Social Network Correlates of Mental Health among Rural-to-Urban Migrants in China

Internal rural-to-urban migrants in China are facing a high risk of mental disorders. Previous research on mental health correlates and predictors among this population focused on individual-level characteristics, neglecting network-level indicators, and migrant–urbanite intergroup relationship. A cross-sectional survey was conducted in Beijing, China from December 2018 to January 2019. A convenience sample of 420 rural-to-urban migrants completed the Chinese 12-item General Health Questionnaire and reported their relationship with urbanites in the past six months. Multivariate linear regression models were used to test the association of the inter-hukou network with migrant mental health. Two indicators of the inter-hukou network were significantly associated with migrant mental health. Migrants were more mentally healthy if their proportion of weak ties in the inter-hukou network was no less than 50%. The more social support migrants received from the inter-hukou network, the better their mental health was. Meanwhile, there was a significant interaction effect between social support and sex, indicating that the same level of social support better protected the mental health of female migrants. Results suggest the importance of social network factors and migrant–urbanite ties for migrant mental health. Future efforts may need to mobilize and facilitate the inter-hukou network to improve migrant mental health.

Access to Refugee and Migrant Mental Health Care Services during the First Six Months of the COVID-19 Pandemic: A Canadian Refugee Clinician Survey

The COVID-19 pandemic has had a major impact on the mental health of refugees and migrants. This study aimed to assess refugee clinician perspectives on mental health care during the COVID-19 pandemic, specifically access to and delivery of community mental health care services. We utilized a mixed methods design. We surveyed members of a national network of Canadian clinicians caring for refugees and migrants. Seventy-seven clinicians with experience caring for refugee populations, representing an 84% response rate, participated in the online survey, 11 of whom also participated in semi-structured interviews. We report three major themes: exacerbation of mental health issues and inequities in social determinants of health, and decreased access to integrated primary care and community migrant services. Clinicians reported major challenges delivering care during the first 6 months of the pandemic related to access to care and providing virtual care. Clinicians described perspectives on improving the management of refugee mental health, including increasing access to community resources and virtual care. The majority of clinicians reported that technology-assisted psychotherapy appears feasible to arrange, acceptable and may increase health equity for their refugee patients. However, major limitations of virtual care included technological barriers, communication and global mental health issues, and privacy concerns. In summary, the COVID-19 pandemic has exacerbated social and health inequities within refugee and migrant populations in Canada and challenged the way mental health care is traditionally delivered. However, the pandemic has provided new avenues for the delivery of care virtually, albeit not without additional and unique barriers.

Urbanization and its impact on migrant mental health

The urban environment plays an important role in the mental health of migrant populations. One in five international migrants lives in the top 20 ‘global cities’ and over 90% of immigrants in traditional countries of immigration live in urban areas. Cities have the potential to exert a positive impact on migrants’ mental health, through opportunities including education, employment, cultural diversity, and ready-made social networks. However, rates of many mental disorders are higher in cities. Migrants interact with cities in specific ways that can trigger or create mental health problems such as disparities and segregation; economic stress; pressures to integrate; and reduced access to nature. Many also face the bureaucratic hurdles and uncertainty of living in cities while applying for legal status; and encounter the gap between aspirations and reality. Urban impact on mental health can be particularly pronounced for asylum seekers and refugees.

Resilience, mental health and urban migrants: a narrative review

Purpose The purpose of this paper is to provide a narrative review of the literature on mental health resilience and other positive mental health capacities of urban and internal migrants. Design/methodology/approach The methodology for this narrative review included a search of articles published up to 2017. The abstracts were screened and relevant articles studied and discussed. Literature on the particular mental health challenges of urban migrants in India was also studied. References found in the literature relating to neurourbanism were also followed up to explore broader historical and conceptual contexts. Findings Several key sources and resources for mental health resilience were identified – including familial and community networks and individual hope or optimism. Nevertheless, much of the literature tends to focus at the level of the individual person, even though ecological systems theory would suggest that mental health resilience is better understood as multi-layered, i.e. relevant to, and impacted by, communities and broader societal and environmental contexts. Originality/value This paper provides insight into an aspect of migrant mental health that has tended to be overlooked hitherto: the mental health resilience and positive mental health capacities of urban migrants. This is particularly relevant where professional “expert” mental health provision for internal migrant communities is absent or unaffordable. Previous work has tended to focus predominantly on mental health risk factors, despite growing awareness that focusing on risk factors along can lead to an over-reliance on top-down expert-led interventions and overlook positive capacities for mental health that are sometimes possessed by individuals and their communities.

Life amidst Rubble: Migrant Mental Health and the Management of Subjectivity in Urban China

While previous studies have documented the trials of rural-to-urban migration in postreform China, little is known of the consequences of urban demolition and attendant uncertainty on migrant mental health. Exploring the affective and subjective dimensions of life lived amidst rubble in a migrant neighborhood on the outskirts of Shanghai, this essay describes and analyzes smallscale practices of endurance through dynamics of time, place, and sociality. These modes of dwelling in a ruined environment are key to what the authors refer to as the management of subjectivity, producing moments of being that potentially enable to feel and act otherwise. Considering the management of subjectivity in its own right rather than as mere echoes of postsocialist governmentalities, the authors sustain a dialogue with recent writing on the production of happy and self-reliant marginalized subjects through the Chinese authorities’ turn to “therapeutic governance.”

Mental health, subjectivity and the city: an ethnography of migrant stress in Shanghai

Ethnography, with its focus on everyday experience, can yield significant insights into understanding migrant mental health in contexts where signs of severe mental distress remain largely imperceptible, and more generally, into how stresses and strains are lived through the spaces, times and affective atmospheres of the city. Migrant ethnography can help us reconsider the oft-made connection between everyday stress and mental ill health. In this contribution, drawing on field evidence in central and peripheral Shanghai, we highlight the importance of attending to the forms of spatial and temporal agency through which migrants actively manage the ways in which the city affects their subjectivity. These everyday subjective practices serve to problematize the very concept of ‘mental health’. The paper engages in a critical dialogue with sociological and epidemiological research that assesses migrant mental health states through the lens of the vulnerability or resilience of this social group, often reducing citiness to a series of environmental ‘stressors’. Distinct from methods ascertaining or arguing against the prevalence of mental disorders among urban migrants, the insight of urban ethnography is to open up a space to explore the mediations that operate dialogically between the city as lived by migrants through particular places and situations and forms of distress.

Young migrant mental health difficulties and suicidal behaviours: an alternative perspective

Summary The Saving and Empowering Young Lives in Europe (SEYLE) study brings attention to the special needs of adolescent migrants. Alternative data analyses could lead to improved service delivery and requisite education/training of health and mental health personnel. We advocate earlier identification by using SEYLE data to shape policy about youth suicidal behaviour and ideation in prevention efforts.