Brown University, United States.
Brown University, United States.
Health Place. 2023 Sep;83:103071. doi: 10.1016/j.healthplace.2023.103071. Epub 2023 Jul 6.
This paper demonstrates that internal migration may be contributing to rising non-communicable disease risk in low- and middle-income countries in gendered and geographically differentiated ways. With 2018 baseline data from the Migrant Health Follow-Up Study, we investigate the relationship between internal migration and elevated blood pressure (BP) among 2163 rural-origin men and women in South Africa, testing for sex differences. To examine the influence of place, we test whether the migration-BP relationship differs by migrants' destination locations, controlling for household composition, social support, prior migration, and housing quality. We find that migration is associated with elevated BP only among women, and that this association is greatest for migrants living in Tembisa township. Our research underscores that gender and migration are important social determinants of noncommunicable disease risk in low-resource, rapidly-urbanizing settings.
本文表明,内部迁移可能以性别和地理差异的方式导致中低收入国家的非传染性疾病风险上升。利用 2018 年《移民健康随访研究》的基线数据,我们调查了南非 2163 名农村原籍男性和女性中内部迁移与血压升高之间的关系,检验了性别差异。为了检验地点的影响,我们检验了迁移与血压之间的关系是否因移民的目的地位置而异,同时控制了家庭构成、社会支持、先前的迁移和住房质量。我们发现,只有女性的迁移与血压升高有关,而在坦比萨镇生活的移民的这种关联最大。我们的研究强调,在资源匮乏、快速城市化的环境中,性别和迁移是影响非传染性疾病风险的重要社会决定因素。