Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study.

IF 2.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-01-05 DOI:10.1080/16549716.2023.2294592

Sara Causevic, Anna Mia Ekström, Nicola Orsini, Anna Kagesten, Susanne Strömdahl, Mariano Salazar

{"title":"Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study.","authors":"Sara Causevic, Anna Mia Ekström, Nicola Orsini, Anna Kagesten, Susanne Strömdahl, Mariano Salazar","doi":"10.1080/16549716.2023.2294592","DOIUrl":null,"url":null,"abstract":"Background: Young migrants face multiple challenges that can affect their mental, sexual and reproductive health.Objective: To assess the prevalence of self-reported poor mental health and its associated demographic, post-migration and sexual risk behaviour factors among young migrants (aged 15-25) in Sweden.Methods: Data were drawn from a cross-sectional survey conducted with migrants aged 15-65 years old in Sweden between December 2018 and November 2019 (n = 6449). Among these, 990 participants aged 15-25 were eligible for the study. Mental health was measured using the Refugee Health Screener-13. Missing data indicator analysis and multivariable logistic regression models were conducted to estimate the association between mental health, sexual risk behaviour, demographic and migration-related variables.Results: Of the 990 participants, 59% reported poor mental health. Participants reporting poor mental health were more likely to be female (AOR:1.63, 95% CI:1.18-2.25), to have lived in Sweden more than three years (AOR:2.16, 95% CI:1.17-3.97), to engage in any sexual risk behaviour (AOR:1.99, 95% CI:1.25-3.17), and to live alone (AOR:1.95, 95% CI:1.25-3.03) or with friends they already knew (AOR:1.60, 95% CI:1.37-4.91). People arriving from the Americas (AOR:0.54, 95% CI:0.33-0.88), Asia (AOR:0.44, 95% CI:0.22-0.86), Europe (AOR:0.30, 95% CI:0.14-0.61) and Africa (AOR 0.37, 95% CI: 0.23-0.60) had lower odds of poor mental health than those arriving from Syria.Conclusion: The prevalence of poor mental health among young migrants in Sweden was high, with specific subgroups (women, asylum seekers, people arriving from Syria, and those residing longer in Sweden) being particularly vulnerable. Our results indicate the interconnectedness between poor mental health and sexual risk behaviour in this population. Thus, policies targeting young migrants should ensure that healthcare services screen for both poor sexual and mental health at the same time.","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773640/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global Health Action","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/16549716.2023.2294592","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/5 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Young migrants face multiple challenges that can affect their mental, sexual and reproductive health.

Objective: To assess the prevalence of self-reported poor mental health and its associated demographic, post-migration and sexual risk behaviour factors among young migrants (aged 15-25) in Sweden.

Methods: Data were drawn from a cross-sectional survey conducted with migrants aged 15-65 years old in Sweden between December 2018 and November 2019 (n = 6449). Among these, 990 participants aged 15-25 were eligible for the study. Mental health was measured using the Refugee Health Screener-13. Missing data indicator analysis and multivariable logistic regression models were conducted to estimate the association between mental health, sexual risk behaviour, demographic and migration-related variables.

Results: Of the 990 participants, 59% reported poor mental health. Participants reporting poor mental health were more likely to be female (AOR:1.63, 95% CI:1.18-2.25), to have lived in Sweden more than three years (AOR:2.16, 95% CI:1.17-3.97), to engage in any sexual risk behaviour (AOR:1.99, 95% CI:1.25-3.17), and to live alone (AOR:1.95, 95% CI:1.25-3.03) or with friends they already knew (AOR:1.60, 95% CI:1.37-4.91). People arriving from the Americas (AOR:0.54, 95% CI:0.33-0.88), Asia (AOR:0.44, 95% CI:0.22-0.86), Europe (AOR:0.30, 95% CI:0.14-0.61) and Africa (AOR 0.37, 95% CI: 0.23-0.60) had lower odds of poor mental health than those arriving from Syria.

Conclusion: The prevalence of poor mental health among young migrants in Sweden was high, with specific subgroups (women, asylum seekers, people arriving from Syria, and those residing longer in Sweden) being particularly vulnerable. Our results indicate the interconnectedness between poor mental health and sexual risk behaviour in this population. Thus, policies targeting young migrants should ensure that healthcare services screen for both poor sexual and mental health at the same time.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

瑞典年轻移民心理健康状况不佳的发生率和相关因素：一项横断面研究。

背景：年轻移民面临着可能影响其心理健康、性健康和生殖健康的多重挑战：评估瑞典年轻移民（15-25 岁）自我报告的不良心理健康及其相关的人口、移民后和性行为风险因素的普遍程度：数据来自 2018 年 12 月至 2019 年 11 月期间对瑞典 15-65 岁移民进行的横断面调查（n = 6449）。其中，990 名 15-25 岁的参与者符合研究条件。心理健康采用难民健康筛选器-13进行测量。研究人员进行了缺失数据指标分析和多变量逻辑回归模型，以估计心理健康、性风险行为、人口统计学和移民相关变量之间的关联：结果：在 990 名参与者中，59% 的人表示心理健康状况不佳。报告心理健康状况不佳的参与者更有可能是女性（AOR:1.63, 95% CI:1.18-2.25）、在瑞典居住超过三年（AOR:2.16, 95% CI:1.17-3.97）、有任何性行为（AOR:1.63, 95% CI:1.18-2.25）。97）、有任何性危险行为（AOR：1.99，95% CI：1.25-3.17）、独居（AOR：1.95，95% CI：1.25-3.03）或与已认识的朋友一起居住（AOR：1.60，95% CI：1.37-4.91）。来自美洲（AOR:0.54，95% CI:0.33-0.88）、亚洲（AOR:0.44，95% CI:0.22-0.86）、欧洲（AOR:0.30，95% CI:0.14-0.61）和非洲（AOR:0.37，95% CI:0.23-0.60）的人比来自叙利亚的人心理健康状况不佳的几率要低：结论：在瑞典的年轻移民中，心理健康状况不佳的发生率很高，而特定的亚群体（女性、寻求庇护者、来自叙利亚的移民以及在瑞典居住时间较长的移民）尤其容易受到影响。我们的研究结果表明，在这一人群中，不良的心理健康与性风险行为之间存在着相互关联。因此，针对年轻移民的政策应确保医疗保健服务同时筛查不良的性健康和心理健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.10

自引率

3.80%

发文量

108

审稿时长

16 weeks

期刊介绍： Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.