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Underutilisation of psychiatric care among refugee adolescents in Stockholm

AIM: Refugee children have been shown to underutilise psychiatric services in Scandinavia. The aim of this study was to investigate determinants of psychiatric care utilisation in adolescents in refugee families. METHODS: The study used regional data on healthcare use linked to sociodemographic data...

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Detalles Bibliográficos
Autores principales: Berg, Lisa, Ljunggren, Gunnar, Hjern, Anders
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891333/
https://www.ncbi.nlm.nih.gov/pubmed/32762094
http://dx.doi.org/10.1111/apa.15520
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author Berg, Lisa
Ljunggren, Gunnar
Hjern, Anders
author_facet Berg, Lisa
Ljunggren, Gunnar
Hjern, Anders
author_sort Berg, Lisa
collection PubMed
description AIM: Refugee children have been shown to underutilise psychiatric services in Scandinavia. The aim of this study was to investigate determinants of psychiatric care utilisation in adolescents in refugee families. METHODS: The study used regional data on healthcare use linked to sociodemographic data from national registers in a total population of 93 537 adolescents in the Stockholm County born in 1995‐2000, including 18 831 with a refugee background. Cox regression analyses were fitted to estimate Hazard ratios (HRs) of psychiatric care utilisation in the age‐span 11‐18 years. RESULTS: Psychiatric care use was lower in the large majority of adolescents in refugee families that originated in low‐ and middle‐income countries, with adjusted HRs 0.34 (95% CI 0.28‐0.42) and 0.51 (95% CI 0.46‐0.56), respectively, compared with the Swedish majority population. Among the foreign‐born refugee adolescents, psychiatric care use increased with duration of residence in Sweden and was higher in children who obtained residency as asylum seekers compared with those who settled in family reunification. CONCLUSION: Adolescents in newly settled refugee families with a background in low‐ and middle‐income countries should be a priority in mental health assessment of refugee children and referral to psychiatric care facilitated for children in need.
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spelling pubmed-78913332021-03-02 Underutilisation of psychiatric care among refugee adolescents in Stockholm Berg, Lisa Ljunggren, Gunnar Hjern, Anders Acta Paediatr Regular Articles & Brief Reports AIM: Refugee children have been shown to underutilise psychiatric services in Scandinavia. The aim of this study was to investigate determinants of psychiatric care utilisation in adolescents in refugee families. METHODS: The study used regional data on healthcare use linked to sociodemographic data from national registers in a total population of 93 537 adolescents in the Stockholm County born in 1995‐2000, including 18 831 with a refugee background. Cox regression analyses were fitted to estimate Hazard ratios (HRs) of psychiatric care utilisation in the age‐span 11‐18 years. RESULTS: Psychiatric care use was lower in the large majority of adolescents in refugee families that originated in low‐ and middle‐income countries, with adjusted HRs 0.34 (95% CI 0.28‐0.42) and 0.51 (95% CI 0.46‐0.56), respectively, compared with the Swedish majority population. Among the foreign‐born refugee adolescents, psychiatric care use increased with duration of residence in Sweden and was higher in children who obtained residency as asylum seekers compared with those who settled in family reunification. CONCLUSION: Adolescents in newly settled refugee families with a background in low‐ and middle‐income countries should be a priority in mental health assessment of refugee children and referral to psychiatric care facilitated for children in need. John Wiley and Sons Inc. 2020-08-19 2021-02 /pmc/articles/PMC7891333/ /pubmed/32762094 http://dx.doi.org/10.1111/apa.15520 Text en © 2020 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Regular Articles & Brief Reports
Berg, Lisa
Ljunggren, Gunnar
Hjern, Anders
Underutilisation of psychiatric care among refugee adolescents in Stockholm
title Underutilisation of psychiatric care among refugee adolescents in Stockholm
title_full Underutilisation of psychiatric care among refugee adolescents in Stockholm
title_fullStr Underutilisation of psychiatric care among refugee adolescents in Stockholm
title_full_unstemmed Underutilisation of psychiatric care among refugee adolescents in Stockholm
title_short Underutilisation of psychiatric care among refugee adolescents in Stockholm
title_sort underutilisation of psychiatric care among refugee adolescents in stockholm
topic Regular Articles & Brief Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891333/
https://www.ncbi.nlm.nih.gov/pubmed/32762094
http://dx.doi.org/10.1111/apa.15520
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