The effects of children's migration on elderly kin's health: a counterfactual approach.
Recent studies of migration and the left-behind have found that elders with migrant children actually experience better health outcomes than those with no migrant children, yet these studies raise many concerns about self-selection. Using three rounds of panel survey data from the Indonesian Family Life Survey, we employ the counterfactual framework developed by Rosenbaum and Rubin to examine the relationship between having a migrant child and the health of elders aged 50 and older, as measured by activities of daily living (ADL), self-rated health (SRH), and mortality. As in earlier studies, we find a positive association between old-age health and children's migration, an effect that is partly explained by an individual's propensity to have migrant children. Positive impacts of migration are much greater among elders with a high propensity to have migrant children than among those with low propensity. We note that migration is one of the single greatest sources of health disparity among the elders in our study population, and point to the need for research and policy aimed at broadening the benefits of migration to better improve health systems rather than individual health.
Josef Korbel School of International Studies, University of Denver, Denver, CO, USA. rkuhn@du.edu
Randall
R
Kuhn
Bethany
B
Everett
Rachel
R
Silvey
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D032721:Adult Children; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006304:Health Status; D006801:Humans; D007214:Indonesia; D016901:Intergenerational Relations; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D011157:Population Dynamics / Q000706:statistics & numerical data*; D012944:Social Support; D055815:Young Adult
Demography. 2004 Aug;41(3):385-415
15461007
Int Migr. 1999;37(1):63-88
12322077
J Biosoc Sci. 2000 Jan;32(1):89-98
10676061
Int J Epidemiol. 1999 Jun;28(3):485-91
10405853
Demography. 2004 Nov;41(4):739-56
15622952
Dev Psychol. 2005 Nov;41(6):902-18
16351336
J Health Soc Behav. 2004 Dec;45(4):441-52
15869115
Lancet. 1984 Jun 30;1(8392):1455-7
6145889
J Clin Epidemiol. 2001 Nov;54(11):1126-38
11675164
Ann N Y Acad Sci. 2001 Dec;954:140-74
11797855
Med Care. 1994 Aug;32(8):771-87
8057694
Popul Index. 1990 Spring;56(1):3-26
12316385
Ageing Soc. 2006 Jan;26(1):37-60
23750063
Am J Public Health. 1999 Oct;89(10):1543-8
10511837
JAMA. 1993 Nov 24;270(20):2464-8
8031341
J Gerontol Soc Work. 2009 Jul;52(5):534-54
19585327
Soc Sci Med. 2006 Jan;62(2):491-8
16039025
Demography. 1994 Feb;31(1):95-113
8005345
J Clin Epidemiol. 2006 May;59(5):437-47
16632131
Am J Epidemiol. 1999 Aug 15;150(4):327-33
10453808
Asia Pac Popul J. 1992 Jun;7(2):49-66
12285624
Med Care. 1995 Apr;33(4 Suppl):AS56-66
7723462
Demography. 2003 May;40(2):289-307
12846133
Asia Pac Popul J. 1999 Mar;14(1):43-58
12295290
J Cross Cult Gerontol. 1998;13(4):361-78
14617903
Annu Rev Public Health. 2000;21:121-45
10884949
J Cross Cult Gerontol. 2007 Sep;22(3):235-41
17610150
Demography. 1999 Aug;36(3):339-53
10472498
J Health Soc Behav. 1995;Spec No:80-94
7560851
J Gerontol. 1994 May;49(3):M97-108
8169338
Demography. 2005 Feb;42(1):153-67
15782900
Biometrics. 1968 Jun;24(2):295-313
5683871
JAMA. 2001 Sep 12;286(10):1187-94
11559263
Am J Epidemiol. 1999 May 15;149(10):887-97
10342797