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Parental migration and self-reported health status of adolescents in China: A cross-sectional study.


ABSTRACT: Background:Over 100 million children are parented by migrant workers in China. The aim of this study was to investigate how self-reported adolescent physical and mental health are associated with parental migration. Methods:Based on cross-sectional data of 13996 students in 112 schools drawn from a nationally representative sample of middle school students in China, this study used self-reported measures for adolescent physical and mental health. Ordered logistic regression was used for the analysis of self-reported physical health, and linear regression was used for the analysis of self-reported mental health, both adjusting for socio-economic covariates and school fixed effects, to determine how adolescent health is associated with parental migration. Findings:In urban areas, migrant adolescents were physically healthier (OR=1.19, 95% CI: 1.03-1.36), and similarly mentally healthy (b=-0.07, 95% CI: -0.37-0.23), compared to urban adolescents from intact families; in rural areas, left-behind adolescents were less physically (OR=0.84, 95% CI: 0.76-0.94) and mentally (b=0.45, 95% CI: 0.24-0.66) healthy than rural-intact adolescents, holding other variables constant. Left-behind adolescents had less close parent-adolescent relationships than rural-intact adolescents with both father (OR=0.63, 95% CI: 0.56-0.71) and mother (OR=0.62, 95% CI: 0.54-0.70). Interpretation:Our study highlights a great need for health interventions aimed at left-behind adolescents in China and globally, and the important roles of parent-adolescent relationships in addressing the health needs of left-behind adolescents.

SUBMITTER: Lu W 

PROVIDER: S-EPMC7240332 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Parental migration and self-reported health status of adolescents in China: A cross-sectional study.

Lu Weijia W   Zhang Anwen A   Mossialos Elias E  

EClinicalMedicine 20200520


<h4>Background</h4>Over 100 million children are parented by migrant workers in China. The aim of this study was to investigate how self-reported adolescent physical and mental health are associated with parental migration.<h4>Methods</h4>Based on cross-sectional data of 13996 students in 112 schools drawn from a nationally representative sample of middle school students in China, this study used self-reported measures for adolescent physical and mental health. Ordered logistic regression was us  ...[more]

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