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Association between adverse mental health and an unhealthy lifestyle in rural-to-urban migrant workers in Shanghai.
J Formos Med Assoc. 2017 Feb; 116(2):90-98.JF

Abstract

BACKGROUND/PURPOSE

The association between adverse mental health and unhealthy lifestyle behaviors in migrant workers remains poorly defined in Chinese rural-to-urban migrants.

METHODS

A cross-sectional study was conducted regarding health-related behaviors in 5484 migrants (51.3% males) employed in Shanghai for at least 6 months. The Chinese version of the Symptom Checklist-90-Revised (SCL-90-R) was used to assess migrant mental health status. Logistic regression was applied to determine the contribution of adverse mental health to lifestyle behaviors.

RESULTS

Of the 5484 migrants, 21.1% had potential mental health problems and 63.1% had an unhealthy lifestyle. The three most prevalent mental disorders were obsessions-compulsions (O-C; 13.7%; 751/5484), interpersonal sensitivity (I-S; 11.0%; 603/5484), and hostility (HOS; 10.8%; 590/5484). Compared with the male participants, the female participants exhibited significantly increased mean scores for phobic anxiety (PHOB) and anxiety (ANX) (p < 0.001). Logistic regression indicated that after adjustment for potential confounding factors in both genders, an unhealthy lifestyle score was significantly associated with all nine subscales of the SCL-90-R. The male participants with psychoticism [PSY; odds ratio (OR) = 4.908, 95% confidence interval (CI) 2.474-9.735], ANX (OR = 4.022, 95% CI 2.151-7.518), or depression (DEP; OR = 3.378, 95% CI 2.079-5.487) were the most likely to have an unhealthy lifestyle. In the female participants, an unhealthy lifestyle was most associated with HOS (OR = 2.868, 95% CI 2.155-3.819), PSY (OR = 2.783, 95% CI 1.870-4.141), or DEP (OR = 2.650, 95% CI 1.960-3.582).

CONCLUSION

Lifestyle behaviors were significantly associated with mental health in rural-to-urban migrant workers, and these findings indicate the need to develop targeted psychological interventions to foster healthy lifestyles in migrants.

Authors+Show Affiliations

Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.Center of Clinical Epidemiology and Evidence-based Medicine, Fudan University, Shanghai, China.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.Department of General Practice, Xinjing Community Health Service Center, Shanghai, China.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China. Electronic address: zhigang_pan@163.com.Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China. Electronic address: zhu_shanzhu@126.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27161035

Citation

Yang, Hua, et al. "Association Between Adverse Mental Health and an Unhealthy Lifestyle in Rural-to-urban Migrant Workers in Shanghai." Journal of the Formosan Medical Association = Taiwan Yi Zhi, vol. 116, no. 2, 2017, pp. 90-98.
Yang H, Gao J, Wang T, et al. Association between adverse mental health and an unhealthy lifestyle in rural-to-urban migrant workers in Shanghai. J Formos Med Assoc. 2017;116(2):90-98.
Yang, H., Gao, J., Wang, T., Yang, L., Liu, Y., Shen, Y., Gong, J., Dai, W., Zhou, J., Gu, J., Pan, Z., & Zhu, S. (2017). Association between adverse mental health and an unhealthy lifestyle in rural-to-urban migrant workers in Shanghai. Journal of the Formosan Medical Association = Taiwan Yi Zhi, 116(2), 90-98. https://doi.org/10.1016/j.jfma.2016.03.004
Yang H, et al. Association Between Adverse Mental Health and an Unhealthy Lifestyle in Rural-to-urban Migrant Workers in Shanghai. J Formos Med Assoc. 2017;116(2):90-98. PubMed PMID: 27161035.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between adverse mental health and an unhealthy lifestyle in rural-to-urban migrant workers in Shanghai. AU - Yang,Hua, AU - Gao,Jian, AU - Wang,Tianhao, AU - Yang,Lihong, AU - Liu,Yao, AU - Shen,Yao, AU - Gong,Jian, AU - Dai,Wei, AU - Zhou,Jing, AU - Gu,Jie, AU - Pan,Zhigang, AU - Zhu,Shanzhu, Y1 - 2016/05/06/ PY - 2015/11/17/received PY - 2016/03/07/revised PY - 2016/03/08/accepted PY - 2016/5/11/pubmed PY - 2017/9/12/medline PY - 2016/5/11/entrez KW - Shanghai KW - lifestyle KW - mental health KW - migrant workers SP - 90 EP - 98 JF - Journal of the Formosan Medical Association = Taiwan yi zhi JO - J Formos Med Assoc VL - 116 IS - 2 N2 - BACKGROUND/PURPOSE: The association between adverse mental health and unhealthy lifestyle behaviors in migrant workers remains poorly defined in Chinese rural-to-urban migrants. METHODS: A cross-sectional study was conducted regarding health-related behaviors in 5484 migrants (51.3% males) employed in Shanghai for at least 6 months. The Chinese version of the Symptom Checklist-90-Revised (SCL-90-R) was used to assess migrant mental health status. Logistic regression was applied to determine the contribution of adverse mental health to lifestyle behaviors. RESULTS: Of the 5484 migrants, 21.1% had potential mental health problems and 63.1% had an unhealthy lifestyle. The three most prevalent mental disorders were obsessions-compulsions (O-C; 13.7%; 751/5484), interpersonal sensitivity (I-S; 11.0%; 603/5484), and hostility (HOS; 10.8%; 590/5484). Compared with the male participants, the female participants exhibited significantly increased mean scores for phobic anxiety (PHOB) and anxiety (ANX) (p < 0.001). Logistic regression indicated that after adjustment for potential confounding factors in both genders, an unhealthy lifestyle score was significantly associated with all nine subscales of the SCL-90-R. The male participants with psychoticism [PSY; odds ratio (OR) = 4.908, 95% confidence interval (CI) 2.474-9.735], ANX (OR = 4.022, 95% CI 2.151-7.518), or depression (DEP; OR = 3.378, 95% CI 2.079-5.487) were the most likely to have an unhealthy lifestyle. In the female participants, an unhealthy lifestyle was most associated with HOS (OR = 2.868, 95% CI 2.155-3.819), PSY (OR = 2.783, 95% CI 1.870-4.141), or DEP (OR = 2.650, 95% CI 1.960-3.582). CONCLUSION: Lifestyle behaviors were significantly associated with mental health in rural-to-urban migrant workers, and these findings indicate the need to develop targeted psychological interventions to foster healthy lifestyles in migrants. SN - 0929-6646 UR - https://www.unboundmedicine.com/medline/citation/27161035/Association_between_adverse_mental_health_and_an_unhealthy_lifestyle_in_rural_to_urban_migrant_workers_in_Shanghai_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0929-6646(16)30008-0 DB - PRIME DP - Unbound Medicine ER -