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Refugees, labour migrants and psychological distress

A population-based study of 338 Latin-American refugees, 161 South European and 396 Finnish labour migrants, and 996 Swedish age-, sex-and education-matched controls

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Abstract

This paper shows the strength and influence of ethnicity on mental health in comparison with material factors and lifestyle, which are well-known risk factors for psychological distress. The focus was on health differences between Latin-American refugees and labour migrants from Finland and the south of Europe. The study was designed as a population-based cross-sectional study, with 338 Latin-American refugees aged 16–74 years (response rate=81.8%) in Lund, a random sample of 396 Finnish and 161 South European labour migrants, and 996 age-, sex- and education-matched Swedish controls from the Swedish Annual Level-of-living Surveys. The data were analysed unmatched with logistic regression in main effect models. The strongest independent risk indicator for self-reported psychological distress was being a non-European refugee, i. a. a Latin-American refugee, with an estimated odds ratio of 4.39 (2.49–7.31). There was a non-significant association in logistic regression between South European labour migrants and psychological distress, but a crude odds ratio of 2.29 (1.09–4.81). There was no association between Finnish labour migrants and psychological distress. Not feeling secure in daily life was a strong riks indicator for psychological distress, with an estimated odds ratio of 3.29 (1.90–5.45).

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References

  • Berkman LF, Syme SL (1979) Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. Am J Epidemiol 109:186–204

    Google Scholar 

  • Cassel J (1976) The contribution of the social environment to host resistance. Am J Epidemiol 104:107–123

    Google Scholar 

  • Cervantes RC, Salgado de Snyder VN, Padilla AM (1989) Posttraumatic stress in immigrants from Central America and Mexico. Hosp Community Psychiatry 40:615–619

    Google Scholar 

  • Cullberg J, Stefansson CG, Wennersten E (1981) Psychiatry in low status dwelling areas. Psychiatry Soc Sci 1:117–123

    Google Scholar 

  • Dalgard O (1980) Environment and mental health (in Norwegian, with English summary). Thesis, University of Oslo, Norway.

    Google Scholar 

  • Drobnic S (1990) Immigrants in welfare state. Living conditions of Yugoslav immigrants in Sweden. (Research report 15) University of Stockholm, Stockholm

    Google Scholar 

  • Eitinger L (1960) The symptomatology of mental disease among refugees in Norway. J Ment Sci 106:947–966

    Google Scholar 

  • Eitinger I, Grunfeld B (1966) Psychoses among refugees in Norway. Acta Psychiatr Scand 42:315–328

    Google Scholar 

  • Hansson BS (1988) Social network, social support and health in elderly men. A population study. Thesis, Lund University, Malmö, Sweden

    Google Scholar 

  • Hosmer DW, Lemeshow S (1939) Applied logistic regression Wiley Interscience, Boston

    Google Scholar 

  • Jensen SB, Schaumburg E, Leroy B, Larsen BO, Thorup M (1989) Psychiatric care of refugees exposed to organized violence. A comparative study of refugees and immigrants in Fredriksborg County, Denmark. Acta Psychiatr Scand 80:125–131

    Google Scholar 

  • Leiniö TL (1984) Not alike but equal? On the living conditions of Finnish immigrants according to the Level of living surveys of 1968, 1974 and 1981. (in Swedish). (Research report 6) Institutet för social forskning, University of Stockholm, Stockholm

    Google Scholar 

  • Lindström H (1983) Non-response errors in sample surveys. Statistics Sweden, Stockholm

    Google Scholar 

  • Moore LJ, Boehnlein JK (1991) Posttraumatic stress disorder, depression, and somatic symptoms in U. S. Mien patients. J Nerv Ment Dis 179:728–733

    Google Scholar 

  • Ostergren PO (1991) Psychosocial resources and health. With special reference to social network, social support and cardiovascular disease. Dissertation, Lund University, Malmö, Sweden

    Google Scholar 

  • SAS Institute Inc (1987). SAS/STATTM guide for personal computers. Version 6, edn. cary, NC: SAS Institute Inc.

    Google Scholar 

  • Statens offentliga utredningar (1989). Immigrants in the city (in Swedish). SOU III, Stockholm

    Google Scholar 

  • Sundquist J (1993a) Ethnicity as a risk factor for mental illness. A population-based study of 338 Latin American refugees and 996 age-, sex- and education-matched controls. Acta Psychiatr Scand 87:208–212

    Google Scholar 

  • Sundquist J (1993b) Ethnicity as a risk factor of consultation in open health care. Scand J Prim Health Care 11:169–173

    Google Scholar 

  • Sundquist J, Rosén U (1993) The influence of social surroundings on consultation of private care, emergency department, hospital outpatient departments and primary health care. Eur J Public Health 3:188–192

    Google Scholar 

  • Thorslund M, Wärneryd B (1985) Methodological research in the Swedish surveys of living conditions. Soc Indicators Res 16:77–95

    Google Scholar 

  • Vogel J (1982) The Swedish Annual Level-of Living Surveys: social indicators and social reporting as an official statistics program. Presented at the Tenth World Congress of Sociology, Mexico Vogel J August 16, 1982

Download references

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Sundquist, J. Refugees, labour migrants and psychological distress. Soc Psychiatry Psychiatr Epidemiol 29, 20–24 (1994). https://doi.org/10.1007/BF00796444

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