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PubMedDate not supplied

Are temporary migrants escapees of the one-child-per-family population policy: a revisit to the detachment hypothesis.

Using Hubei province as a case study, this paper retests the detachment hypothesis against the three conventional hypotheses regarding migration-fertility linkage (i.e., selectivity, disruption, and adaptation hypotheses) in explaining migrant and non-migrant fertility differentials in China. The analysis of yearly order-specific birth probabilities suggests that temporary migrants exhibit a significantly higher probability of having a second or higher order birth than comparable permanent migrants and non-migrants. This higher fertility among temporary migrants occurs after migration; temporary migrants actually do not differ from non-migrants in fertility before migration. But permanent migrants experience no significant change in their fertility after migration. The results lend a strong support to the detachment hypothesis, which best explains the fertility differentials between migrant and non-migrant populations in contemporary China; the separation of temporary migrants' actual residence from their official one does lead to a greater likelihood among temporary migrants to have unplanned births.

Adult↗
PubMed2001

Trends in birth rates: New York City 1970-1995.

Traditional means of assessing the problem of teen pregnancy have relied on national or state statistics. By using large geographic areas, usually comprised of a heterogeneous population, it is impossible to tell which subareas have more of a problem than others. This study focused on trends in teen birth rates at the health district level in New York City over a 25-year period to illustrate variations among ethnic groups. Teen birth rates were calculated based on vital statistics published by the New York City Department of Health. They were calculated as the number of births per 1,000 females in each of three age groups: under age 15, 15-17, and 18-19. Rates were calculated for the entire City, for four boroughs, and for selected health center districts. The decline in the birth rate among New York City teens is most significant in health districts populated by blacks. An exception is the noted increases in birth rates in districts populated predominantly by Hispanics. Data show substantial decreases among older teens compared to younger teens. Birth trends in small areas of New York City mirror trends seen nationwide. As migration changes the ethnic composition of small areas, it is important to monitor trends so that policies and programs can be targeted to those in need.

Adolescent↗
PubMed1992

Family change and support of the elderly in Asia: what do we know?

"After outlining variations in traditional family systems in Asia, this article discusses likely impacts of urbanization, industrialization and migration on family structure and care of the elderly. Evidence about changing family support for the elderly in Asia is then reviewed. The article's main conclusion is that future changes in Asian countries and areas seem likely to erode traditional family-based systems of care for the elderly, even if the overall welfare of the elderly improves because of higher incomes. Problems faced by elderly women are likely to be especially acute and may require special policies to deal with them."

Adult↗
PubMed2006

The new face of refugee resettlement in Wisconsin: what it means for physicians and policy makers.

BACKGROUND: Historically, Wisconsin has received refugees from 3 large geographic areas: Southeast Asia, the Former Soviet Union, and the former Republic of Yugoslavia. However, recent trends demonstrate a dramatic increase in the number of countries from which current refugees originate. Further, state migration patterns show that most counties in Wisconsin have sizable per capita refugee populations and can expect more. OBJECTIVE: This paper describes past and current refugee resettlement trends and their ramifications on health care delivery, health policy, and social development in Wisconsin. METHODS: Statistical data on national, regional, and state refugee resettlement trends was obtained from the US Department of Health and Human Services' Office of Refugee Resettlement and the Wisconsin Department of Workforce Development. Additional data was obtained from Milwaukee-based refugee service agencies. Further, discussions were held with health officials in Barron County and around the Midwest. FINDINGS: Beginning in the 1980s, with the influx of Laotian Hmong refugees, and continuing through the late 1990s with the end of the Balkan Wars, Wisconsin has provided safe refuge for thousands of refugees. Over the last 5 years the diversity of refugees being resettled in Wisconsin has accelerated to include an array of countries. This phenomenon has led to an increase in the range of health behaviors and health needs characteristic of these populations. The new face of refugee immigration has profound implications on Wisconsin's health landscape, not only in terms of clinical disease, but also in health policy, planning, and social development.

Asia, Southeastern↗
PubMed1986

Immigration and ageing.

"This paper aims to provide an overview of immigration and ageing, and to highlight some implications of the numbers and characteristics of the immigrant elderly for the development of policies for aged care [in Australia]. Particular attention is given to the issues of demographic ageing, family support and institutionalisation." The author uses data from recent official and other published sources to examine the elderly immigrant population by birthplace and racial origin, sex, proportion institutionalized, and proportion handicapped. It is found that "insufficient recognition of the widespread lack of fluency in English among the ethnic minority aged is the greatest obstacle to achieving adequate provision for their needs."

Adult↗
PubMed2003

Street children and political violence: a socio-demographic analysis of street children in Rwanda.

OBJECTIVE: The aims were: (1) to examine the profile of African street children and to assess the link between street children in Africa and political violence; (2) to undertake a systematic examination of causal factors of street children in postgenocide Rwanda; and (3) to situate this analysis in the context of the socio-cultural and political impact of the genocide on Rwandan communities. METHOD: Observational mapping examined the profile and activities of Rwandan street children. Structured interviews were carried out with 290 children in four regional towns to obtain information on socio-demographic, familial, educational background, causal factors surrounding street life involvement, psychological well-being, and relationship to the street. Focus group discussions and key informant interviews examined the relationship between street children and the broader Rwandan society. RESULTS: Street children in Rwanda were predominantly adolescent boys, almost half of whom were homeless (42%), with a high proportion of orphaned children or children who had lost at least one parent. Two variables predicted homelessness: child's guardian and reason for being in street. Qualitative accounts of children conveyed the impact of death of family members, repatriation, imprisonment of parents, and poverty on their lives. CONCLUSIONS: The analysis highlighted the need for community based support for children in alternative guardianship care and for policies to support the reintegration of male youths in postconflict welfare strategies as prevention strategies for street migration.

Adolescent↗
PubMed2004

Premigration exposure to political violence among independent immigrants and its association with emotional distress.

Although the distinction between independent immigrants and refugees has an impact on policy, services, and public opinion because it implies differences in resettlement needs, few recent studies have documented the validity of this assumption. In this population-based survey of recent migrants in Quebec (N = 1871), immigration status (refugee, independent, or sponsored immigrant) is examined in relation to premigration exposure to political violence and refugees' emotional distress, assessed with the SCL-25. A higher percentage of refugees reported exposure to political violence in their homeland, but the percentages of exposed independent (48%) and sponsored (42%) immigrants were unexpectedly high. Emotional distress was significantly higher among Chinese respondents who had witnessed acts of violence and in subjects from Arab countries who reported persecution. These results suggest that service providers and policy makers should not assume that independent immigrants have not been exposed to political violence before their migration.

Adolescent↗
PubMed2000

Tuberculosis surveillance in immigrants through health undertakings in Western Australia.

SETTING: Tuberculosis Control Program, Western Australia. OBJECTIVE: To assess the effectiveness and efficiency of tuberculosis (TB) surveillance in immigrants. DESIGN: Retrospective descriptive analysis of records of immigrants who first registered with the Tuberculosis Program from January 1994 to December 1995, having entered Western Australia on health undertakings (nonlegal contracts signed by those determined during premigration screening to require post-arrival evaluation). RESULTS: Of 1,344 immigrants on health undertakings for TB in the period, 587 (44%) had findings directly related to TB through pre-migration screening, 69 of whom required treatment for active disease. Another 443 (33%) had chest X-ray changes for which TB could not be excluded. Of the remaining 314 (23%), 172 had poor quality X-rays. Post-arrival assessment and follow-up of the whole group detected four of seven additional cases of active TB, 373 persons (28%) requiring on-going surveillance, 667 (50%) with non-TB conditions and 280 (21%) with normal chest X-rays. CONCLUSIONS: Migrant surveillance for TB in Australia is effective in detecting active disease and identifying a high-risk subgroup requiring further evaluation. Efficiency can be improved and high compliance achieved with simple administrative changes. Routine pre-migration Mantoux testing is inappropriate, and its inclusion in post-arrival assessments should be a national policy decision.

Adolescent↗
PubMed1982

Farm labor migrations in the Awash Valley of Ethiopia.

"This study is concerned with determinants and macroforces in rural-rural migrations that relate to areal differentiation and temporal patterns. Patterns and causes of farm labor migrations from the Ethiopian highlands and some lowland districts to the Awash Valley irrigation schemes are traced, the results of revised economic policies."

Africa↗
PubMed1996

Issues in research on women, international migration and labor.

"This paper discusses several themes that are useful in organizing research on women, migration, and work, and consists of four parts. It begins with a review of types of migration systems and highlights the importance of specifying migration systems when examining women migrants and work. The main theoretical approaches in migration and labor are discussed in the second part of the paper. This is followed by a section on several dimensions critical for research on women migrants. In particular, it shows that the effects of gender, race and ethnicity, social class, cohort, and history should be explicitly considered because the migration and labor market experiences of women migrants profoundly differ from that of men. The paper concludes with a discussion of some research and policy implications."

Culture↗
PubMed1985

The Philippines: population trends and dilemmas.

National and regional variations in population growth rates, age and sex composition, fertility and mortality measures, the numbers in the working age population and population distribution are described and their implications for future development outlined. The prospects for the next 20 years indicate a continuation and even exacerbation of regional imbalances in terms of birth, death, and migration rates with the Mindanao area turning out to be the most demographically disadvantaged of the 3 island groups. The policy makers will have to take account of current and projected numbers of people in the planning process if they wish to improve the welfare of each and every Filipino.

Age Distribution↗
PubMed2006

The circle game: understanding physician migration patterns within Canada.

This report explores the movement of physicians to, from, and within Canada and identifies recurring patterns of migration. The primary position of the report is that physician movement is part of reality both internationally and within Canada, and that movement of Canadian-trained physicians creates a need for international medical graduates (IMGs) in "physician-losing" locations. The report's argument is based on data retrieved from public sources on aggregate physician practice patterns in Canada and analyzed for migration patterns. In addition, literature was reviewed on factors affecting the migration patterns being described.Canadian-educated physicians have tended to move from less prosperous to more prosperous provinces and from rural to urban areas; because of the resulting need, the physician-losing locales generally have the highest proportions of IMGs. Physicians traditionally have tended to emigrate from Canada to the United States, thus increasing Canadian demand for IMGs, but recently this movement has slowed and even reversed. In Canada, liberalized immigration policies for physicians combined with a shortage of postgraduate training positions to create a serious bottleneck early in the current decade. However, this problem is now being resolved. In summary, physician migration within Canada shows specific long-term patterns, and IMGs will be needed in underserved areas for years to come. Well-informed policies for workforce management are essential in Canada to ensure an adequate physician supply consisting mainly of Canadian-educated physicians but also including IMGs. A role for nonadvocacy groups such as the Educational Commission for Foreign Medical Graduates may be to help ensure that recruitment of physicians from developing countries follows accepted ethical principles.

Canada↗
PubMed1996

Health care reform and the role of public health agencies.

Experience in developing a local public health program, covering a period of approximately 45 years, is described. Included are the assessment and analysis of problems, policy formulation, plan development, and program implementation. A study of problems of seasonal farm workers, particularly those who migrate, is described, as well as a health services delivery program based on this study. Attention is given to incorporation of medical care with core public health services, and the use of a multidisciplinary team. Special features required to overcome cultural, language, educational, and other barriers are outlined. Adaption of knowledge gained from the migrant health project toward meeting needs of the county's medically underserved population is described. Involvement of the community, including representatives of private and public sectors, in the development and implementation of plans is emphasized. Maintaining appropriate emphasis on preventive aspects is discussed, together with mobilization of financial and other support. The importance of qualified public health staff is also emphasized: residency programs for physicians and dentists and training for other personnel are described.

Florida↗
PubMed1990

Demographic factors reshaping ties to family and place.

This article explores the broad topic of how the selective character of human migration and changing family circumstances may shape the intensity of local need among the future elderly. At origin, it is the healthier, better educated, and more affluent elderly who venture to migrate; and although people migrate from a broad spectrum of origins, they flow selectively to a narrow spectrum of destinations. At the same time, contemporary changes in family makeup and internal division of labor alter their capacity to care for elderly members. These demographic realities define a policy issue ripe for study. 1990 census data can reveal how the pressures of population aging will diffuse spatially, in terms of timing and intensity and, given the complex interaction of migration selectivity and family transformation, who will be distanced from whom, and with what consequences. Scattered evidence from earlier years casts light on certain facets of this issue: (a) the ties between elderly and their children, (b) the differing configurations of migration flows generating elderly concentration in locales, and (c) the changing nature of elderly concentration in recent decades. With 1990 census data, it will be possible to extend certain findings and consider their implications for how future aging and dependency may express themselves locally.

Aged↗
PubMed2004

Social and economic aspects of immigration.

Flows of people are observed as international migration. Every developed country in the world today has become de facto a "country of immigration" whether the country cares to admit it or not. We have surveyed 99 communities in Mexico and 35 in the rest of Latin America and the Caribbean. The datasets contain basic data on 19,850 U.S. migrants originating in Mexico and 3,322 migrants originating elsewhere in Latin America or the Caribbean. As a result of the contradictions of U.S. policy during the 1990s, what used to be a circular flow of able-bodied male workers has been transformed into a permanent migrant migration of families, which will have profound effects on American society for years to come.

Caribbean Region↗