Country of birth, time period of resettlement and subsequent treated common mental disorders in young refugees in Sweden
Autor: | Magnus Helgesson, Ridwanul Amin, Marie Norredam, Emma Björkenstam, Ellenor Mittendorfer-Rutz, Cansu Alozkan Sever, Syed Rahman, Thomas Dorner, Marit Sijbrandij |
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Přispěvatelé: | Clinical Psychology, World Health Organization (WHO) Collaborating Center, APH - Mental Health |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Refugee Population Iran Lower risk Cohort Studies 03 medical and health sciences 0302 clinical medicine Health care Humans Medicine AcademicSubjects/MED00860 AcademicSubjects/SOC01210 030212 general & internal medicine education Sweden Refugees education.field_of_study business.industry Mental Disorders Public health Hazard ratio fungi Public Health Environmental and Occupational Health food and beverages SDG 10 - Reduced Inequalities Confidence interval 030227 psychiatry Cohort Erratum business AcademicSubjects/SOC02610 Demography |
Zdroj: | European journal of public health, 30(6), 1169-1175. Oxford University Press Amin, R, Rahman, S, Dorner, T E, Björkenstam, E, Helgesson, M, Norredam, M L, Sijbrandij, M, Sever, C A & Mittendorfer-Rutz, E 2020, ' Country of birth, time period of resettlement and subsequent treated common mental disorders in young refugees in Sweden ', European journal of public health, vol. 30, no. 6, pp. 1169-1175 . https://doi.org/10.1093/eurpub/ckaa140 Amin, R, Rahman, S, Dorner, T E, Björkenstam, E, Helgesson, M, Norredam, M L, Sijbrandij, M, Sever, C A & Mittendorfer-Rutz, E 2020, ' Country of birth, time period of resettlement and subsequent treated common mental disorders in young refugees in Sweden ', European Journal of Public Health, vol. 30, no. 6, pp. 1169-1175 . https://doi.org/10.1093/eurpub/ckaa140 The European Journal of Public Health |
ISSN: | 1464-360X 1101-1262 |
DOI: | 10.1093/eurpub/ckaa140 |
Popis: | Background Little is known regarding treatment for common mental disorders (CMDs) in young refugees. We aimed to identify (i) if the risk of treatment for CMDs in young refugees varies by their country of birth, compared with the Swedish-born population and (ii) if time period of resettlement influences these possible associations. Methods All Swedish-born individuals and people who were granted refugee status, aged 16–25 years, living in Sweden on 31 December 1999, 2004 or 2009 (around 1 million people with 3–4% refugees in each cohort), were followed for 4 years for treated CMDs by linking register data. To facilitate stratified analyses by refugees’ country of birth, the 2009 cohort was followed for 7 years with regard to specialized healthcare and antidepressant prescription due to CMDs. Hazard ratios with 95% confidence intervals were computed in crude and adjusted models. Results Refugees in the 2009 cohort with 7-year follow-up had a 25% lower risk for treated CMDs, compared with the Swedish-born. Stratified analysis by country of birth showed a similarly lower risk regarding treated CMDs among refugees from all countries but Iran [hazard ratios (95% confidence intervals): 1.15 (1.05–1.26)] than their Swedish-born peers. No substantial effect of time period of resettlement was observed in the risk for treated CMDs in refugees. Conclusions Treatment for CMDs is lower in young refugees than in the majority population in Sweden, is stable across time, but varies with country of birth. Strategies to improve access to mental healthcare for young refugees are warranted. |
Databáze: | OpenAIRE |
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