect of migration on social capital and depression among this population. Methods: Multistage stratified cluster sampling was applied to recruit the migrant and urban elderly in Hangzhou from May to August, 2013. Data were collected from face-to-face interviews by trained college students using a standardized questionnaire. Social capital measurements included cognitive (generalized trust and reciprocity) and structure (support from individual and social contact) aspects. Depression was measured by Geriatric Depression Scale-30 (GDS-30). Chi-square tests and binary logistic regression models were used for analysis. Results: A total of 1248 migrant elderly and 1322 urban elderly were eligible for analysis. After adjusting for a range of confounder factors, binary logistic regression models revealed that migrant elderly reported significantly lower levels of generalized trust [OR = 1.34, 95% CI (1.10–1.64)], reciprocity [OR = 1.55, 95% CI (1.29–1.87)], support from individual [OR = 1.96, 95% CI (1.61–2.38)] and social contact [OR = 3.27, 95% CI (2.70–3.97)]. In the full adjusted model, migrant elderly were more likely to be mentally unhealthy [OR = 1.85, 95% CI (1.44–2.36)] compared with urban elderly. Conclusions: Migrant elderly suffered from a lower mental health status and social capital than their urban counterparts in the emigrating city. Attention should focus on improving the social capital and mental health of this growing population. © 2017, The Author(s).

Author Keywords

China Migration Elderly Depression Social capital

Index Keywords

urban population China depression social capital college student sampling chi square test health disparity Health Status Disparities mental health human statistics and numerical data controlled study Aged Geriatric Depression Scale interview Humans migrant psychology Trust male female questionnaire major clinical study migration Transients and Migrants attention

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029538649&doi=10.1007%2fs00127-017-1439-0&partnerID=40&md5=6831b7021596b0b255c326f63d0585bd

DOI: 10.1007/s00127-017-1439-0
ISSN: 09337954
Cited by: 3
Original Language: English