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Differences in psyc...
Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth
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- Björkenstam, Emma (author)
- Karolinska Institutet,Uppsala universitet,Cervenka: Psykiatri,Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, SE-17177 Stockholm, Sweden
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- Helgesson, Magnus (author)
- Karolinska Institutet,Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, SE-17177 Stockholm, Sweden
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- Norredam, Marie (author)
- Univ Copenhagen, Sect Hlth Serv Res, Dept Publ Hlth, Danish Res Ctr Migrat Ethn & Hlth MESU, Copenhagen, Denmark.;Hvidovre Univ Hosp, Sect Immigrant Med, Dept Infect Dis, Copenhagen, Denmark.
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- Sijbrandij, Marit (author)
- Vrije Univ, Ctr Res & Disseminat Psychol Intervent, World Hlth Org Collaborating, Dept Clin Neuro & Dev Psychol, Amsterdam, Netherlands.
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- de Montgomery, Christopher Jamil (author)
- Karolinska Institutet,Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, SE-17177 Stockholm, Sweden.;Univ Copenhagen, Sect Hlth Serv Res, Dept Publ Hlth, Danish Res Ctr Migrat Ethn & Hlth MESU, Copenhagen, Denmark.
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- Mittendorfer-Rutz, Ellenor (author)
- Karolinska Institutet,Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, SE-17177 Stockholm, Sweden.
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(creator_code:org_t)
- Cambridge University Press, 2022
- 2022
- English.
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In: Psychological Medicine. - : Cambridge University Press. - 0033-2917 .- 1469-8978. ; 52:7, s. 1365-1375
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- BackgroundThe study aimed to examine differences in, and characteristics of psychiatric care utilization in young refugees who came to Sweden as unaccompanied or accompanied minors, compared with that of their non-refugee immigrant and Swedish-born peers.MethodsThis register-linkage cohort study included 746 688 individuals between 19 and 25 years of age in 2009, whereof 32 481 were refugees (2896 unaccompanied and 29 585 accompanied) and 32 151 non-refugee immigrants. Crude and multivariate Cox regression models yielding hazard ratios (HR) and 95% confidence intervals (CI) were conducted to investigate subsequent psychiatric care utilization for specific disorders, duration of residence and age at migration.ResultsThe adjusted HRs for psychiatric care utilization due to any mental disorder was significantly lower in both non-refugee and refugee immigrants when compared to Swedish-born [aHR: 0.78 (95% CI 0.76–0.81) and 0.75 (95% CI 0.72–0.77, respectively)]. Within the refugee group, unaccompanied had slightly lower adjusted risk estimates than accompanied. This pattern was similar for all specific mental disorders except for higher rates in schizophrenia, reaction to severe stress/adjustment disorders and post-traumatic stress disorder. Psychiatric health care utilization was also higher in immigrants with more than 10 years of residency in Sweden entering the country being younger than 6 years of age.ConclusionsFor most mental disorders, psychiatric health care utilization in young refugees and non-refugee immigrants was lower than in their Swedish-born peers; exceptions are schizophrenia and stress-related disorders. Arrival in Sweden before the age of 6 years was associated with higher rates of overall psychiatric care utilization.
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)
Keyword
- Cohort
- health care utilization
- mental disorders
- migration
- young refugees
Publication and Content Type
- ref (subject category)
- art (subject category)
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