Psychiatric care use among migrants to Sweden compared with Swedish-born residents: a longitudinal cohort study of 5 150 753 people
Year: 2020
Type: article
Study design: Observational Study
Abstract: BACKGROUND: To investigate differences in psychiatric care use over time between Swedish born and those born abroad who migrate to Sweden. METHODS: Population-based cohort study analysing linked population and health registers, following individuals born 1944-1990 from 1 January 2005 to 31 December 2016. Time-stratified survival analysis using Cox regression estimated time to psychiatric care use. Population included 5 150 753 individuals with 78.1% Swedish born. Migrant status was coded as Swedish born or migrant. Migrants were grouped by year of immigration and region of origin. The main outcome: psychiatric care use, defined as any psychiatric care; psychiatric inpatient or outpatient care; or use of psychotropics. RESULTS: Migrants arriving before 2005 had a higher use of any psychiatric care relative to Swedish born but migrants arriving 2005 onwards had lower use. Migrants from sub-Saharan Africa and Asia had a lower use of any psychiatric care during the first decade in Sweden whereas migrants from Middle East and North Africa had a higher use, driven by use of psychotropics. CONCLUSIONS: The lower use of psychiatric care during the first decade contrasts with higher use among migrants with a longer duration of stay. Psychiatric care use among migrants should be analysed multi-dimensionally, taking duration of stay, region of origin and type of care into account.
Source: BMJ Global Health
Authors: Anna-Clara Hollander, Euan Mackay, Hugo Sjöqvist, James B Kirkbride, Sofie Bäärnhielm, Christina Dalman
Institutions: Karolinska Institutet, University College London, Region Stockholm
Language: English
Topic: Migration, Health and Trauma
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $3,518
Awards: G158726132, G210416921, Psychiatric care among migrants, descendants of migrants, and Swedish born,–what are the differences, and why does it differ?, G457166169, Psychosis risk over the life course: A multilevel, longitudinal investigation of social, economic and physical environmental risk factors at different stages in life.
OpenAlex ID: W3088536162