BMJ Open
Volume 9, Issue 11, 2019

Cohort profile: The Health of Philippine Emigrants Study (HoPES) to examine the health impacts of international migration from the Philippines to the USA (Article) (Open Access)

De Castro A.B.* , Hing A.K. , Lee N.R. , Kabamalan M.M.M. , Llave K. , Crespi C.M. , Wang M. , Gee G.
  • a Department of Child Family, and Population Health Nursing, School of Nursing, University of Washington, Seattle, WA, United States
  • b Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, CA, United States
  • c Office of Population Studies Foundation Inc, University of San Carlos, Cebu City, Philippines
  • d University of the Philippines Population Institute, College of Social Sciences and Philosophy, University of the Philippines Diliman, Quezon City, Philippines
  • e Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, CA, United States
  • f Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, CA, United States
  • g Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, CA, United States
  • h Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, CA, United States

Abstract

Purpose The Health of Philippine Emigrants Study (HoPES) longitudinally investigates over 3 years whether migrating from the Philippines to the USA results in increased risk for obesity relative to non-migrants in the Philippines. The study is designed to test the healthy immigrant hypothesis by collecting health measures from migrants starting from a pre-migration baseline and enrolling a non-migrant cohort matched on age, gender and education for comparison. Participants A migrant cohort (n=832; 36.5% of eligible individuals) was recruited from clients of the Commission on Filipinos Overseas prior to exiting the Philippines. A non-migrant cohort (n=805; 68.6% eligible individuals) was recruited from community households in municipalities throughout the cities of Manila and Cebu. By intention, these two cohorts are comparable demographically, including urban/rural status of residency in the Philippines at baseline. Findings to date At baseline, compared with non-migrants, migrants report significantly better self-rated health and less depression, and have significantly larger hip circumference and lower waist-to-hip ratio, as well as significantly higher mean systolic blood pressure and higher mean level of apolipoprotein B. Baseline results can offer insight into the health status of both migrant and non-migrant populations and may be useful for obesity prevention efforts. Future plans Longitudinal data collection is scheduled to be completed in December 2020 when the final data collection wave (36 months after baseline) will conclude. Both migrant and non-migrant cohorts will be maintained beyond the current prospective study, so long as research funding allows and emerges for new study questions. Findings from future longitudinal analyses can inform the need and design of health-related/relevant interventions, whether clinical, behavioural, educational, or policy, that can be implemented at the individual or population level. © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Author Keywords

longitudinal Migration Obesity Public health Epidemiology

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075114313&doi=10.1136%2fbmjopen-2019-032966&partnerID=40&md5=a11284659336784c5420b987ff255897
DOI: 10.1136/bmjopen-2019-032966
ISSN: 20446055
Original Language: English