Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Standard

Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth. / Björkenstam, Emma; Helgesson, Magnus; Norredam, Marie; Sijbrandij, Marit; De Montgomery, Christopher Jamil; Mittendorfer-Rutz, Ellenor.

I: Psychological Medicine, Bind 52, Nr. 7, 2022.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Björkenstam, E, Helgesson, M, Norredam, M, Sijbrandij, M, De Montgomery, CJ & Mittendorfer-Rutz, E 2022, 'Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth', Psychological Medicine, bind 52, nr. 7. https://doi.org/10.1017/S0033291720003190

APA

Björkenstam, E., Helgesson, M., Norredam, M., Sijbrandij, M., De Montgomery, C. J., & Mittendorfer-Rutz, E. (2022). Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth. Psychological Medicine, 52(7). https://doi.org/10.1017/S0033291720003190

Vancouver

Björkenstam E, Helgesson M, Norredam M, Sijbrandij M, De Montgomery CJ, Mittendorfer-Rutz E. Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth. Psychological Medicine. 2022;52(7). https://doi.org/10.1017/S0033291720003190

Author

Björkenstam, Emma ; Helgesson, Magnus ; Norredam, Marie ; Sijbrandij, Marit ; De Montgomery, Christopher Jamil ; Mittendorfer-Rutz, Ellenor. / Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth. I: Psychological Medicine. 2022 ; Bind 52, Nr. 7.

Bibtex

@article{94d32b840c4d4f499cf49bec098addd2,

title = "Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth",

abstract = "BackgroundThe study aimed to examine differences in, and characteristics of psychiatric care utilization in young refugees who came to Sweden as unaccompanied or accompanied minors, compared with that of their non-refugee immigrant and Swedish-born peers.MethodsThis register-linkage cohort study included 746 688 individuals between 19 and 25 years of age in 2009, whereof 32 481 were refugees (2896 unaccompanied and 29 585 accompanied) and 32 151 non-refugee immigrants. Crude and multivariate Cox regression models yielding hazard ratios (HR) and 95% confidence intervals (CI) were conducted to investigate subsequent psychiatric care utilization for specific disorders, duration of residence and age at migration.ResultsThe adjusted HRs for psychiatric care utilization due to any mental disorder was significantly lower in both non-refugee and refugee immigrants when compared to Swedish-born [aHR: 0.78 (95% CI 0.76-0.81) and 0.75 (95% CI 0.72-0.77, respectively)]. Within the refugee group, unaccompanied had slightly lower adjusted risk estimates than accompanied. This pattern was similar for all specific mental disorders except for higher rates in schizophrenia, reaction to severe stress/adjustment disorders and post-traumatic stress disorder. Psychiatric health care utilization was also higher in immigrants with more than 10 years of residency in Sweden entering the country being younger than 6 years of age.ConclusionsFor most mental disorders, psychiatric health care utilization in young refugees and non-refugee immigrants was lower than in their Swedish-born peers; exceptions are schizophrenia and stress-related disorders. Arrival in Sweden before the age of 6 years was associated with higher rates of overall psychiatric care utilization.",

keywords = "Cohort, health care utilization, mental disorders, migration, young refugees",

author = "Emma Bj{\"o}rkenstam and Magnus Helgesson and Marie Norredam and Marit Sijbrandij and {De Montgomery}, {Christopher Jamil} and Ellenor Mittendorfer-Rutz",

note = "Publisher Copyright: Copyright {\textcopyright} The Author(s), 2020. Published by Cambridge University Press.",

year = "2022",

doi = "10.1017/S0033291720003190",

language = "English",

volume = "52",

journal = "Psychological Medicine",

issn = "0033-2917",

publisher = "Cambridge University Press",

number = "7",

}

RIS

TY - JOUR

T1 - Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth

AU - Björkenstam, Emma

AU - Helgesson, Magnus

AU - Norredam, Marie

AU - Sijbrandij, Marit

AU - De Montgomery, Christopher Jamil

AU - Mittendorfer-Rutz, Ellenor

PY - 2022

Y1 - 2022

N2 - BackgroundThe study aimed to examine differences in, and characteristics of psychiatric care utilization in young refugees who came to Sweden as unaccompanied or accompanied minors, compared with that of their non-refugee immigrant and Swedish-born peers.MethodsThis register-linkage cohort study included 746 688 individuals between 19 and 25 years of age in 2009, whereof 32 481 were refugees (2896 unaccompanied and 29 585 accompanied) and 32 151 non-refugee immigrants. Crude and multivariate Cox regression models yielding hazard ratios (HR) and 95% confidence intervals (CI) were conducted to investigate subsequent psychiatric care utilization for specific disorders, duration of residence and age at migration.ResultsThe adjusted HRs for psychiatric care utilization due to any mental disorder was significantly lower in both non-refugee and refugee immigrants when compared to Swedish-born [aHR: 0.78 (95% CI 0.76-0.81) and 0.75 (95% CI 0.72-0.77, respectively)]. Within the refugee group, unaccompanied had slightly lower adjusted risk estimates than accompanied. This pattern was similar for all specific mental disorders except for higher rates in schizophrenia, reaction to severe stress/adjustment disorders and post-traumatic stress disorder. Psychiatric health care utilization was also higher in immigrants with more than 10 years of residency in Sweden entering the country being younger than 6 years of age.ConclusionsFor most mental disorders, psychiatric health care utilization in young refugees and non-refugee immigrants was lower than in their Swedish-born peers; exceptions are schizophrenia and stress-related disorders. Arrival in Sweden before the age of 6 years was associated with higher rates of overall psychiatric care utilization.

AB - BackgroundThe study aimed to examine differences in, and characteristics of psychiatric care utilization in young refugees who came to Sweden as unaccompanied or accompanied minors, compared with that of their non-refugee immigrant and Swedish-born peers.MethodsThis register-linkage cohort study included 746 688 individuals between 19 and 25 years of age in 2009, whereof 32 481 were refugees (2896 unaccompanied and 29 585 accompanied) and 32 151 non-refugee immigrants. Crude and multivariate Cox regression models yielding hazard ratios (HR) and 95% confidence intervals (CI) were conducted to investigate subsequent psychiatric care utilization for specific disorders, duration of residence and age at migration.ResultsThe adjusted HRs for psychiatric care utilization due to any mental disorder was significantly lower in both non-refugee and refugee immigrants when compared to Swedish-born [aHR: 0.78 (95% CI 0.76-0.81) and 0.75 (95% CI 0.72-0.77, respectively)]. Within the refugee group, unaccompanied had slightly lower adjusted risk estimates than accompanied. This pattern was similar for all specific mental disorders except for higher rates in schizophrenia, reaction to severe stress/adjustment disorders and post-traumatic stress disorder. Psychiatric health care utilization was also higher in immigrants with more than 10 years of residency in Sweden entering the country being younger than 6 years of age.ConclusionsFor most mental disorders, psychiatric health care utilization in young refugees and non-refugee immigrants was lower than in their Swedish-born peers; exceptions are schizophrenia and stress-related disorders. Arrival in Sweden before the age of 6 years was associated with higher rates of overall psychiatric care utilization.

KW - Cohort

KW - health care utilization

KW - mental disorders

KW - migration

KW - young refugees

U2 - 10.1017/S0033291720003190

DO - 10.1017/S0033291720003190

M3 - Journal article

C2 - 32914741

AN - SCOPUS:85095448085

VL - 52

JO - Psychological Medicine

JF - Psychological Medicine

SN - 0033-2917

IS - 7

ER -

ID: 277226372