IDEAS home Printed from
MyIDEAS: Login to save this article or follow this journal

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

  • Lankila, Tiina
  • Näyhä, Simo
  • Rautio, Arja
  • Koiranen, Markku
  • Rusanen, Jarmo
  • Taanila, Anja
Registered author(s):

    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.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 76 (2013)
    Issue (Month): C ()
    Pages: 169-178

    in new window

    Handle: RePEc:eee:socmed:v:76:y:2013:i:c:p:169-178
    Contact details of provider: Web page:

    Order Information: Postal:

    No references listed on IDEAS
    You can help add them by filling out this form.

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    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.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei)

    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 references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.

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

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.