IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v76y2013icp169-178.html
   My bibliography  Save this article

Health and well-being of movers in rural and urban areas – A grid-based analysis of northern Finland birth cohort 1966

Author

Listed:
  • Lankila, Tiina
  • Näyhä, Simo
  • Rautio, Arja
  • Koiranen, Markku
  • Rusanen, Jarmo
  • Taanila, Anja

Abstract

We examined the association of health and well-being with moving using a detailed geographical scale. 7845 men and women born in northern Finland in 1966 were surveyed by postal questionnaire in 1997 and linked to 1 km2 geographical grids based on each subject's home address in 1997–2000. Population density was used to classify each grid as rural (1–100 inhabitants/km²) or urban (>100 inhabitants/km²) type. Moving was treated as a three-class response variate (not moved; moved to different type of grid; moved to similar type of grid). Moving was regressed on five explanatory factors (life satisfaction, self-reported health, lifetime morbidity, activity-limiting illness and use of health services), adjusting for factors potentially associated with health and moving (gender, marital status, having children, housing tenure, education, employment status and previous move). The results were expressed as odds ratios (OR) and their 95% confidence intervals (CI). Moves from rural to urban grids were associated with dissatisfaction with current life (adjusted OR 2.01; 95% CI 1.26–3.22) and having somatic (OR 1.66; 1.07–2.59) or psychiatric (OR 2.37; 1.21–4.63) morbidities, the corresponding ORs for moves from rural to other rural grids being 1.71 (0.98–2.98), 1.63 (0.95–2.78) and 2.09 (0.93–4.70), respectively. Among urban dwellers, only the frequent use of health services (≥21 times/year) was associated with moving, the adjusted ORs being 1.65 (1.05–2.57) for moves from urban to rural grids and 1.30 (1.03–1.64) for urban to other urban grids. We conclude that dissatisfaction with life and history of diseases and injuries, especially psychiatric morbidity, may increase the propensity to move from rural to urbanised environments, while availability of health services may contribute to moves within urban areas and also to moves from urban areas to the countryside, where high-level health services enable a good quality of life for those attracted by the pastoral environment.

Suggested Citation

  • Lankila, Tiina & Näyhä, Simo & Rautio, Arja & Koiranen, Markku & Rusanen, Jarmo & Taanila, Anja, 2013. "Health and well-being of movers in rural and urban areas – A grid-based analysis of northern Finland birth cohort 1966," Social Science & Medicine, Elsevier, vol. 76(C), pages 169-178.
    • Handle: RePEc:eee:socmed:v:76:y:2013:i:c:p:169-178
    DOI: 10.1016/j.socscimed.2012.10.021
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612007435
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2012.10.021?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Connolly, Sheelah & O'Reilly, Dermot & Rosato, Michael, 2007. "Increasing inequalities in health: Is it an artefact caused by the selective movement of people?," Social Science & Medicine, Elsevier, vol. 64(10), pages 2008-2015, May.
    2. Rahkonen, Ossi & Arber, Sara & Lahelma, Eero, 1995. "Health inequalities in early adulthood: A comparison of young men and women in Britain and Finland," Social Science & Medicine, Elsevier, vol. 41(2), pages 163-171, July.
    3. Jarmo Rusanen & Toivo Muilu & Alfred Copaert & Arvo Naukkarinen, 2001. "Finnish Socio‐Economic Grid Data, GIS and the Hidden Geography of Unemployment," Tijdschrift voor Economische en Sociale Geografie, Royal Dutch Geographical Society KNAG, vol. 92(2), pages 139-147, May.
    4. Larson, Ann & Bell, Martin & Young, Anne Frances, 2004. "Clarifying the relationships between health and residential mobility," Social Science & Medicine, Elsevier, vol. 59(10), pages 2149-2160, November.
    5. Cox, Matthew & Boyle, Paul J. & Davey, Peter & Morris, Andrew, 2007. "Does health-selective migration following diagnosis strengthen the relationship between Type 2 diabetes and deprivation?," Social Science & Medicine, Elsevier, vol. 65(1), pages 32-42, July.
    6. Tiina Lankila & Simo Näyhä & Arja Rautio & Tanja Nordström & Markku Koiranen & Anja Taanila & Jarmo Rusanen, 2012. "Self-reported health in urban–rural continuum: a grid-based analysis of Northern Finland Birth Cohort 1966," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(3), pages 525-533, June.
    7. Ellis, Mark & Muschkin, Clara, 1996. "Migration of persons with AIDS--A search for support from elderly parents?," Social Science & Medicine, Elsevier, vol. 43(7), pages 1109-1118, October.
    8. Norman, Paul & Boyle, Paul & Rees, Philip, 2005. "Selective migration, health and deprivation: a longitudinal analysis," Social Science & Medicine, Elsevier, vol. 60(12), pages 2755-2771, June.
    9. Curtis, Sarah & Setia, Maninder S. & Quesnel-Vallee, Amelie, 2009. "Socio-geographic mobility and health status: A longitudinal analysis using the National Population Health Survey of Canada," Social Science & Medicine, Elsevier, vol. 69(12), pages 1845-1853, December.
    10. Riva, Mylène & Curtis, Sarah & Norman, Paul, 2011. "Residential mobility within England and urban–rural inequalities in mortality," Social Science & Medicine, Elsevier, vol. 73(12), pages 1698-1706.
    11. Lu, Yao, 2008. "Test of the 'healthy migrant hypothesis': A longitudinal analysis of health selectivity of internal migration in Indonesia," Social Science & Medicine, Elsevier, vol. 67(8), pages 1331-1339, October.
    12. Boyle, Paul & Norman, Paul & Rees, Philip, 2002. "Does migration exaggerate the relationship between deprivation and limiting long-term illness? A Scottish analysis," Social Science & Medicine, Elsevier, vol. 55(1), pages 21-31, July.
    13. Bentham, Graham, 1988. "Migration and morbidity: Implications for geographical studies of disease," Social Science & Medicine, Elsevier, vol. 26(1), pages 49-54, January.
    14. Connolly, Sheelah & O'Reilly, Dermot, 2007. "The contribution of migration to changes in the distribution of health over time: Five-year follow-up study in Northern Ireland," Social Science & Medicine, Elsevier, vol. 65(5), pages 1004-1011, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Maria Vaalavuo & Mikko-Waltteri Sihvola, 2021. "Are the Sick Left Behind at the Peripheries? Health Selection in Migration to Growing Urban Centres in Finland," European Journal of Population, Springer;European Association for Population Studies, vol. 37(2), pages 341-366, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Riva, Mylène & Curtis, Sarah & Norman, Paul, 2011. "Residential mobility within England and urban–rural inequalities in mortality," Social Science & Medicine, Elsevier, vol. 73(12), pages 1698-1706.
    2. Tunstall, Helena & Mitchell, Richard & Pearce, Jamie & Shortt, Niamh, 2014. "The general and mental health of movers to more- and less-disadvantaged socio-economic and physical environments within the UK," Social Science & Medicine, Elsevier, vol. 118(C), pages 97-107.
    3. Wilding, Sam & Martin, David & Moon, Graham, 2016. "The impact of limiting long term illness on internal migration in England and Wales: New evidence from census microdata," Social Science & Medicine, Elsevier, vol. 167(C), pages 107-115.
    4. Birthe Jongeneel-Grimen & Mariël Droomers & Karien Stronks & J. Oers & Anton Kunst, 2013. "Migration and geographical inequalities in health in the Netherlands: an investigation of age patterns," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 845-854, December.
    5. Helena Tunstall & Niamh K Shortt & Jamie R Pearce & Richard J Mitchell, 2015. "Difficult Life Events, Selective Migration and Spatial Inequalities in Mental Health in the UK," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-13, May.
    6. Brown, Denise & Leyland, Alastair H., 2010. "Scottish mortality rates 2000-2002 by deprivation and small area population mobility," Social Science & Medicine, Elsevier, vol. 71(11), pages 1951-1957, December.
    7. Maria Vaalavuo & Mikko-Waltteri Sihvola, 2021. "Are the Sick Left Behind at the Peripheries? Health Selection in Migration to Growing Urban Centres in Finland," European Journal of Population, Springer;European Association for Population Studies, vol. 37(2), pages 341-366, April.
    8. Eva Kibele & Fanny Janssen, 2013. "Distortion of regional old-age mortality due to late-life migration in the Netherlands?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 29(5), pages 105-132.
    9. Green, Mark A. & Subramanian, S.V. & Vickers, Daniel & Dorling, Danny, 2015. "Internal migration, area effects and health: Does where you move to impact upon your health?," Social Science & Medicine, Elsevier, vol. 136, pages 27-34.
    10. Frances Darlington-Pollock & Nichola Shackleton & Paul Norman & Arier C. Lee & Daniel Exeter, 2018. "Differences in the risk of cardiovascular disease for movers and stayers in New Zealand: a survival analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 173-179, March.
    11. Curtis, Sarah & Setia, Maninder S. & Quesnel-Vallee, Amelie, 2009. "Socio-geographic mobility and health status: A longitudinal analysis using the National Population Health Survey of Canada," Social Science & Medicine, Elsevier, vol. 69(12), pages 1845-1853, December.
    12. Timothy J. Halliday & Michael Kimmitt, 2007. "Selective Migration and Health," Working Papers 200720, University of Hawaii at Manoa, Department of Economics.
    13. Jokela, Markus & Kivimäki, Mika & Elovainio, Marko & Viikari, Jorma & Raitakari, Olli T. & Keltikangas-Järvinen, Liisa, 2009. "Urban/rural differences in body weight: Evidence for social selection and causation hypotheses in Finland," Social Science & Medicine, Elsevier, vol. 68(5), pages 867-875, March.
    14. Holmager, Therese Lucia Friis & Lophaven, Søren Nymand & Mortensen, Laust Hvas & Lynge, Elsebeth, 2021. "Does Lolland-Falster make people sick, or do sick people move to Lolland-Falster? An example of selective migration and mortality in Denmark, 1968-2017," Social Science & Medicine, Elsevier, vol. 277(C).
    15. Exeter, Daniel J. & Sabel, Clive E. & Hanham, Grant & Lee, Arier C. & Wells, Susan, 2015. "Movers and stayers: The geography of residential mobility and CVD hospitalisations in Auckland, New Zealand," Social Science & Medicine, Elsevier, vol. 133(C), pages 331-339.
    16. Darlington-Pollock, Frances & Norman, Paul & Lee, Arier C. & Grey, Corina & Mehta, Suneela & Exeter, Daniel J., 2016. "To move or not to move? Exploring the relationship between residential mobility, risk of cardiovascular disease and ethnicity in New Zealand," Social Science & Medicine, Elsevier, vol. 165(C), pages 128-140.
    17. Allan, Rebecca & Williamson, Paul & Kulu, Hill, 2019. "Gendered mortality differentials over the rural-urban continuum: The analysis of census linked longitudinal data from England and Wales," Social Science & Medicine, Elsevier, vol. 221(C), pages 68-78.
    18. Exeter, Daniel J. & Boyle, Paul J. & Norman, Paul, 2011. "Deprivation (im)mobility and cause-specific premature mortality in Scotland," Social Science & Medicine, Elsevier, vol. 72(3), pages 389-397, February.
    19. Connolly, Sheelah & O'Reilly, Dermot & Rosato, Michael, 2007. "Increasing inequalities in health: Is it an artefact caused by the selective movement of people?," Social Science & Medicine, Elsevier, vol. 64(10), pages 2008-2015, May.
    20. Lan Hu & Daniel A. Griffith & Yongwan Chun, 2018. "Space-Time Statistical Insights about Geographic Variation in Lung Cancer Incidence Rates: Florida, USA, 2000–2011," IJERPH, MDPI, vol. 15(11), pages 1-18, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:76:y:2013:i:c:p:169-178. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.