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How Urban Life Exposure Shapes Risk Factors of Non-Communicable Diseases (NCDs): An Analysis of Older Rural-to-Urban Migrants in China

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  • Weilong Li

    (University of Pennsylvania)

Abstract

There has been a long-lasting debate about whether urban settings are beneficial to the health of rural-to-urban migrants. Research in some low- and middle-income countries (LMICs) has documented that exposure to urban life negatively impacts their health, especially in terms of non-communicable diseases (NCDs), and attributed the association to health-related behaviors. However, it is unclear if such patterns exist in China, the biggest LMIC and home to 19% of the world population. Meanwhile, given the severe population aging trend, previous research lacks focus on rural-to-urban migrants of older age groups. In addition, different extents of urban life exposure among migrants are either ignored or indirectly measured, and the mediating effects of health behavioral factors have not been quantified. Using data from 2011 China Health and Retirement Longitudinal Study (CHARLS), this study examined three major NCD risk factors, hypertension, general obesity, and abdominal obesity, among older adults (45 +) with different residential types (N = 11,126). Employing logistic regression models and mediation analysis, I find that rural-to-urban migrants have significantly higher odds of having all three NCD risk factors than rural dwellers, and have similar risk profiles as urban residents. Among rural-to-urban migrants, years lived in cities significantly and cumulatively predict hypertension. However, health-related behaviors, including tobacco use, alcohol consumption, and physical activity, only account for a small proportion of the differences between rural-to-urban migrants and rural dwellers, implying other pathways through which urban settings shape older rural-to-urban migrants’ health outcomes.

Suggested Citation

  • Weilong Li, 2022. "How Urban Life Exposure Shapes Risk Factors of Non-Communicable Diseases (NCDs): An Analysis of Older Rural-to-Urban Migrants in China," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(1), pages 363-385, February.
    • Handle: RePEc:kap:poprpr:v:41:y:2022:i:1:d:10.1007_s11113-021-09656-5
    DOI: 10.1007/s11113-021-09656-5
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    References listed on IDEAS

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    1. Abraído-Lanza, A.F. & Dohrenwend, B.P. & Ng-Mak, D.S. & Turner, J.B., 1999. "The Latino mortality paradox: A test of the 'salmon bias' and healthy migrant hypotheses," American Journal of Public Health, American Public Health Association, vol. 89(10), pages 1543-1548.
    2. Ulrich Kohler & Kristian Bernt Karlson & Anders Holm, 2011. "Comparing coefficients of nested nonlinear probability models," Stata Journal, StataCorp LP, vol. 11(3), pages 420-438, September.
    3. Chao Ma & Zhaopeng Qu & Zimeng Xu, 2020. "Internal Migration and Mental Health: An Examination of the Healthy Migration Phenomenon in China," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 39(3), pages 493-517, June.
    4. Rong Cui & Jeffrey H. Cohen, 2015. "Reform and the HuKou System in China," Migration Letters, Migration Letters, vol. 12(3), pages 327-335, September.
    5. Yuying Tong & Martin Piotrowski, 2012. "Migration and Health Selectivity in the Context of Internal Migration in China, 1997–2009," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 31(4), pages 497-543, August.
    6. Lu, Yao & Qin, Lijian, 2014. "Healthy migrant and salmon bias hypotheses: A study of health and internal migration in China," Social Science & Medicine, Elsevier, vol. 102(C), pages 41-48.
    7. Ulrich Kohler, 2011. "Comparing coefficients between nested nonlinear probability models," German Stata Users' Group Meetings 2011 08, Stata Users Group.
    8. Muntrer, P. & Gu, D. & Wildman, R.P. & Chen, J. & Qan, W. & Whelton, P.K. & He, J., 2005. "Prevalence of physical activity among Chinese adults: Results from the International Collaborative Study of Cardiovascular Disease in Asia," American Journal of Public Health, American Public Health Association, vol. 95(9), pages 1631-1636.
    9. Chen, Juan, 2011. "Internal migration and health: Re-examining the healthy migrant phenomenon in China," Social Science & Medicine, Elsevier, vol. 72(8), pages 1294-1301, April.
    10. Stark, Oded, 1984. "Migration decision making : De Jong, Gordon F. and Robert W. Gardner, eds., (Pergamon, New York, 1981)," Journal of Development Economics, Elsevier, vol. 14(1), pages 251-259.
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