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Associations between Multimorbidity Patterns and Subsequent Labor Market Marginalization among Refugees and Swedish-Born Young Adults-A Nationwide Registered-Based Cohort Study
- Chen, Jiaying (författare)
-
- Mittendorfer-Rutz, Ellenor (författare)
- Karolinska Institutet
-
- Berg, Lisa (författare)
- Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)
- visa fler...
- Norredam, Marie (författare)
- Sijbrandij, Marit (författare)
- Klimek, Peter (författare)
- visa färre...
- (creator_code:org_t)
- 2021-12-05
- 2021
- Engelska.
- Ingår i: Journal of Personalized Medicine. - : MDPI AG. - 2075-4426. ; 11:12
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- Background: Young refugees are at increased risk of labor market marginalization (LMM). We sought to examine whether the association of multimorbidity patterns and LMM differs in refugee youth compared to Swedish-born youth and identify the diagnostic groups driving this association. Methodology: We analyzed 249,245 individuals between 20–25 years, on 31 December 2011, from a combined Swedish registry. Refugees were matched 1:5 to Swedish-born youth. A multimorbidity score was computed from a network of disease co-occurrences in 2009–2011. LMM was defined as disability pension (DP) or >180 days of unemployment during 2012–2016. Relative risks (RR) of LMM were calculated for 114 diagnostic groups (2009–2011). The odds of LMM as a function of multimorbidity score were estimated using logistic regression. Results: 2841 (1.1%) individuals received DP and 16,323 (6.5%) experienced >180 annual days of unemployment during follow-up. Refugee youth had a marginally higher risk of DP (OR (95% CI): 1.59 (1.52, 1.67)) depending on their multimorbidity score compared to Swedish-born youth (OR (95% CI): 1.51 (1.48, 1.54)); no differences were found for unemployment (OR (95% CI): 1.15 (1.12, 1.17), 1.12 (1.10, 1.14), respectively). Diabetes mellitus and influenza/pneumonia elevated RR of DP in refugees (RRs (95% CI) 2.4 (1.02, 5.6) and 1.75 (0.88, 3.45), respectively); most diagnostic groups were associated with a higher risk for unemployment in refugees. Conclusion: Multimorbidity related similarly to LMM in refugees and Swedish-born youth, but different diagnoses drove these associations. Targeted prevention, screening, and early intervention strategies towards specific diagnoses may effectively reduce LMM in young adult refugees.
Ämnesord
- 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)
Nyckelord
- young adult
- refugees
- multimorbidity
- unemployment
- disability pensions
- disease network
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Chen, Jiaying
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- Berg, Lisa
- Norredam, Marie
- Sijbrandij, Mari ...
- Klimek, Peter
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