Gender-related mental health differences between refugees and non-refugee immigrants--a cross-sectional register-based study.
Gender-related mental health differences between refugees and non-refugee immigrants--a cross-sectional register-based study.
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DOI：
10.1186/1471-2458-11-180
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发表时间：
2011-03-24
影响因子：
4.5
通讯作者：
Ekblad S
中科院分区：
文献类型：
--
作者：
Hollander AC;Bruce D;Burström B;Ekblad S
作为高收入国家的移民是严重精神疾病的一个危险因素。对移民心理健康状况的研究发现，高收入国家和低收入国家移民的心理健康结果存在显着差异。寻求庇护者或难民也与精神疾病有关。本研究旨在评估来自瑞典六个低收入国家的男性和女性难民与非难民移民之间的精神疾病健康问题是否存在差异。采用基于人口的横断面研究设计对难民与非难民进行比较。研究规模是根据 2006 年研究时瑞典满足纳入标准的人数确定的。结果：精神疾病，通过购买的替代变量精神药物进行测量。难民/非难民：瑞典根据《日内瓦公约》向难民以及有充分理由担心死刑、酷刑或因内部或外部武装冲突或环境灾难而需要保护的人提供庇护。这些非难民都是在瑞典获得庇护的人的家庭成员。协变量：性别和出身。潜在的混杂因素：年龄、婚姻状况、教育程度和在瑞典的停留时间。使用卡方检验分析背景变量。使用逻辑回归分析来分析结果、暴露和可能的混杂因素之间的关联。使用多元逻辑回归分析来调整潜在的混杂因素。研究人群包括 43,168 名难民和非难民，其中 20,940 名（48.5%）是女性，24,403 名（56.5%）是难民。性别、年龄、出身、婚姻状况和教育程度都与结果相关。对于女性而非男性难民来说，购买精神药物的可能性明显高于非难民（OR = 1.27，95% CI = 1.15 - 1.40）。来自低收入国家的女性难民似乎是来自低收入国家的移民妇女中的一个风险群体，而男性难民则与来自低收入国家的非难民移民具有相同的风险模式。这凸显了对临床医生进行培训的必要性，以便重点关注女性新移民的移民前压力和庇护过程。
Being an immigrant in a high-income country is a risk factor for severe mental ill health. Studies on mental ill health among immigrants have found significant differences in mental health outcome between immigrants from high income countries and low-income countries. Being an asylum seeker or a refugee is also associated with mental ill health. This study aimed to assess if there is a difference in mental ill health problems between male and female refugee and non-refugee immigrants from six low-income countries in Sweden. A cross-sectional, population-based study design was used comparing refugees with non-refugees. The study size was determined by the number of persons in Sweden fulfilling the inclusion criteria at the time of the study during 2006. Outcome: Mental ill health, as measured with the proxy variable psychotropic drugs purchased. Refugee/Non-refugee: Sweden grants asylum to refugees according to the Geneva Convention and those with a well-grounded fear of death penalty, torture or who need protection due to an internal or external armed conflict or an environmental disaster. The non-refugees were all family members of those granted asylum in Sweden. Covariates: Gender and origin. Potential confounders: Age, marital status, education and duration of stay in Sweden. Background variables were analysed using chi square tests. The association between outcome, exposure and possible confounders was analysed using logistic regression analyses. Multiple logistic regression analysis was used to adjust for potential confounders. The study population comprised 43,168 refugees and non-refugees, of whom 20,940 (48.5%) were women and 24,403 (56.5%) were refugees. Gender, age, origin, marital status and education were all associated with the outcome. For female, but not male, refugees there was a significantly higher likelihood of purchasing psychotropic drugs than non-refugees (OR = 1.27, 95% CI = 1.15 - 1.40). Female refugees from low-income countries seem to be a risk group among immigrant women from low-income countries, whereas male refugees had the same risk patterns as non-refugee immigrants from low-income countries. This underlines the need for training of clinicians in order to focus on pre-migration stress and the asylum process, among female newcomers.
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影响因子：
6.9
作者：
Hartig, Terry;Catalano, Ralph;Ong, Michael
通讯作者：
Ong, Michael
DOI：
10.1186/1745-0179-1-13
发表时间：
2005-08-31
期刊：
Clinical practice and epidemiology in mental health : CP & EMH
影响因子：
--
作者：
Carta, Mauro Giovanni;Bernal, Mariola;Haro-Abad, Josep Maria
通讯作者：
Haro-Abad, Josep Maria
影响因子：
6.9
作者：
Hjern, A;Wicks, S;Dalman, C
通讯作者：
Dalman, C
影响因子：
5.4
作者：
Beiser, M;Hou, F
通讯作者：
Hou, F
影响因子：
1.9
作者：
Laban, CJ;Gernaat, HBPE;De Jong, JTVM
通讯作者：
De Jong, JTVM