Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders

Autor:	Syed Rahman, Magnus Helgesson, Kristina Alexanderson, Jari Tiihonen, Ellenor Mittendorfer-Rutz, D Di Thiene, G La Torre
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty Health (social science) Asia Social Psychology Epidemiology Refugee media_common.quotation_subject Age at arrival Lower risk Common mental disorders Sickness absence 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans 030212 general & internal medicine Prospective Studies Young adult Migration media_common Sweden Transients and Migrants Original Paper Refugees 030505 public health Syria business.industry Mental Disorders Hazard ratio fungi food and beverages South America Disability pension Duration of residence Europe Psychiatry and Mental health Unemployment Africa Iraq Residence 0305 other medical science business Demography
Zdroj:	Social Psychiatry and Psychiatric Epidemiology
ISSN:	1433-9285 0933-7954
Popis:	Purpose Labour market marginalisation (LMM), i.e. long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension (DP), among young individuals with common mental disorders (CMDs) are a challenge for the welfare system, and refugees and non-refugee migrants seem particularly vulnerable. The aim was to investigate the risk of LMM in young adults with CMDs among refugees and non-refugee migrants compared to Swedish-born individuals and the role of country of birth, duration of residence and age at arrival. Methods A prospective cohort study was conducted including young adults (19–30 years) with inpatient or specialised outpatient healthcare due to CMDs and/or antidepressant prescriptions during 2009 (N = 69,515). Cox regression models were used to calculate hazard ratios (HRs) with 95% confidence intervals for the risk of LMM during 2010–2013. Results Both refugees and non-refugee migrants had a higher risk of LTU compared to Swedish-born individuals (HR refugees: Africa: 2.4; Asia: 2.2; Europe outside EU25: 1.6; South America: 1.4) with highest estimates in refugees from Afghanistan and Syria. Refugees from Africa and Asia had a lower risk of LTSA compared to Swedish-born individuals (HR: 0.6 and 0.7, respectively), particularly refugees from Afghanistan and Iraq. Especially among refugees, a longer duration of residence and a younger age at arrival were associated with a lower risk of LTU. Conclusions The risk of LTU among refugees and non-refugee migrants was higher and the risk of LTSA was lower, compared to Swedish-born individuals. Duration of residence and age at arrival had an influence on the risk of LTU, particularly among refugees.
Databáze:	OpenAIRE
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