Prevalence of mental disorders in migrants compared with original residents and local residents in Ningxia, China
Background:
Ecological migrants has a special background compared with other types of migrant. However, the mental health status of ecological migrants who were expected to benefit from a massive “ecological migration project” initiated by the Chinese government is unknown. This study aims to explore the influence of environmental change on individuals’ mental health and to improve current understanding of the mechanisms that mental disorders occurred.
Methods:
The data were extracted from a cross-sectional study. Anxiety disorders, mood disorders and substance use disorders were assessed using the Chinese version WHO-CIDI. The prevalence of mental disorders was stratified by migration status into ecological migrant, local resident and original resident groups. Unconditional logistic regression models were used to calculate the risk of prevalence among these three groups.
Results:
After controlling for gender, ethnicity, age, marriage, and education, the migrants had lower risk of mental disorders than original residents [OR = 0.70 (95 % CI: 0.57–0.86)], p < 0.001), but had a higher risk of mental disorders than local residents [OR = 1.29 (95 % CI: 1.06–1.55)], p = 0.007).
Conclusion:
The ecological migration project may be beneficial to people’s mental health by improving their living environment and social economy.
Keywords:
Ecological migrants, Mental disorders, Epidemiology, Mainland China
Autoři:
Zhizhong Wang 1,3*; Liqun Wang 1; Jinyun Jing 1; Chunping Hu 2
Působiště autorů:
Department of Epidemiology and Statistic, School of Public Health, Ningxia Medical University, Yinchuan 750004, China.
1; Department of Psychiatry, Minkang Psychiatric Hospital of Civil Affairs, Ningxia, Yinchuan 750010, China.
2; 1160#, Shengli Street, Yinchuan 750004, China.
3
Vyšlo v časopise:
BMC Psychiatry 2016, 16:366
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1186/s12888-016-1088-y
© 2016 The Author(s).
Open access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The electronic version of this article is the complete one and can be found online at: http://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-016-1088-y
Souhrn
Background:
Ecological migrants has a special background compared with other types of migrant. However, the mental health status of ecological migrants who were expected to benefit from a massive “ecological migration project” initiated by the Chinese government is unknown. This study aims to explore the influence of environmental change on individuals’ mental health and to improve current understanding of the mechanisms that mental disorders occurred.
Methods:
The data were extracted from a cross-sectional study. Anxiety disorders, mood disorders and substance use disorders were assessed using the Chinese version WHO-CIDI. The prevalence of mental disorders was stratified by migration status into ecological migrant, local resident and original resident groups. Unconditional logistic regression models were used to calculate the risk of prevalence among these three groups.
Results:
After controlling for gender, ethnicity, age, marriage, and education, the migrants had lower risk of mental disorders than original residents [OR = 0.70 (95 % CI: 0.57–0.86)], p < 0.001), but had a higher risk of mental disorders than local residents [OR = 1.29 (95 % CI: 1.06–1.55)], p = 0.007).
Conclusion:
The ecological migration project may be beneficial to people’s mental health by improving their living environment and social economy.
Keywords:
Ecological migrants, Mental disorders, Epidemiology, Mainland China
Zdroje
1. Fossion P, Servais L, Rejas MC, Ledoux Y, Pelc I, et al. Psychosis, migration and social environment: an age- and-gender controlled study. European Psychiatry. 2004;19(6):338–43.
2. Bhugra D. Migration and mental health. Acta Psychiatrica Scandinavica. 2004;109(4):243–58.
3. Bhui K, Abdi A, Abdi M, Pereira S, Dualeh M, et al. Traumatic events, migration characteristics and psychiatric symptoms among Somali refugees. Soc Psychiatry Psychiatr Epidemiol. 2003;38(1):35–43.
4. Norredam M, Garcia-Lopez A, Keiding N, Krasnik A. Risk of mental disorders in refugees and native Danes: a register-based retrospective cohort study. Soc Psychiatry Psychiatr Epidemiol. 2009;44(12):1023–9.
5. Mirsky J. Mental health implications of migration: a review of mental health community studies on Russian-speaking immigrants in Israel. Soc Psychiatry Psychiatr Epidemiol. 2009;44(3):179–87.
6. Ponizovsky AM, Ritsner MS, Modai I. Suicidal ideation and suicide attempts among immigrant adolescents from the former Soviet Union to Israel. J Am Acad Child Adolesc Psychiatry. 1999;38(11):1433–41.
7. Fossion P, Ledoux Y, Valente F, Servais L, Staner L, et al. Psychiatric disorders and social characteristics among second-generation Moroccan migrants in Belgium: an age-and gender-controlled study conducted in a psychiatric emergency department. European Psychiatry. 2002;17(8):443–50.
8. Slonim-Nevo V, Sharaga Y. Psychological and social adjustment of Russian-born and Israeli-born Jewish adolescents. Child Adolesc Soc Work J. 2000;17(6):455–75.
9. Norredam M, Olsbjerg M, Petersen JH, Juel K, Krasnik A. Inequalities in mortality among refugees and immigrants compared to native Danes–a historical prospective cohort study. BMC Public Health. 2012;12:757.
10. Harpham T. Urbanization and mental health in developing countries: a research role for social scientists, public health professionals and social psychiatrists. Soc Sci Med. 1994;39(2):233–45.
11. Tan Y, Hugo G, Potter L. Government-organized distant resettlement and the Three Gorges Project, China. Asia-Pac Popul J. 2003;18(3):1–26.
12. Nakawo, Masayoshi, Yuki. Ecological Migration: Environmental Policy in China. In: Shinjilt, editor. New York: Peter Lang International Academic Publishers; 2011. p. 12.
13. Washingtonpost. Climate Fears Are Driving ‘Ecomigration’ Across Globe. 2009. http://www.washingtonpost.com/wp-dyn/content/article/2009/02/22/AR2009022202378.html. Accessed 27 Oct 2015.
14. Zhang LX, Liu J. Key issues of ecological migration in northern deserted areas of China. Chin J Ecol. 2009;28(7):1394–8.
15. Gladney D. Islam in China: Accommodation or Separatism? In: Overmyer DL, editor. Religion in China Today. Cambridge: Cambridge University Press; 2003. p. 145–61.
16. Ho WY. Mobilizing the Muslim minority for China’s development: Hui Muslims, ethnic relations and Sino-arab connections. J Comp Asian Dev. 2013;12:84–112.
17. Statistical Bureau of Ningxia. Ningxia Statistical Yearbook. Beijing: China Statistics Press; 2012.
18. Greenberg RS. Medical Epidemiology. third editionth ed. USA: McGraw Hill companies, Inc; 2002. p. 40.
19. Wang ZZ, Koenig HG, Zhang YH, Ma WR, Huang YQ. Religious involvement and mental disorder in mainland China. PLoS ONE. 2015;10(6):e0128800.
20. Baker RP. New technology in survey research: Computer-assisted personal interviewing (CAPI). Soc Sci Comput Rev. 1992;10:145–57.
21. Kessler RC, Üstün TB. The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res. 2004;13:93–121.
22. Rao JNK, Scott AJ. On simple adjustments to chi-square tests with sample survey data. Ann Stat. 1987;15(1):385–97.
23. Bhugra D. Cultural identities and cultural congruency: a new model for evaluating mental distress in immigrants. Acta Psychiatr Scand. 2005;111:84–93.
24. Murphy HB. Migration, culture and mental health. Psychol Med. 1977;7:677–84.
25. Nicolas G, Desilva AM, Subrebost KL, Breland-Noble A, Gonzalez-Eastep D, et al. Expression and treatment of depression among Haitian immigrant women in the United States: clinical observations. Am J Psychother. 2007;61:83–98.
26. Lichtenstein P, Yip BH, Björk C, Pawitan Y, Cannon TD, et al. Common genetic determinants of schizophrenia and bipolar disorder in Swedish families: a population-based study. Lancet. 2009;373(9659):234–9.
27. Li PL, Wang XY. Ecological Migration, Development and Transformation: A Study of Migration and Poverty Reduction in Ningxia. Heidelberg, New York, Dordrecht, London: Springer; 2015.
28. Li L, Wang HM, Ye XJ, Jiang MM, Lou QY, et al. The mental health status of Chinese rural–urban migrant workers. Soc Psychiatry Psychiatr Epidemiol. 2007;42(9):716–22.
29. Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World Health Organ. 2003;81(8):609–15.
30. Nandi D, Banerjee G, Mukherjee SP, Ghosh A, Nandi PS, et al. Psychiatric morbidity of a rural Indian community: changes over a 20-year interval. Br J Psychiatry. 2000;176:351–6.
Štítky
PsychiatriaČlánok vyšiel v časopise
BMC Psychiatry
2016 Číslo 366
- Naděje budí časná diagnostika Parkinsonovy choroby založená na pachu kůže
- Hluboká stimulace globus pallidus zlepšila klinické příznaky u pacientky s refrakterním parkinsonismem a genetickou mutací
Najčítanejšie v tomto čísle