The influence of household demographic composition on rural migration in China has received limited attention. With data from a household survey in China's Sichuan and Hubei Provinces, this paper uses Probit models to explore the influence of household structure on migration decisions. It suggests that the three-generation household encourages out-migration, with the elderly playing an important role in supporting the migration of younger members by caring for their children. In contrast with earlier findings, the serious illness of an elderly member did not encourage the return of young migrants or discourage migration decisions unless the household included young children.