Adult Children's Migration and Well-being of Left Behind Nepalese Elderly Parents

J Epidemiol Glob Health. 2018 Dec;8(3-4):154-161. doi: 10.2991/j.jegh.2018.07.004.

Abstract

The objective of this study is to assess whether adult children's migration is associated with overall well-being of left-behind elderly parents in Nepal. A cross-sectional house-to-house survey was conducted among 260 community-dwelling elderly residents of Krishnapur municipality, Nepal. Binary logistic regression was used to identify whether migration of adult children was associated with elderly parent's self-reported chronic diseases, depressive symptoms, perceived loneliness and social support. More than half of the study household (51.2%) had at least one adult migrant child. Compared to participants without a migrant child, participants with a migrant child had higher odds of self-reported chronic diseases (OR = 1.79, 95%CI: 0.91-3.54), presence of depressive symptoms (OR = 1.07, 95%CI: 0.64-1.77), and self-perceived loneliness (OR = 1.23, 95%CI: 1.06-1.42) but except for loneliness, the odds ratio for other indicators of well-being were not statistically significant. Although the literature posits an inverse relationship between adult children's migration and the overall well-being of the elderly parents, in our study, adult children's migration was not associated with inverse health outcomes among study participants. However, from a policy perspective, it should be understood that these observations may be transient since the family structure of Nepalese society is rapidly changing.

Keywords: Children’s migration; elderly; left behind; nepalese; well-being.

MeSH terms

  • Adult
  • Adult Children / statistics & numerical data*
  • Aged
  • Correlation of Data
  • Cross-Sectional Studies
  • Emigration and Immigration* / statistics & numerical data
  • Emigration and Immigration* / trends
  • Family Separation*
  • Female
  • Humans
  • Independent Living / psychology
  • Independent Living / statistics & numerical data
  • Loneliness*
  • Male
  • Mental Health / statistics & numerical data*
  • Nepal / epidemiology
  • Parents / psychology*
  • Population Dynamics* / statistics & numerical data
  • Population Dynamics* / trends
  • Rural Population
  • Self Report