RESUMO
As urbanization rates rise globally, it becomes increasingly important to understand the factors associated with urban out-migration. In this paper, we examine the drivers of urban out-migration among young adults in two medium-sized cities in the Brazilian Amazon-Altamira and Santarém-focusing on the roles of social capital, human capital, and socioeconomic deprivation. Using household survey data from 1,293 individuals in the two cities, we employ an event history model to assess factors associated with migration and a binary logit model to understand factors associated with remitting behavior. We find that in Altamira, migration tends to be an individual-level opportunistic strategy fostered by extra-local family networks, while in Santarém, migration tends to be a household-level strategy driven by socioeconomic deprivation and accompanied by remittances. These results indicate that urban out-migration in Brazil is a diverse social process, and that the relative roles of extra-local networks versus economic need can function quite differently between geographically proximate but historically and socioeconomically distinct cities.
RESUMO
While policies often target malaria prevention and treatment - proximal causes of malaria and related health outcomes - too little attention has been given to the role of household- and individual-level socio-economic status (SES) as a fundamental cause of disease risk in developing countries. This paper presents a conceptual model outlining ways in which SES may influence malaria-related outcomes. Building on this conceptual model, we use household data from rural Mvomero, Tanzania, to examine empirical relationships among multiple measures of household and individual SES and demographics, on the one hand, and malaria prevention, illness, and diagnosis and treatment behaviours, on the other. We find that access to prevention and treatment is significantly associated with indicators of households' wealth; education-based disparities do not emerge in this context. Meanwhile, reported malaria illness shows a stronger association with demographic variables than with SES (controlling for prevention). Greater understanding of the mechanisms through which SES and malaria policies interact to influence disease risk can help to reduce health disparities and reduce the malaria burden in an equitable manner.
