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Common mental disor...
Common mental disorders among young refugees in Sweden : The role of education and duration of residency
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- Björkenstam, Emma (author)
- Karolinska Institutet,Uppsala universitet,Ekselius: Psykiatri,Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, SE-17177 Stockholm, Sweden
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- Helgesson, Magnus (author)
- Karolinska Institutet
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- Norredam, Marie (author)
- Univ Copenhagen, Res Ctr Migrat Ethnic & Hlth MESU, Dept Publ Hlth, Sect Hlth Serv Res, Copenhagen K, Denmark.;Univ Hosp Hvidovre, Dept Infect Dis, Sect Immigrant Med, Copenhagen, Denmark.
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- Sijbrandij, Marit (author)
- Vrije Univ, Dept Clin Neuro & Dev Psychol, Amsterdam, Netherlands.
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- de Montgomery, Christopher Jamil (author)
- Karolinska Institutet
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- Mittendorfer-Rutz, Ellenor (author)
- Karolinska Institutet
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(creator_code:org_t)
- ELSEVIER, 2020
- 2020
- English.
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In: Journal of Affective Disorders. - : ELSEVIER. - 0165-0327 .- 1573-2517. ; 30
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Abstract
Subject headings
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- Background: Studies investigating risks of common mental disorders (CMDs) in refugee youth are sparse. The current study examined health care use due to CMDs in unaccompanied and accompanied refugee youth and Swedish-born, and the role of education and residency duration.Methods: This longitudinal cohort study included 743,671 individuals (whereof 33,501 refugees) between 19 and 25 years, residing in Sweden in 2009. Refugees were classified as unaccompanied/accompanied. Risk estimates of CMDs, measured as health care use and antidepressant treatment, between 2010 and 2016 were calculated as adjusted hazard ratios (aHR) with 95% confidence intervals (CI). Highest attained education in 2009, and residency duration were examined as potential modifiers.Results: Compared to Swedish-born youth, refugees had a lower risk of treated major depressive and anxiety disorders (aHR): 0.73 (95% CI 0.68-0.78) and 0.74 (95% CI 0.70-0.79) respectively), but a higher risk for posttraumatic stress disorders (PTSD). Compared to Swedish-born, unaccompanied had an 8-fold elevated risk for PTSD (aHR: 8.40, 95% CI 6.16-11.47) and accompanied refugees had a nearly 3-fold risk of PTSD (aHR: 2.78, 95% CI 2.29-3.37). Rates of PTSD decreased with years spent in Sweden. The risk of CMDs decreased with increasing education.Limitations: The study lacked information on pre-migration factors. There may further be a potential misclassification of untreated CMDs.Conclusion: Refugees had a lower risk of treated depressive and anxiety disorders but a higher risk for PTSD. In refugees, the rates of anxiety disorders increased slightly over time whereas the rates of PTSD decreased. Last, low education was an important predictor for CMDs.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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