Are suicidal behaviors more prevalent among rural-to-urban migrants than non-migrant rural and urban residents in Wuhan, China? –Evidence from a GIS/GPS-assisted probability sample

2020 ◽  
Author(s):  
Bin Yu ◽  
Xinguang Chen
Keyword(s):  
Suicidal Ideation ◽  
Prevalence Rate ◽  
Estimation Method ◽  
Urban Residents ◽  
Suicidal Behaviors ◽  
Rural Migrants ◽  
Probability Sample ◽  
Rural And Urban ◽  
Urban Migrants ◽  
Increased Risk

Abstract Background There is a lack of solid data on suicide among rural-to-urban migrants in China, a large and rapid growing population currently totaling 280 million. The study aims to investigate whether suicidal behaviors are more prevalent among the rural migrants than the non-migrant rural and urban residents. Methods Data from a probability sample (N=3951, 32.65% rural-to-urban migrants) were analyzed. The sample was selected in Wuhan, China using the GIS/GPS-assisted multistage probability sampling method. Suicidal ideation and attempt in the past year were measured. Prevalence rate [95% CI] was calculated using survey estimation method, considering the sampling design with sample clusters, disproportionate probabilities, and weights. Adjusted odds ratio (AOR) [95% CI] was used to compare the difference of rural migrants with rural and urban residents in suicidal behaviors controlling for covariates. Results Among rural migrants, 5.74% [4.81, 6.68] reported having suicidal ideation, compared to 4.74% [3.07, 6.42] and 3.65% [2.64, 4.65] for rural and urban residents, respectively. The migrant-urban resident difference was significant with AOR =1.93 [1.26, 2.94] while the migrant-rural resident difference was not with AOR= 0.87 [0.46, 1.67]. The prevalence rate of suicidal attempt was 5.47% [4.57, 6.36] for rural migrants, significantly higher than 1.14% [0.43, 1.85] for rural residents with AOR=2.89 [1.12, 7.43]; and 2.01% [1.21, 2.82] for urban residents with AOR =3.97 [2.15, 7.34]. Conclusions Rural migrants are at higher risks for suicide comparing to rural and urban residents. Additional research is needed to examine factors related to the increased risk of suicidal behaviors among rural migrants in China.

Mobility and morbidity of regular and seasonal migrants in India

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mala Ray Bhattacharjee
Keyword(s):  
Migrant Workers ◽  
Health Condition ◽  
Short Term ◽  
Relevant Issue ◽  
Rural Migrants ◽  
Major Morbidity ◽  
Content Type ◽  
Rural And Urban ◽  
Urban Migrants ◽  
Internal Migrants

Purpose Internal migration has grown intensively in India in the present decades, far greater than international migration, though the latter has received far more attention in literature and public policy. Among internal migrants, seasonal movement is another growing phenomenon in India which has received the least attention till now. The purpose of the study is to show the intensities of short-term morbidity and major morbidity among the rural and urban internal migrants and how such disease burdens have affected the health of regular/permanent and temporary/seasonal migrants. Design/methodology/approach This present paper has been developed on the basis of data of India Human Development Survey-II (IHDS-II), 2011–2012, has been availed to find out the intensities of short-term morbidity and major morbidity among the rural and urban migrants as well as the health condition of the seasonal migrants. For the analysis of regular or permanent migrants, a total of 3,288 migrants (of which 1,136 rural migrants and 2,152 urban migrants) were surveyed in IHDS-II, 2011–2012, regarding the persistence of different types of short-term morbidity among the migrant class. Two-sample (rural migrants and urban migrants) “t” test for mean difference with unequal variances with null hypothesis – H0: diff = 0, and alternate hypothesis – Ha: diff < 0; Ha: diff > 0 where diff = mean (rural) – mean (urban) has been executed. For the seasonal migrants a sample of 41,424 migrants of which 2,691 seasonal migrant workers and 38,733 non-seasonal migrant workers were surveyed in IHDS-II, 2011–2012, to find out their health condition. OLS regression on the number of medical treatments undertaken in a month on the nature of migrant workers has been conducted. Socio-economic factors (like adult literacy) and basic amenities required for a healthy living (like indoor piped drinking water, separate kitchen in the household, household having a flush toilet, household having electricity and intake of meals everyday) are taken as control variables in the regression analysis. Findings The results of morbidity analysis in this paper show that the morbidity patterns among the migrants vary with the geographical differences. The short-term morbidity and that of the major morbidity show different proneness to ill health for rural and urban migrants. However, seasonal migrants are more susceptible to ill health than the regular migrants and are also potential for generating health risks. Also lack of provision of basic services creates negative health impact on seasonal migrants. Research limitations/implications The paper is based on secondary data and hence lacks numerous relevant health issues of migrants in rural and urban sectors which could have been possible through primary data survey. Practical implications Migration and migrants are a relevant issue both internationally and nationally. Economic development of a country like India depends to a greater extent on the contributions of migrant labourers as majority of the labourers in India belong to informal sector of which most of the workers are from migrant class. Social implications Migrants contribution to economic development depend on their productive capacity and hence health of these section of people is a relevant issue. This study is based on the morbidity pattern of migrants both regular and seasonal migrants and their susceptibility in various geographical locations and provision of basic amenities. Originality/value This work is original research study by the author.

COMPARING KNOWLEDGE AND USE OF HEALTH SERVICES OF MIGRANTS FROM RURAL AND URBAN AREAS IN KUNMING CITY, CHINA

2010 ◽  
Vol 42 (6) ◽  
pp. 743-756 ◽  
Author(s):  
XIAOLIN WEI ◽  
STEPHEN PEARSON ◽  
ZHANXIN ZHANG ◽  
JIANGMEI QIN ◽  
NANCY GEREIN ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Urban Residents ◽  
Financing System ◽  
Rural Residents ◽  
Rural Migrants ◽  
Utilization Of Health Services ◽  
Urban Migrants ◽  
Township Hospitals ◽  
High Level

SummaryThis paper compares the knowledge and utilization of health services among rural residents, urban residents, rural migrants and urban migrants in a large Chinese city. Data were obtained from a questionnaire survey of 2765 individuals (1951 heads of households and 814 spouses) in Guandu district, Kunming, in 2005. The determinants of their knowledge and utilization of health services were analysed using multivariate logistic regression. First, the migrant population was less likely to know of, or utilize, high-level hospitals and township hospitals than residents. Migrants were more likely to utilize private rather than public services for general health care and delivery care. Second, there was a difference between rural migrants and urban migrants in terms of knowledge and utilization of health services. Rural migrants utilized more low-cost private clinics, but had less knowledge about sources of condoms than urban migrants. Finally, rural residents had more knowledge and utilization of township hospitals than urban residents. This latter group were more likely to utilize high-level hospitals. Migrants' access to health care in urban China is understood better using a dual rural–urban and migrant–resident analytical framework. Rural migrants are the most disadvantaged in their access to urban health care. Further reform of the registered residence system and urban public financing system is recommended. Better information on services and their utilization should be provided to migrants and residents.

Risk Factors and Mediators of Suicidal Ideation Among Korean Adolescents

Crisis ◽  
2018 ◽  
Vol 39 (1) ◽  
pp. 4-12 ◽  
Author(s):  
Yi Jin Kim ◽  
Sung Seek Moon ◽  
Jang Hyun Lee ◽  
Joon Kyung Kim
Keyword(s):  
High School Students ◽  
Suicidal Ideation ◽  
Structural Equation ◽  
Equation Modeling ◽  
Outcome Variable ◽  
Suicidal Behaviors ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Korean Adolescents ◽  
Related Stress

Abstract. Background: A significant number of Korean adolescents have suicidal ideations and it is more prevalent among adolescents than any other age group in Korea. Aims: This study was conducted to attain a better understanding of the contributing factors to suicidal ideation among Korean adolescents. Method: We recruited 569 high school students in Grades 10 and 11 in Pyeongtaek, Korea. The Beck Scale for Suicidal Ideation was used to measure suicidal ideation as the outcome variable. The Interpersonal Needs Questionnaire, the Beck Hopelessness Scale, the School Related Stress Scale, the Olweus Bully/Victim Questionnaire, and the Youth Risk Behavior Surveillance questions were used to measure thwarted belongingness and perceived burdensomeness, hopelessness, school-related stress, bullying, and previous suicidal behaviors, respectively. Data analyses included descriptive statistics and structural equation modeling. Results: The findings suggest that perceived burdensomeness, hopelessness, school-related stress, and previous suicidal behaviors have significant direct effects on suicidal ideation. Hopelessness fully mediated the relation between thwarted belongingness and suicidal ideation, and partially mediated between perceived burdensomeness, school-related stress, and suicidal ideation. Conclusion: These findings provide more specific directions for a multidimensional suicide prevention program in order to be successful in reducing suicide rates among Korean adolescents.

scholarly journals Predictors of Suicidal Ideation and Attempt among Patients with Major Depressive Disorder at a Tertiary Care Hospital, Puducherry

2021 ◽  
Vol 12 (01) ◽  
pp. 122-128
Author(s):  
Ralte Lalthankimi ◽  
Padmavathi Nagarajan ◽  
Vikas Menon ◽  
Jeby Jose Olickal
Keyword(s):  
Major Depressive Disorder ◽  
Suicidal Ideation ◽  
Depressive Disorder ◽  
Rating Scale ◽  
Tertiary Care ◽  
Severe Depression ◽  
Care Hospital ◽  
Suicidal Behaviors ◽  
Major Depressive ◽  
Severity Of Depression

Abstract Objectives Mental disorders have a large impact on death by suicide. Hence, this study aims to determine the prevalence of suicidal behaviors among major depressive disorder (MDD) patients and the associated factors. Materials and Methods This cross-sectional analytical study was conducted among individuals aged 18 to 65 years, diagnosed with MDD in the Psychiatry Outpatient Department of a Tertiary Care Center, Puducherry during March to October 2019. Severity of depression was assessed using Hamilton Depression Rating Scale and Columbia-Suicide Severity Rating Scale was used to find the suicidal behaviors. Results For 166 participants in the study, mean (standard deviation) age was 40 (11) years and majority were females (76%). More than one-third (37%) had severe or very severe depression, and the prevalence of suicidal ideation, plan, and attempts were 83, 24, and 35%, respectively. After adjusting the covariates, the severity of depression and unemployment were significantly associated with suicidal attempts (adjusted prevalence ratios [aPR] = 11.4 and 1.9), and very severe depression was associated with suicidal ideation (aPR = 1.6). Among 140 individuals with suicidal ideation, 45 (32%) had an ideation frequency of 2 to 3 times/week, 69 (50%) had ideation for 1 hour, 36 (26%) could control ideation with little difficulty, and 12% had suicidal ideation mostly to end or stop their pain. Conclusion Suicidal ideation and attempts were significantly high in MDD patients, and the severity of depression was significantly associated with it. Early identification of high-risk suicidal behavior and implementation of effective preventive interventions are necessary to reduce death by suicide in these groups.

scholarly journals Sleep Duration and Waking Activities in Relation to the National Sleep Foundation’s Recommendations: An Analysis of US Population Sleep Patterns from 2015 to 2017

2021 ◽  
Vol 18 (11) ◽  
pp. 6154
Author(s):  
Michael Osei Mireku ◽  
Alina Rodriguez
Keyword(s):  
Sleep Duration ◽  
Time Use ◽  
Variance Estimation ◽  
Estimation Method ◽  
Short Sleep Duration ◽  
Weighted Estimates ◽  
American Time Use Survey ◽  
Increased Risk ◽  
The Us ◽  
Time Use Survey

The objective was to investigate the association between time spent on waking activities and nonaligned sleep duration in a representative sample of the US population. We analysed time use data from the American Time Use Survey (ATUS), 2015–2017 (N = 31,621). National Sleep Foundation (NSF) age-specific sleep recommendations were used to define recommended (aligned) sleep duration. The balanced, repeated, replicate variance estimation method was applied to the ATUS data to calculate weighted estimates. Less than half of the US population had a sleep duration that mapped onto the NSF recommendations, and alignment was higher on weekdays (45%) than at weekends (33%). The proportion sleeping longer than the recommended duration was higher than those sleeping shorter on both weekdays and weekends (p < 0.001). Time spent on work, personal care, socialising, travel, TV watching, education, and total screen time was associated with nonalignment to the sleep recommendations. In comparison to the appropriate recommended sleep group, those with a too-short sleep duration spent more time on work, travel, socialising, relaxing, and leisure. By contrast, those who slept too long spent relatively less time on each of these activities. The findings indicate that sleep duration among the US population does not map onto the NSF sleep recommendations, mostly because of a higher proportion of long sleepers compared to short sleepers. More time spent on work, travel, and socialising and relaxing activities is strongly associated with an increased risk of nonalignment to NSF sleep duration recommendations.

756 The Moderating Influence of Depression on Insomnia and Suicidal Ideation in a Military Sample

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A294-A295
Author(s):  
Emma Palermo ◽  
Jennifer Goldschmied ◽  
Elaine Boland ◽  
Elizabeth A Klingaman ◽  
Philip Gehrman ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Research University ◽  
Negative Binomial ◽  
Suicide Attempts ◽  
Risk And Resilience ◽  
Depression Severity ◽  
Significant Interaction Effect ◽  
Increased Risk ◽  
The Impact

Abstract Introduction Military personnel are at an increased risk for suicide compared to the general population, making it important to develop a deeper understanding of which factors contribute to this elevated risk. Given that suicidal ideation (SI) is one of the strongest predictors of suicide attempts, understanding factors that underlie SI may improve prevention efforts. Insomnia and depression both serve as independent risk factors for SI, and therefore the aim of this study was to examine the extent to which depressive symptoms moderate the association between insomnia and SI. Methods Data were obtained from the All Army Study of the Army Study to Assess Risk and Resilience in Servicemembers (STARRS). Soldiers (n=21,450) completed questions related to suicidal ideation (5 items), depressive symptoms (9 items), and insomnia (5 items) based on symptom presence in the past 30 days. Items in each domain were summed to create a total severity score. GEE models using a negative binomial linking function were conducted to examine the impact of depression, insomnia, and their interaction on SI. Results Both depression (χ2 =117.56, p&lt;0.001) and insomnia (χ2=11.79, p=0.0006) were found to have significant main effects on SI, and there was a significant interaction effect (χ2=4.52, p=0.0335). Follow up simple effects revealed that insomnia was no longer significantly associated with SI when depression severity was low, but was associated with SI in the presence of greater depression severity (χ2=2.91, p=0.0882). Conclusion In a large sample of Army soldiers, depression significantly moderated the association between SI and insomnia, such that insomnia seems to amplify the effects of depression on SI. These findings highlight the importance of addressing insomnia severity as a mean of reducing SI in those with depression, potentially allowing for intervention prior to a suicide attempt. Support (if any) Perlis: K24AG055602 & R01AG041783. This publication is based on public use data from Army STARRS (Inter-university Consortium for Political and Social Research, University of Michigan- http://doi.org/10.3886/ICPSR35197-v1), funded by U.S. NIMH-U01MH087981.

scholarly journals Perceived Social Status and Suicidal Ideation in Maltreated Children and Adolescents

2021 ◽  
Author(s):  
Kelli L. Dickerson ◽  
Helen M. Milojevich ◽  
Jodi A. Quas
Keyword(s):  
Risk Factor ◽  
Suicidal Ideation ◽  
Children And Adolescents ◽  
Social Status ◽  
Lower Risk ◽  
Developmental Patterns ◽  
Factors Associated ◽  
Established Risk Factor ◽  
Increased Risk ◽  
Perceived Social Status

AbstractRecent decades have seen an alarming increase in rates of suicide among young people, including children and adolescents (“youth”). Although child maltreatment constitutes a well-established risk factor for suicidal ideation in youth, few efforts have focused on identifying factors associated with maltreated youths’ increased risk for suicidal ideation, especially across development. The present study examined the relations between maltreated youths' (N = 279, M = 12.06 years, 52% female, 53% Latinx) perceptions of their social status and suicidal ideation and compared those relations between pre-adolescents and adolescents. Findings revealed unique developmental patterns: Perceived social status was associated with suicidal ideation, but only in adolescents, who showed greater risk for suicidal ideation if they viewed themselves as lower ranked in society and lower risk for suicidal ideation if they viewed themselves as higher ranked in society. Findings have implications for scientific and practical efforts aimed at better understanding and preventing suicide in a high-risk developmental population.

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