Does social capital protect mental health among migrants in Sweden?
Does social capital protect mental health among migrants in Sweden?
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DOI：
10.1093/heapro/dav048
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发表时间：
2016-09-01
影响因子：
2.7
通讯作者：
Ostergren, Per-Olof
中科院分区：
文献类型：
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作者：
Lecerof, Susanne Sundell;Stafstrom, Martin;Ostergren, Per-Olof
心理健康状况不佳在外来务工人员中很常见。这是由与移徙有关的因素和社会经济因素解释的。社会资本薄弱也与心理健康状况不佳有关。很少有研究探讨在移民后阶段保护移民心理健康的因素。这些知识可能对促进健康有用。因此，这项研究旨在分析经济困难、住房问题和歧视经历与心理健康不良之间的联系；并确定社会资本对最近在瑞典定居的伊拉克移民可能产生的影响。一份阿拉伯语的邮寄问卷寄给了最近定居的伊拉克公民。有效率为51%(n=617)。心理健康由GHQ-12量表测量，社会资本被定义为社会参与和对他人的信任。数据采用Logistic回归分析。经校正后，心理健康不良与遭受歧视(OR 2.88，95%CI 1.73~4.79)、住房问题(OR 2.79，95%CI 1.84~4.22)和经济困难(OR 2.14，95%CI 1.44~3.19)有关。当暴露在这些因素下时，对他人的信任似乎对心理健康有保护作用。社会参与在受到歧视时起到了保护作用。东道国的社会决定因素和社会资本对移民的心理健康起着重要作用。社会资本可以改变风险因素的影响，可能是促进移徙者对有害心理健康因素的复原力的有效途径，但必须与减少社会不平等的政策努力相结合。
Poor mental health is common among migrants. This has been explained by migration-related and socio-economic factors. Weak social capital has also been related to poor mental health. Few studies have explored factors that protect mental health of migrants in the post-migration phase. Such knowledge could be useful for health promotion purposes. Therefore, this study aimed to analyse associations between financial difficulties, housing problems and experience of discrimination and poor mental health; and to detect possible effect modification by social capital, among recently settled Iraqi migrants in Sweden. A postal questionnaire in Arabic was sent to recently settled Iraqi citizens. The response rate was 51% (n = 617). Mental health was measured by the GHQ-12 instrument and social capital was defined as social participation and trust in others. Data were analysed by means of logistic regression. Poor mental health was associated with experience of discrimination (OR 2.88, 95% CI 1.73-4.79), housing problems (OR 2.79, 95% CI 1.84-4.22), and financial difficulties (OR 2.14, 95% CI 1.44-3.19), after adjustments. Trust in others seemed to have a protective effect for mental health when exposed to these factors. Social participation had a protective effect when exposed to experience of discrimination. Social determinants and social capital in the host country play important roles in the mental health of migrants. Social capital modifies the effect of risk factors and might be a fruitful way to promote resilience to factors harmful to mental health among migrants, but must be combined with policy efforts to reduce social inequities.