Health Selection, Migration, and HIV Infection in Malawi
Philip Anglewicz (),
Lucinda Manda-Taylor and
Additional contact information
Philip Anglewicz: Tulane University School of Public Health and Tropical Medicine
Mark VanLandingham: Tulane University School of Public Health and Tropical Medicine
Lucinda Manda-Taylor: University of Malawi
Hans-Peter Kohler: University of Pennsylvania
Demography, 2018, vol. 55, issue 3, 979-1007
Abstract Despite its importance in studies of migrant health, selectivity of migrants—also known as migration health selection—has seldom been examined in sub-Saharan Africa (SSA). This neglect is problematic because several features of the context in which migration occurs in SSA—very high levels of HIV, in particular—differ from contextual features in regions that have been studied more thoroughly. To address this important gap, we use longitudinal panel data from Malawi to examine whether migrants differ from nonmigrants in pre-migration health, assessed via SF-12 measures of mental and physical health. In addition to overall health selection, we focus on three more-specific factors that may affect the relationship between migration and health: (1) whether migration health selection differs by destination (rural-rural, rural-town, and rural-urban), (2) whether HIV infection moderates the relationship between migration and health, and (3) whether circular migrants differ in pre-migration health status. We find evidence of the healthy migrant phenomenon in Malawi, where physically healthier individuals are more likely to move. This relationship varies by migration destination, with healthier rural migrants moving to urban and other rural areas. We also find interactions between HIV-infected status and health: HIV-infected women moving to cities are physically healthier than their nonmigrant counterparts.
Keywords: Migration; Physical health; Mental health; Selection; HIV infection (search for similar items in EconPapers)
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed
Downloads: (external link)
http://link.springer.com/10.1007/s13524-018-0668-5 Abstract (text/html)
Access to the full text of the articles in this series is restricted.
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
Persistent link: https://EconPapers.repec.org/RePEc:spr:demogr:v:55:y:2018:i:3:d:10.1007_s13524-018-0668-5
Ordering information: This journal article can be ordered from
Access Statistics for this article
Demography is currently edited by John D. Iceland, Stephen A. Matthews and Jenny Van Hook
More articles in Demography from Springer, Population Association of America (PAA)
Bibliographic data for series maintained by Sonal Shukla ().