First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women: a register-based study

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First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women : a register-based study. / Castaner, Maria Marti; Villadsen, Sarah Fredsted; Petersen, Jørgen Holm; Nørredam, Marie.

I: Social Psychiatry and Psychiatric Epidemiology, Bind 56, 2021, s. 2239–2250.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Castaner, MM, Villadsen, SF, Petersen, JH & Nørredam, M 2021, 'First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women: a register-based study', Social Psychiatry and Psychiatric Epidemiology, bind 56, s. 2239–2250. https://doi.org/10.1007/s00127-021-02104-x

APA

Castaner, M. M., Villadsen, S. F., Petersen, J. H., & Nørredam, M. (2021). First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women: a register-based study. Social Psychiatry and Psychiatric Epidemiology, 56, 2239–2250. https://doi.org/10.1007/s00127-021-02104-x

Vancouver

Castaner MM, Villadsen SF, Petersen JH, Nørredam M. First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women: a register-based study. Social Psychiatry and Psychiatric Epidemiology. 2021;56:2239–2250. https://doi.org/10.1007/s00127-021-02104-x

Author

Castaner, Maria Marti ; Villadsen, Sarah Fredsted ; Petersen, Jørgen Holm ; Nørredam, Marie. / First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women : a register-based study. I: Social Psychiatry and Psychiatric Epidemiology. 2021 ; Bind 56. s. 2239–2250.

Bibtex

@article{fde893564a004037b7c9764e733de328,
title = "First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women: a register-based study",
abstract = "Purpose: This study aimed at examining psychiatric morbidity in the perinatal period among refugees and family-reunified immigrants compared to Danish-born women, including predictors of psychiatric morbidity according to migration history. Methods: Inclusion criteria were women who had a residence permit in Denmark and gave birth to a live child between 1 April 1998 and 31 December 2014. The study included 7804 refugee women, 21,257 family-reunified women, and 245,865 Danish-born women. We estimated Odds Ratios (ORs) of having a first-time perinatal psychiatric episode (PPE) and specific risk for affective, psychotic, and neurotic disorders. Results: Compared with Danish-born women, women family-reunified with immigrants had lower (aOR 0.37, 95% CI 0.22–0.64) and refugees had higher ORs of PPE (OR 1.46, 95% CI 1.22–1.76). In fully adjusted models, refugees no longer presented increased risk of PPE (OR 1.16, 95% CI 0.95–1.42) but showed higher ORs for psychotic (aOR 4.72, 95% CI 2.18–9.84) and neurotic disorders (aOR 1.31, 95% CI 1.01–1.72). Women family-reunified with refugees and to Nordic citizens had higher ORs of psychotic disorders. Among migrants, refugees had higher ORs of PPE. Conclusions: Results suggest that elevation in risk of PPE among refugees compared to Danish-born may be related to higher likelihood of poverty and single-parenting among refugees. Still, refugees appear to have increased risk for neurotic and psychotic disorders. In contrast, family-reunified to immigrants may have lower risk of PPE. Maternal health programs need to focus on promotion of mental health and tackle social risks that disproportionately affect immigrant women, particularly refugees.",
keywords = "Mental health, Migrants, Perinatal, Refugee, Women",
author = "Castaner, {Maria Marti} and Villadsen, {Sarah Fredsted} and Petersen, {J{\o}rgen Holm} and Marie N{\o}rredam",
note = "Publisher Copyright: {\textcopyright} 2021, Springer-Verlag GmbH Germany, part of Springer Nature.",
year = "2021",
doi = "10.1007/s00127-021-02104-x",
language = "English",
volume = "56",
pages = "2239–2250",
journal = "Social Psychiatry and Psychiatric Epidemiology",
issn = "0933-7954",
publisher = "Springer Medizin",

}

RIS

TY - JOUR

T1 - First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women

T2 - a register-based study

AU - Castaner, Maria Marti

AU - Villadsen, Sarah Fredsted

AU - Petersen, Jørgen Holm

AU - Nørredam, Marie

N1 - Publisher Copyright: © 2021, Springer-Verlag GmbH Germany, part of Springer Nature.

PY - 2021

Y1 - 2021

N2 - Purpose: This study aimed at examining psychiatric morbidity in the perinatal period among refugees and family-reunified immigrants compared to Danish-born women, including predictors of psychiatric morbidity according to migration history. Methods: Inclusion criteria were women who had a residence permit in Denmark and gave birth to a live child between 1 April 1998 and 31 December 2014. The study included 7804 refugee women, 21,257 family-reunified women, and 245,865 Danish-born women. We estimated Odds Ratios (ORs) of having a first-time perinatal psychiatric episode (PPE) and specific risk for affective, psychotic, and neurotic disorders. Results: Compared with Danish-born women, women family-reunified with immigrants had lower (aOR 0.37, 95% CI 0.22–0.64) and refugees had higher ORs of PPE (OR 1.46, 95% CI 1.22–1.76). In fully adjusted models, refugees no longer presented increased risk of PPE (OR 1.16, 95% CI 0.95–1.42) but showed higher ORs for psychotic (aOR 4.72, 95% CI 2.18–9.84) and neurotic disorders (aOR 1.31, 95% CI 1.01–1.72). Women family-reunified with refugees and to Nordic citizens had higher ORs of psychotic disorders. Among migrants, refugees had higher ORs of PPE. Conclusions: Results suggest that elevation in risk of PPE among refugees compared to Danish-born may be related to higher likelihood of poverty and single-parenting among refugees. Still, refugees appear to have increased risk for neurotic and psychotic disorders. In contrast, family-reunified to immigrants may have lower risk of PPE. Maternal health programs need to focus on promotion of mental health and tackle social risks that disproportionately affect immigrant women, particularly refugees.

AB - Purpose: This study aimed at examining psychiatric morbidity in the perinatal period among refugees and family-reunified immigrants compared to Danish-born women, including predictors of psychiatric morbidity according to migration history. Methods: Inclusion criteria were women who had a residence permit in Denmark and gave birth to a live child between 1 April 1998 and 31 December 2014. The study included 7804 refugee women, 21,257 family-reunified women, and 245,865 Danish-born women. We estimated Odds Ratios (ORs) of having a first-time perinatal psychiatric episode (PPE) and specific risk for affective, psychotic, and neurotic disorders. Results: Compared with Danish-born women, women family-reunified with immigrants had lower (aOR 0.37, 95% CI 0.22–0.64) and refugees had higher ORs of PPE (OR 1.46, 95% CI 1.22–1.76). In fully adjusted models, refugees no longer presented increased risk of PPE (OR 1.16, 95% CI 0.95–1.42) but showed higher ORs for psychotic (aOR 4.72, 95% CI 2.18–9.84) and neurotic disorders (aOR 1.31, 95% CI 1.01–1.72). Women family-reunified with refugees and to Nordic citizens had higher ORs of psychotic disorders. Among migrants, refugees had higher ORs of PPE. Conclusions: Results suggest that elevation in risk of PPE among refugees compared to Danish-born may be related to higher likelihood of poverty and single-parenting among refugees. Still, refugees appear to have increased risk for neurotic and psychotic disorders. In contrast, family-reunified to immigrants may have lower risk of PPE. Maternal health programs need to focus on promotion of mental health and tackle social risks that disproportionately affect immigrant women, particularly refugees.

KW - Mental health

KW - Migrants

KW - Perinatal

KW - Refugee

KW - Women

U2 - 10.1007/s00127-021-02104-x

DO - 10.1007/s00127-021-02104-x

M3 - Journal article

C2 - 34008058

AN - SCOPUS:85105976266

VL - 56

SP - 2239

EP - 2250

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

SN - 0933-7954

ER -

ID: 270714623