TY - JOUR
T1 - The prevalence and contextual correlates of non-communicable diseases among inter-provincial migrants and non-migrants in South Africa
AU - Ajaero, Chukwuedozie K.
AU - Wet-Billings, Nicole De
AU - Atama, Chiemezie
AU - Agwu, Prince
AU - Eze, Eberechukwu J.
N1 - Funding Information:
The authors gratefully acknowledge the National Institute for Humanities and the Social Sciences (NIHSS), South Africa for their Mobility Grant (BRICS/2018/12) awarded to Dr. Chukwuedozie K. Ajaero as a Visiting Scholar for the African Pathway Programme Teaching and Research Mobility Grant for the Humanities and Social Sciences, under which this study was conceived. In addition, we are grateful to the Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand and the University of Nigeria Nsukka, Nigeria for availing us of their research facilities during this study.
Funding Information:
The authors gratefully acknowledge the National Institute for Humanities and the Social Sciences (NIHSS), South Africa for their Mobility Grant (BRICS/2018/12) awarded to Dr. Chukwuedozie K. Ajaero as a Visiting Scholar for the African Pathway Programme Teaching and Research Mobility Grant for the Humanities and Social Sciences, under which this study was conceived. In addition, we are grateful to the Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand and the University of Nigeria Nsukka, Nigeria for availing us of their research facilities during this study.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/5/27
Y1 - 2021/5/27
N2 - Background: The socioeconomic conditions of different environments manifest in varying experiences of illnesses. Even as migrants do transit across these different environments for various reasons, including settlement, they are bound to have peculiar experiences of diseases, which could be traced to lifestyle, gender, adaptation, and reactions to specific social, economic, psychological and climatic conditions. Paying attention to such unique scenarios, our study examines the prevalence and contextual correlates of non-communicable diseases among inter-provincial migrants and non-migrants in South Africa.Methods: Data was from the National Income Dynamics Study (NIDS), waves 5 of 2017, which comprised of 28,055 respondents aged 15–64 years made up of 22,849 inter-provincial non-migrants and 5206 inter-provincial migrants. A composite dependent/outcome variable of non-communicable diseases (NCDs) was generated for the study and data analysis involved descriptive statistics, chi Square analysis and multilevel logistic regression analysis.Results: More migrants (19.81%) than non-migrants (16.69%) reported prevalence of NCDs. With the exception of household size for migrants and smoking for non-migrants, the prevalence of NCDs showed significant differences in all the community, behavioral, and individual variables. The factors in the full model, which significantly increased odds of NCDs among the migrants and the non-migrants, were older populations, the non-Blacks, and those with higher education levels. On the one hand, being married, having a household with 4–6 persons, and being residents of urban areas significantly increased odds of NCDs among the migrant population. While on the other, living in coastal provinces, being a female, and belonging to the category of those who earn more than 10,000 Rands were significantly associated with increased odds of NCDs among the non-migrants.Conclusions: These findings, therefore, among other things underscore the need for increased education and awareness campaigns, especially among the older populations on the preventive and mitigative strategies for NCDs. In addition, changes in lifestyles with regard to smoking and physical exercises should be more emphasized in specific contextual situations for the migrant and non-migrant populations, as highlighted by the results of this study.
AB - Background: The socioeconomic conditions of different environments manifest in varying experiences of illnesses. Even as migrants do transit across these different environments for various reasons, including settlement, they are bound to have peculiar experiences of diseases, which could be traced to lifestyle, gender, adaptation, and reactions to specific social, economic, psychological and climatic conditions. Paying attention to such unique scenarios, our study examines the prevalence and contextual correlates of non-communicable diseases among inter-provincial migrants and non-migrants in South Africa.Methods: Data was from the National Income Dynamics Study (NIDS), waves 5 of 2017, which comprised of 28,055 respondents aged 15–64 years made up of 22,849 inter-provincial non-migrants and 5206 inter-provincial migrants. A composite dependent/outcome variable of non-communicable diseases (NCDs) was generated for the study and data analysis involved descriptive statistics, chi Square analysis and multilevel logistic regression analysis.Results: More migrants (19.81%) than non-migrants (16.69%) reported prevalence of NCDs. With the exception of household size for migrants and smoking for non-migrants, the prevalence of NCDs showed significant differences in all the community, behavioral, and individual variables. The factors in the full model, which significantly increased odds of NCDs among the migrants and the non-migrants, were older populations, the non-Blacks, and those with higher education levels. On the one hand, being married, having a household with 4–6 persons, and being residents of urban areas significantly increased odds of NCDs among the migrant population. While on the other, living in coastal provinces, being a female, and belonging to the category of those who earn more than 10,000 Rands were significantly associated with increased odds of NCDs among the non-migrants.Conclusions: These findings, therefore, among other things underscore the need for increased education and awareness campaigns, especially among the older populations on the preventive and mitigative strategies for NCDs. In addition, changes in lifestyles with regard to smoking and physical exercises should be more emphasized in specific contextual situations for the migrant and non-migrant populations, as highlighted by the results of this study.
KW - Correlates
KW - Inter-provincial migration
KW - Non-communicable diseases
KW - Prevalence
KW - South Africa
UR - http://www.scopus.com/inward/record.url?scp=85106990831&partnerID=8YFLogxK
U2 - 10.1186/s12889-021-11044-9
DO - 10.1186/s12889-021-11044-9
M3 - Article
C2 - 34044795
AN - SCOPUS:85106990831
SN - 1471-2458
VL - 21
JO - BMC Public Health
JF - BMC Public Health
M1 - 999
ER -
