Psychotherapy use among migrants: a register-based longitudinal study.

Autor:	Lehti V; Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland venla.lehti@utu.fi.; Department of Psychiatry, HUS Helsinki University Hospital, Helsinki, Finland., Kieseppä V; Research Unit of Clinical Medicine, Oulu University Faculty of Medicine, Oulu, Finland.; The University of Edinburgh Centre for Clinical Brain Sciences, Edinburgh, UK., Gissler M; Knowledge Brokers, Finnish Institute for Health and Welfare, Helsinki, Finland.; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.; Academic Primary Health Care Centre, Region Stockholm, Stockholm, Sweden.; Research Centre for Child Psychiatry, University of Turku, Turku, Finland., Suvisaari J; Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.; Finnish Medical Society Duodecim, Helsinki, Finland., Markkula N; Mental Health Services, City of Helsinki, Helsinki, Finland.
Jazyk:	angličtina
Zdroj:	Journal of epidemiology and community health [J Epidemiol Community Health] 2024 Dec 10; Vol. 79 (1), pp. 49-55. Date of Electronic Publication: 2024 Dec 10.
DOI:	10.1136/jech-2024-222330
Abstrakt:	Background: Migrants use less mental health services compared with non-migrant populations, but there is very little information on the use of long-term psychotherapy among migrants. Finnish register data allow for studying the whole migrant population in Finland and collecting data on all publicly supported rehabilitative psychotherapy. Methods: This study is based on a sample of migrants (n=185 605) and Finnish-born controls (n=185 605). Participants who had received reimbursements for rehabilitative psychotherapy during 2007 - 2020 were identified from a register maintained by the Social Insurance Institution of Finland. Cox regression analysis was used to study the effect of migrant status on the time until the start of therapy. Multinomial logistic regression was used to study the association between migrant status and the number of psychotherapy sessions. Results: Finnish-born participants received psychotherapy more often (n=7258) than migrants (n=1516). The adjusted HR for initiating psychotherapy among migrants compared with Finnish-born individuals was 0.27 (95% CI 0.25 to 0.28). Migrants from sub-Saharan Africa and Asia and recently arrived migrants were least likely to receive psychotherapy. Migrants were more likely to receive short treatment periods than Finnish-born controls. Conclusion: Lower use of rehabilitative psychotherapy among migrant population in Finland is not likely to reflect lower need for treatment. More efforts are needed to promote equal access to psychotherapy. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.)
Databáze:	MEDLINE
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