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.

Highlights

  • In 2010, the global population of elderly, aged 65 or older, was 524 million, representing eight percent of the world’s population [1]

  • A total of 260 elderly adults with a mean age of 69 years participated in the study Table 1

  • This study aimed to examine if adult children’s migration was associated with the physical, mental and social well-being of the left behind elderly parents and found that except for loneliness other indicators of well-being were not significantly associated with adult children’s migration

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Summary

Introduction

In 2010, the global population of elderly, aged 65 or older, was 524 million, representing eight percent of the world’s population [1]. In 2011, there were 2.1 million senior citizens in Nepal, comprising 8.1% of the total population, and showing a marked increase from the 2001 census [3,4]. Chronic health conditions, such as heart disease, stroke, cancer, diabetes, arthritis, osteoporosis, and falls, are common among elderly populations [5]. In addition to physical and mental health problems, elderly adults face many social challenges; of which loneliness and social isolation are significant concerns [6].

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