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Common mental health problems in rural-to-urban migrant workers in Shenzhen, China: prevalence and risk factors

Published online by Cambridge University Press:  09 January 2017

B. L. Zhong ,
T. B. Liu ,
S. S. M. Chan ,
D. Jin ,
C. Y. Hu ,
J. Dai  and
H. F. K. Chiu
B. L. Zhong
Affiliation:
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China Affiliated Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China
T. B. Liu
Affiliation:
Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, People's Republic of China
S. S. M. Chan
Affiliation:
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China
D. Jin
Affiliation:
Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, People's Republic of China
C. Y. Hu
Affiliation:
Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, People's Republic of China
J. Dai
Affiliation:
Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, People's Republic of China
H. F. K. Chiu*
Affiliation:
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China
*
*Address for correspondence: H. F. K. Chiu, Department of Psychiatry, The Chinese University of Hong Kong, Ground Floor, Multicentre, Tai Po Hospital, Tai Po, N.T., Hong Kong SAR, People's Republic of China. (Email: [email protected])
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Abstract

Aims.

Rural-to-urban migrant workers are a large marginalised population in urban China. Prevalence estimates of common mental health problems (CMHPs) in previous studies varied widely and very few studies have investigated migration-related factors of CMHPs in migrant workers. The objective of this study was to determine the prevalence and risk factors of CMHPs among Chinese migrant workers.

Methods.

A random sample of 3031 migrant workers of ten manufacturing factories in Shenzhen, China, completed a standardised questionnaire containing socio-demographic and migration-related variables and the Chinese 12-item General Health Questionnaire (GHQ-12). A GHQ-12 score of three or higher was used to denote the presence of CMHPs.

Results.

The prevalence of CMHPs was 34.4% in Chinese migrant workers. In multiple logistic regression, risk factors for CMHPs included being 16–25 years old (odd ratio [OR] 1.65, 95% confidence interval [CI] 1.28, 2.12), being 26–35 years old (OR 1.36, 95% CI: 1.05, 1.75), low monthly income (OR 1.42, 95% CI 1.04, 1.92), poor living condition (OR: 1.76, 95% CI: 1.22, 2.54), physical illness in the past 2 weeks (OR 1.72, 95% CI 1.43, 2.05), having worked in many cities (OR 1.34, 95% CI 1.03, 1.74), infrequently visiting hometown (OR 1.56, 95% CI 1.22, 1.99), poor Mandarin proficiency (OR 1.51, 95%CI 1.13, 2.01), a low level of perceived benefits of migration (OR 1.33, 95% CI 1.14, 1.55) and working more than 8 h/day (OR 1.39, 95% CI 1.14, 1.70).

Conclusions.

CMHPs are very prevalent among Chinese migrant workers. Given the large number of Chinese migrant workers, there is an urgent need to address the mental health burden of China's migrant worker population.

Keywords

Chinacommon mental health problemepidemiologyrural-to-urban migrant worker
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 27 , Issue 3 , June 2018 , pp. 256 - 265
Copyright
Copyright © Cambridge University Press 2017 

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References

Abbott, M, Wong, S, Williams, M, Au, M, Young, W (1999). Chinese migrants’ mental health and adjustment to life in New Zealand. Australian & New Zealand Journal of Psychiatry 33, 13–21.CrossRefGoogle ScholarPubMed
Balazs, J, Miklosi, M, Kereszteny, A, Hoven, CW, Carli, V, Wasserman, C, Apter, A, Bobes, J, Brunner, R, Cosman, D, Cotter, P, Haring, C, Iosue, M, Kaess, M, Kahn, JP, Keeley, H, Marusic, D, Postuvan, V, Resch, F, Saiz, PA, Sisask, M, Snir, A, Tubiana, A, Varnik, A, Sarchiapone, M, Wasserman, D (2013). Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk. Journal of Child Psychology and Psychiatry 54, 670–677.Google Scholar
Bannai, A, Tamakoshi, A (2014). The association between long working hours and health: a systematic review of epidemiological evidence. Scandinavian Journal of Work, Environment & Health 40, 5–18.Google Scholar
Bhugra, D (2003). Migration and depression. Acta Psychiatrica Scandinavica 108, 67–72.Google Scholar
Butler, M, Warfa, N, Khatib, Y, Bhui, K (2015). Migration and common mental disorder: an improvement in mental health over time? International Review of Psychiatry 27, 51–63.Google Scholar
Charlson, FJ, Baxter, AJ, Cheng, HG, Shidhaye, R, Whiteford, HA (2016). The burden of mental, neurological, and substance use disorders in China and India: a systematic analysis of community representative epidemiological studies. Lancet 388, 376–389.Google Scholar
Chen, Z, Zhang, X, Chen, X, Chen, B, Wei, P, Hu, H, Huang, M, Li, X (2006). Relationship between depression and self-rated health among floating populations. Chinese Journal of Health Education 22, 747–749.Google Scholar
Craig, J (2007). The General Health Questionnaire. Occupational Medicine 57, 79.Google Scholar
Cuijpers, P, Koole, SL, van Dijke, A, Roca, M, Li, J, Reynolds, CF (2014). Psychotherapy for subclinical depression: meta-analysis. British Journal of Psychiatry 205, 268–274.Google Scholar
Dai, J, Zhong, BL, Xiang, YT, Chiu, HF, Chan, SS, Yu, X, Caine, ED (2015). Internal migration, mental health, and suicidal behaviors in young rural Chinese. Social Psychiatry and Psychiatric Epidemiology 50, 621–631.Google Scholar
Drapeau, A, Marchand, A, Beaulieu-Prévost, D (2012). Mental Illnesses – Understanding, Prediction and Control. InTech: Rijeka, Croatia.Google Scholar
Fenta, H, Hyman, I, Noh, S (2004). Determinants of depression among Ethiopian immigrants and refugees in Toronto. Journal of Nervous and Mental Disease 192, 363–372.CrossRefGoogle ScholarPubMed
Fitzgerald, S, Chen, X, Qu, H, Sheff, M (2013). Occupational injury among migrant workers in China: a systematic review. Injury Prevention 19, 348–354.Google Scholar
Furnham, A, Li, Y (1993). The psychological adjustment of the Chinese community in Britain. A study of two generations. British Journal of Psychiatry 162, 109–113.Google Scholar
Goldberg, D (1972). The Detection of Psychiatric Illness by Questionnaire: A Technique for the Identification and Assessment of Non-Psychotic Psychiatric Illness. Oxford University Press: London, New York.Google Scholar
Gong, P, Liang, S, Carlton, E, Jiang, Q, Wu, J, Wang, L, Remais, J (2012). Urbanisation and health in China. Lancet 379, 843–852.Google Scholar
González-Castro, J, Ubillos, S (2011). Determinants of psychological distress among migrants from Ecuador and Romania in a Spanish city. International Journal of Social Psychiatry 57, 30–44.Google Scholar
Im, H, Lee, K, Lee, H (2014). Acculturation stress and mental health among the marriage migrant women in busan, South Korea. Community Mental Health Journal 50, 497–503.Google Scholar
Ismayilova, L, Lee, H, Shaw, S, El-Bassel, N, Gilbert, L, Terlikbayeva, A, Rozental, Y (2014). Mental health and migration: depression, alcohol abuse, and access to health care among migrants in central Asia. Journal of Immigrant and Minority Health 16, 1138–1148.Google Scholar
Kirmayer, LJ, Narasiah, L, Munoz, M, Rashid, M, Ryder, AG, Guzder, J, Hassan, G, Rousseau, C, Pottie, K, Canadian Collaboration for Immigrant and Refugee Health (CCIRH) (2011). Common mental health problems in immigrants and refugees: general approach in primary care. Canadian Medical Association Journal 183, E959–E967.Google Scholar
Lau, J, Cheng, Y, Gu, J, Zhou, R, Yu, C, Holroyd, E, Yeung, N (2012). Suicides in a mega-size factory in China: poor mental health among young migrant workers in China. Occupational and Environmental Medicine 69, 526.Google Scholar
Li, J, Chang, SS, Yip, PS, Li, J, Jordan, LP, Tang, Y, Hao, Y, Huang, X, Yang, N, Chen, C, Zeng, Q (2014). Mental wellbeing amongst younger and older migrant workers in comparison to their urban counterparts in Guangzhou city, China: a cross-sectional study. BMC Public Health 14, 1280.CrossRefGoogle ScholarPubMed
Li, X, Zhang, L, Fang, X, Xiong, Q, Chen, X, Lin, D, Mathur, A, Stanton, B (2007). Stigmatization experienced by rural-to-urban migrant workers in China: findings from a qualitative study. World Health & Population 9, 29–43.Google Scholar
Liu, H, Zhu, Z (2011). A GHQ investigation on the mental health of workers of a mega-size state-owned enterprise of Shanghai. China Medical Herald 8, 144–146.Google Scholar
Loret, dMC, Stanojevic, S, Ruiz, P, Gilman, R, Smeeth, L, Miranda, J (2012). The effect of rural-to-urban migration on social capital and common mental disorders: PERU MIGRANT study. Social Psychiatry and Psychiatric Epidemiology 47, 967–973.Google Scholar
Lund, C, Breen, A, Flisher, A, Kakuma, R, Corrigall, J, Joska, J, Swartz, L, Patel, V (2010). Poverty and common mental disorders in low and middle income countries: a systematic review. Social Science & Medicine 71, 517–528.Google Scholar
Ma, X, Xiang, Y, Cai, Z, Li, S, Xiang, Y, Guo, H, Hou, Y, Li, Z, Li, Z, Tao, Y, Dang, W, Wu, X, Deng, J, Wang, C, Lai, K, Ungvari, G (2009). Prevalence and socio-demographic correlates of major depressive episode in rural and urban areas of Beijing, China. Journal of Affective Disorders 115, 323–330.Google Scholar
McDonald, R, Vechi, C, Bowman, J, Sanson-Fisher, R (1996). Mental health status of a Latin American community in New South Wales. Australian & New Zealand Journal of Psychiatry 30, 457–462.Google Scholar
Mirsky, J, Kohn, R, Levav, I, Grinshpoon, A, Ponizovsky, A (2008). Psychological distress and common mental disorders among immigrants: results from the Israeli-based component of the World Mental Health Survey. Journal of Clinical Psychiatry 69, 1715–1720.Google Scholar
Mou, J, Cheng, J, Griffiths, SM, Wong, SYS, Hillier, S, Zhang, D (2011). Internal migration and depressive symptoms among migrant factory workers in Shenzhen, China. Journal of Community Psychology 39, 212–230.Google Scholar
Mou, J, Griffiths, S, Fong, H, Dawes, M (2013). Health of China's rural–urban migrants and their families: a review of literature from 2000 to 2012. British Medical Bulletin 106, 19–43.Google Scholar
Muntaner, C, Eaton, W, Miech, R, O'Campo, P (2004). Socioeconomic position and major mental disorders. Epidemiologic Reviews 26, 53–62.CrossRefGoogle ScholarPubMed
National Bureau of Statistics of China (2015). 2015 China Statistical Yearbook. China Statistics Press: Beijing.Google Scholar
National Bureau of Statistics of China (2016). The 2015 Report on the Surveillance of China's Rural-to-Urban Migrant Workers. Retrieved 8 October 2016 from http://www.stats.gov.cn/tjsj/zxfb/201604/t20160428_1349713.html.Google Scholar
Ortega, A, Feldman, J, Canino, G, Steinman, K, Alegría, M (2006). Co-occurrence of mental and physical illness in US Latinos. Social Psychiatry and Psychiatric Epidemiology 41, 927–934.Google Scholar
Pevalin, D (2000). Multiple applications of the GHQ-12 in a general population sample: an investigation of long-term retest effects. Social Psychiatry and Psychiatric Epidemiology 35, 508–512.Google Scholar
Qiu, P, Caine, E, Yang, Y, Chen, Q, Li, J, Ma, X (2011). Depression and associated factors in internal migrant workers in China. Journal of Affective Disorders 134, 198–207.CrossRefGoogle ScholarPubMed
Rucci, P, Gherardi, S, Tansella, M, Piccinelli, M, Berardi, D, Bisoffi, G, Corsino, MA, Pini, S (2003). Subthreshold psychiatric disorders in primary care: prevalence and associated characteristics. Journal of Affective Disorders 76, 171–181.Google Scholar
Shen, Q, Lu, Y, Hu, C, Deng, X, Gao, H, Huang, X, Niu, E (1998). A preliminary study of the mental health of young migrant workers in Shenzhen. Psychiatry and Clinical Neurosciences 52, S370–S373.CrossRefGoogle ScholarPubMed
Silveira, E, Ebrahim, S (1998). Social determinants of psychiatric morbidity and well-being in immigrant elders and whites in east London. International Journal of Geriatric Psychiatry 13, 801–812.Google Scholar
Takeuchi, D, Chung, R, Lin, K, Shen, H, Kurasaki, K, Chun, C, Sue, S (1998). Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. American Journal of Psychiatry 155, 1407–1414.Google Scholar
Wang, L (2005). Stress and mental health of farmer-workers. Chinese Journal of Industrial Hygiene and Occupational Diseases 23, 6.Google ScholarPubMed
Wang, S, Li, B, Ungvari, GS, Ng, CH, Chiu, HF, Kou, C, Liu, Y, Tao, Y, Wu, Y, Fu, Y, Qi, Y, Yu, Y, Xiang, YT (2016). Poor mental health status and its associations with demographic characteristics and chronic diseases in Chinese elderly. Social Psychiatry and Psychiatric Epidemiology 51, 1449–1455.Google Scholar
Wen, M, Wang, G (2009). Demographic, psychological, and social environmental factors of loneliness and satisfaction among rural-to-urban migrants in Shanghai, China. International Journal of Comparative Sociology 50, 155–182.Google Scholar
Whiteford, HA, Degenhardt, L, Rehm, J, Baxter, AJ, Ferrari, AJ, Erskine, HE, Charlson, FJ, Norman, RE, Flaxman, AD, Johns, N, Burstein, R, Murray, CJ, Vos, T (2013). Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet 382, 1575–1586.Google Scholar
Wilhelm, K, Mitchell, P, Slade, T, Brownhill, S, Andrews, G (2003). Prevalence and correlates of DSM-IV major depression in an Australian national survey. Journal of Affective Disorders 75, 155–162.Google Scholar
Wong, D, Li, C, Song, H (2007). Rural migrant workers in urban China: living a marginalised life. International Journal of Social Welfare 16, 32–40.Google Scholar
Wong, D, He, X, Leung, G, Lau, Y, Chang, Y (2008). Mental health of migrant workers in China: prevalence and correlates. Social Psychiatry and Psychiatric Epidemiology 43, 483–489.Google Scholar
Xiao, S (2016). Challenges of social changes on China's mental health systems. Chinese Journal of Psychiatry 49, 3–5.Google Scholar
Yang, H, Gao, J, Wang, T, Yang, L, Liu, Y, Shen, Y, Gong, J, Dai, W, Zhou, J, Gu, J, Pan, Z, Zhu, S (2016). Association between adverse mental health and an unhealthy lifestyle in rural-to-urban migrant workers in Shanghai. Journal of the Formosan Medical Association. doi: 10.1016/j.jfma.2016.03.004.Google Scholar
Yang, T, Huang, L, Wu, Z (2003). Study on the appropriateness of the Chinese version of the General Health Questionnaire as a screening instrument for psychological disorders in mainland China. Chinese Journal of Epidemiology 24, 769–773.Google Scholar
Yang, T, Xu, X, Li, M, Rockett, I, Zhu, W, Ellison-Barnes, A (2012). Mental health status and related characteristics of Chinese male rural-urban migrant workers. Community Mental Health Journal 48, 342–351.Google Scholar
Yuan, J, Zhu, W, Li, X, Zhu, Z (2005). A GHQ investigation on the mental health of 2749 community residents. Shanghai Archives of Psychiatry 17, 27–28.Google Scholar
Zeng, G, Luo, H, Cui, X, Tu, Y (2012). Correlation analysis of depression and life events Amng migrant workers in construction site in Beijing. Chinese Journal of Social Medicine 29, 325–327.Google Scholar
Zhong, BL, Liu, TB, Chiu, HF, Chan, SS, Hu, CY, Hu, XF, Xiang, YT, Caine, ED (2013). Prevalence of psychological symptoms in contemporary Chinese rural-to-urban migrant workers: an exploratory meta-analysis of observational studies using the SCL-90-R. Social Psychiatry and Psychiatric Epidemiology 48, 1569–1581.Google Scholar
Zhong, BL, Liu, TB, Chan, SS, Jin, D, Hu, CY, Dai, J, Chiu, HF (2015). Prevalence and correlates of major depressive disorder among rural-to-urban migrant workers in Shenzhen, China. Journal of Affective Disorders 183, 1–9.CrossRefGoogle ScholarPubMed
Zhong, BL, Xu, Y, Jin, D, Zou, X, Liu, T (2016 a). Prevalence and correlates of loneliness among Chinese service industry migrant workers: a cross-sectional survey. Medicine (Baltimore) 95, e3903.Google Scholar
Zhong, BL, Liu, TB, Huang, JX, Fung, HH, Chan, SS, Conwell, Y, Chiu, HF (2016 b). Acculturative stress of Chinese rural-to-urban migrant workers: a qualitative study. PLoS ONE 11, e0157530.Google Scholar
Zhong, BL, Chiu, HF, Conwell, Y (2016 c). Rates and characteristics of elderly suicide in China, 2013–14. Journal of Affective Disorders 206, 273–279.Google Scholar
Zhu, C, Sun, X, Geng, Q, Fu, R, Yang, H, Jiang, W (2015). Self-rated chronic conditions and 2-week prevalence in adults in Zhongshan, China: an epidemiological survey. BMJ Open 5, e008441.Google Scholar
Zhuo, L, Ding, W, Hong, T, Song, H, Zhuo, J (2011). A study on the mental health and correlates of migrant workers. China After School Education 18, 43.Google Scholar