Evidence regarding the effects of health status on migration are mixed with some concluding that there is a positive relation while others conclude a negative relation. This study examines the analytical bases for conflicting findings and proposes a model of the health-migration relation which allows for age selectivity nonlinearities interactions and dynamic effects. Often in migration research we focus on migrant-nonmigrant differentials which helps us to understand the cross-sectional differences between the 2 groups of persons but it does little to elucidate the complex process by which nonmigrants become migrants. The sequence of migration and health events from the US National Health Interview Survey from 1979-1980 show that for the population under age 45 there is little temporal connection between migration and health status changes. 2/3 of the younger population with at least 1 health or migration event migrated only with health status changes neither preceding nor following the migration. Since the migration and health events for these persons are not associated in time there is little basis for positing strong relations of either direction for the nonelderly. The age groups for which migration and health events are connected in time are those over age 45 and the temporal proximity becomes even more marked for the elderly. Among the elderly the migrant-only group constituted only 10% of those with at least 1 event. As expected for the elderly the dominant relation is health deterioration after migration the pattern displayed by 65% of the elderly with events in the last 5 years. The elderly are also more likely to be in the Destabilized Migrant category experiencing health status declines both before and after migration. This is also consistent with the theory that the elderly in poor health at the time of migration will be more likely to be stressed by their migration and experience further deteriorations in health. The conditional probabilities indicate that health status declines are unlikely to precipitate immediate migrations except for those with pre-existing serious conditions or more severe activity limitations. (authors modified)

The directionality and age selectivity of the health-migration relation: evidence from sequences of disability and mobility in the United States.

This paper documents a recurring but often overlooked pattern in adult socialization and proposes the mechanism that produces this regularity in role assimilation. Three broad stages (Expectancy, Disillusionment and Reconciliation) produce a curvilinear pattern over time in the adoption of "ideal-typical" role attitudes, beliefs and values. The migration of individuals to and from urban areas and their medical care preferences provide a unique case for the illustration of two crucial, organizational elements of the socialization process: context and networks. Data from Taiwan (1970, N= 618) indicate that for both in-migrants and out-migrants, preferences for western as opposed to indigenous medical care parallel proposed changes in initiate networks. The pattern is neither smooth nor unidimensional nor the same between contexts. Additional analyses that incorporate Granovetter's (1973) "strength of weak ties" idea are consistent with the network explanation. The concluding discussion focuses on factors that might influence the duration of and fluctuation between socialization stages.

https://www.jstor.org/stable/pdfplus/2095585.pdf

Migration, medical care preferences and the lay referral system: a network theory of role assimilation*

Migration, acculturation and utilization of primary health care.

This is an unannotated interdisciplinary bibliography on refugees presented in alphabetical order by author and covering the period from the 1950s to the present. (ANNOTATION)

John E. Dowd

Papers

Migration and health: Adaptation experiences of Iranian migrants to the city of Teheran