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Labour market marginalisation in young refugees and their majority peers in Denmark and Sweden : The role of common mental disorders and secondary school completion

de Montgomery, Christopher Jamil (author)
Karolinska Institutet
Norredam, Marie (author)
Univ Copenhagen, Danish Res Ctr Migrat Ethnic & Hlth, Dept Publ Hlth, Copenhagen K, Denmark.;Univ Hosp Hvidovre, Dept Infect Dis, Sect Immigrant Med, Copenhagen, Denmark.
Krasnik, Allan (author)
Univ Copenhagen, Danish Res Ctr Migrat Ethnic & Hlth, Dept Publ Hlth, Copenhagen K, Denmark.
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Holm Petersen, Jørgen (author)
Univ Copenhagen, Dept Biostat, Copenhagen, Denmark.
Bjorkenstam, Emma (author)
Karolinska Institutet,Uppsala universitet,Ekselius: Psykiatri,Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden.
Berg, Lisa (author)
Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS),Stockholm Univ, Ctr Hlth Equ Studies, Stockholm, Sweden.
Hjern, Anders, 1957- (author)
Karolinska Institutet,Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS),Stockholm Univ, Ctr Hlth Equ Studies, Stockholm, Sweden.
Sijbrandij, Marit (author)
Vrije Univ Amsterdam, Collaborating Ctr Res & Disseminat Psychol Interv, Amsterdam Publ Hlth Res Inst, Dept Clin Neuro & Dev Psychol,WHO, Amsterdam, Netherlands.
Klimek, Peter (author)
Med Univ Vienna, CeMSIIS, Sect Sci Complex Syst, Vienna, Austria.;Complex Sci Hub Vienna, Vienna, Austria.
Mittendorfer-Rutz, Ellenor (author)
Karolinska Institutet
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Karolinska Institutet Univ Copenhagen, Danish Res Ctr Migrat Ethnic & Hlth, Dept Publ Hlth, Copenhagen K, Denmark;Univ Hosp Hvidovre, Dept Infect Dis, Sect Immigrant Med, Copenhagen, Denmark. (creator_code:org_t)
2022-02-16
2022
English.
In: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 17:2
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background Due to the circumstances of their early lives, young refugees are at risk of experiencing adverse labour market and health outcomes. The post-settlement environment is thought to play a decisive role in determining how this vulnerability plays out. This study compared trends in labour market marginalisation in young refugees and their majority peers during early adulthood in two national contexts, Denmark and Sweden, and explored the mediating role of common mental disorders and secondary school completions.Methods Using registry data, 13,390/45,687 refugees were included in Denmark/Sweden and 1:5 matched to majority peers. Inequalities in labour market marginalisation were investigated during 2012-2015 in each country using linear probability models and mediation analysis. Country trends were standardised to account for differences in observed population characteristics.Results The risk of marginalisation was 2.1-2.3 times higher among young refugees compared with their majority peers, but the risk decreased with age in Sweden and increased in Denmark for refugees. Birth-cohort differences drove the increase in Denmark, while trends were consistent across birth-cohorts in Sweden. Differences in population characteristics did not contribute to country differences. Common mental disorders did not mediate the inequality in either country, but secondary school completions did (77-85% of associations eliminated).Conclusions The findings document both the vulnerability of young refugees to labour market marginalisation and the variability in this vulnerability across post-settlement contexts. While the contrast in policy climates in Denmark and Sweden sharpened over time, the risk of marginalisation appeared more similar in younger cohorts, pointing to the importance of factors other than national immigration and integration policies. Institutional efforts to assist young refugees through secondary education are likely to have long-lasting consequences for their socio-economic trajectories.

Subject headings

SAMHÄLLSVETENSKAP  -- Sociologi (hsv//swe)
SOCIAL SCIENCES  -- Sociology (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)

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