Department of Sociology, The Ohio State University, Columbus, OH 43210, USA.
Department of Sociology, Brigham Young University, Provo, UT 84602, USA.
Int J Environ Res Public Health. 2019 Jul 31;16(15):2726. doi: 10.3390/ijerph16152726.
Migration is a standard survival strategy in the context of disasters. While prior studies have examined factors associated with return migration following disasters, an area that remains relatively underexplored is whether moving home to one's original community results in improved health and well-being compared to other options such as deciding to move on. In the present study, our objective is to explore whether return migration, compared to other migration options, results in superior improvements to mental health. We draw upon data from a cross-sectional pilot study conducted 16 months after a series of volcanic eruptions in Merapi, Indonesia. Using ordinal logistic regression, we find that compared to respondents who were still displaced (reference category), respondents who had "moved home" were proportionally more likely to report good mental health (proportional odds ratios (POR) = 2.02 [95% CI = 1.05, 3.91]) compared to average or poor mental health. Likewise, respondents who had "moved on" were proportionally more likely to report good mental health (POR = 2.64 [95% CI = 0.96, 7.77]. The results suggest that while moving home was an improvement from being displaced, it may have been better to move on, as this yielded superior associations with self-reported mental health.
迁移是灾难背景下的一种标准生存策略。虽然先前的研究已经考察了与灾难后返回迁移相关的因素,但一个相对未得到充分探索的领域是,与其他选择(例如决定继续迁移)相比,搬回家乡是否会带来更好的健康和幸福感。在本研究中,我们的目的是探讨与其他迁移选择相比,返回迁移是否会对心理健康产生更好的改善。我们利用了在印度尼西亚默拉皮火山爆发 16 个月后进行的一项横断面试点研究的数据。使用有序逻辑回归,我们发现与仍流离失所的受访者(参考类别)相比,“搬回家”的受访者更有可能报告良好的心理健康(比例优势比(POR)= 2.02 [95% CI = 1.05, 3.91]),而不是平均或较差的心理健康。同样,“继续迁移”的受访者更有可能报告良好的心理健康(POR = 2.64 [95% CI = 0.96, 7.77])。结果表明,虽然搬回家乡是从流离失所状态的一种改善,但继续迁移可能会更好,因为这与自我报告的心理健康之间存在更好的关联。