Gender-related mental health differences between refugees and non-refugee immigrants- a cross-sectional register-based study

Hollander, Anna-Clara; Bruce, Daniel; Burström, Bo; Ekblad, Solvig
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p180
Academic Journal
Background: 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. Methods: 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. Results: 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). Conclusions: 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.


Related Articles

  • Disparities in Obesity and Overweight Prevalence Among US Immigrant Children and Adolescents by Generational Status. Singh, Gopal K.; Kogan, Michael D.; Yu, Stella M. // Journal of Community Health;Aug2009, Vol. 34 Issue 4, p271 

    We examined the prevalence and socio-behavioral correlates of obesity and overweight among 46,707 immigrant and US-born children and adolescents aged 10–17 years. The 2003 National Survey of Children’s Health was used to estimate obesity and overweight prevalence among children in...

  • Self-perceived health among Eastern European immigrants over 50 living in Western Europe. Lanari, D.; Bussini, O.; Minelli, L. // International Journal of Public Health;Jan2015, Vol. 60 Issue 1, p21 

    Objectives: This paper examines whether Eastern European immigrants aged 50 and over living in Northern and Western Europe face a health disadvantage in terms of self-perceived health, with respect to the native-born. We also examined health changes over time (2004-2006-2010) through the...

  • IMMIGRANT STATUS AS IMPORTANT DETERMINANT OF BREASTFEEDING PRACTICE IN SOUTHERN EUROPE. Tavoulari, Evangelia-Filothei; Benetou, Vassiliki; Vlastarakos, Petros V.; Kreatsas, George; Linos, Athena // Central European Journal of Public Health;Mar2015, Vol. 23 Issue 1, p39 

    Aim: Breastfeeding is universally accepted as the optimal way to nourish infants. There is evidence that socio-demographic factors, including immigrant status, are related to infant feeding practices. The aim of the present study was to identify the factors which are associated with...

  • Interview with Dr. Jacques de Haller, Vice President, President Elect 2016-2018 (Switzerland) of CPME. Apinis, Peteris // World Medical Journal;Oct2015, Vol. 61 Issue 3, p86 

    The article presents an interview with Dr. de Haller, president elect for 2016-2018 of the Standing Committee of European Doctors (CPME) in Switzerland. He was asked to expound on the expose regarding the trend among European doctors who comply with their duty to immunize the community against...

  • Modernising the profession's regulation. Pierce-Brown, Rhoda // Accountancy;Mar1998, Vol. 121 Issue 1255, p90 

    Details the results of a study on creative accounting and the use of accounting policy in Great Britain. Use of the logistic regression model in determining the weighing of the five relevant accounting ratios; Comparison between capital growth and dividend income.

  • The name of the game.  // Accountancy;Jul2000, Vol. 126 Issue 1283, p1 

    When the author took on the chairmanship of the Great Britain Financial Services Authority (FSA), he didn't expect to be spending much of his time on accounting matters. The Treasury decided that, in future, the FSA would regulate all accounting firms that undertake investment business as a...

  • The prevalence of diabetes mellitus in the Netherlands. Baan, Caroline A.; Bonneux, Luc; Ruwaard, Dirk; Feskens, Edith J.M. // European Journal of Public Health;Sep98, Vol. 8 Issue 3, p210 

    Presents a quantitative review of the prevalence of diabetes above the age of 30 years in the Netherlands. Influence of methodological variables on reported prevalence rates; Inclusion of several Dutch studies in the logistic regression models; Selection of methodology and population...

  • TIME DISCOUNTING. LOGISTIC REGRESSIONS VERSUS CLASSIFICATION MODELS. Rodica, Ianole; Elena, Druica // International Conference on Economics & Administration Proceedin;6/5/2015, p160 

    Eliciting discount factors is an intricate procedure, leading to a single, extremely valuable result that requires interpretation in the context of inter-temporal choice models. Due to the nature of hypotheses underlying the methodology, there are concerns regarding the external validity of the...

  • Identification of risk factors for cystic echinococcosis in a peri-urban population of Peru. Moro, Pedro L.; Cavero, Carlos A.; Tambini, Moises; Briceño, Yuri; Jiménez, Rosario; Cabrera, Lilia // Transactions of the Royal Society of Tropical Medicine & Hygiene;Jan2008, Vol. 102 Issue 1, p75 

    Summary: We conducted a questionnaire-based case–control study to identify risk factors for cystic echinococcosis (CE) in Lima, Peru during July–December 2005. Data were obtained from 32 cases and 64 controls. Multivariate conditional logistic regression showed that having owned...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics