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      Mental health and migration: depression, alcohol abuse, and access to health care among migrants in Central Asia.

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          Abstract

          One-fifth of Kazakhstan's population is labor migrants working in poor conditions with limited legal rights. This paper examines self-rated health, mental health and access to health care among migrant workers. Using geo-mapping, a random sample of internal and external migrant market workers was selected in Almaty (N = 450). We used survey logistic regression adjusted for clustering of workers within stalls. Almost half of participants described their health as fair or poor and reported not seeing a doctor when needed, 6.2% had clinical depression and 8.7% met criteria for alcohol abuse. Female external migrants were at higher risk for poor health and underutilization of health services. High mobility was associated with depression among internal migrants and with alcohol abuse among female migrant workers. This study demonstrates the urgent need to address health and mental health needs and improve access to health care among labor migrants in Central Asia.

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          Author and article information

          Journal
          J Immigr Minor Health
          Journal of immigrant and minority health
          Springer Nature America, Inc
          1557-1920
          1557-1912
          Dec 2014
          : 16
          : 6
          Affiliations
          [1 ] School of Social Service Administration, University of Chicago, 969 East 60th Street, Chicago, IL, 60637, USA, leyla@uchicago.edu.
          Article
          NIHMS537230
          10.1007/s10903-013-9942-1
          4008719
          24186359

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