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Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders
PURPOSE: Labour market marginalisation (LMM), i.e. long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension (DP), among young individuals with common mental disorders (CMDs) are a challenge for the welfare system, and refugees and non-refugee migrants seem particularly...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192389/ https://www.ncbi.nlm.nih.gov/pubmed/33471136 http://dx.doi.org/10.1007/s00127-020-02022-4 |
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author | Di Thiene, D. Helgesson, Magnus Rahman, S. Alexanderson, K. Tiihonen, J. La Torre, G. Mittendorfer-Rutz, E. |
author_facet | Di Thiene, D. Helgesson, Magnus Rahman, S. Alexanderson, K. Tiihonen, J. La Torre, G. Mittendorfer-Rutz, E. |
author_sort | Di Thiene, D. |
collection | PubMed |
description | PURPOSE: Labour market marginalisation (LMM), i.e. long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension (DP), among young individuals with common mental disorders (CMDs) are a challenge for the welfare system, and refugees and non-refugee migrants seem particularly vulnerable. The aim was to investigate the risk of LMM in young adults with CMDs among refugees and non-refugee migrants compared to Swedish-born individuals and the role of country of birth, duration of residence and age at arrival. METHODS: A prospective cohort study was conducted including young adults (19–30 years) with inpatient or specialised outpatient healthcare due to CMDs and/or antidepressant prescriptions during 2009 (N = 69,515). Cox regression models were used to calculate hazard ratios (HRs) with 95% confidence intervals for the risk of LMM during 2010–2013. RESULTS: Both refugees and non-refugee migrants had a higher risk of LTU compared to Swedish-born individuals (HR refugees: Africa: 2.4; Asia: 2.2; Europe outside EU25: 1.6; South America: 1.4) with highest estimates in refugees from Afghanistan and Syria. Refugees from Africa and Asia had a lower risk of LTSA compared to Swedish-born individuals (HR: 0.6 and 0.7, respectively), particularly refugees from Afghanistan and Iraq. Especially among refugees, a longer duration of residence and a younger age at arrival were associated with a lower risk of LTU. CONCLUSIONS: The risk of LTU among refugees and non-refugee migrants was higher and the risk of LTSA was lower, compared to Swedish-born individuals. Duration of residence and age at arrival had an influence on the risk of LTU, particularly among refugees. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00127-020-02022-4. |
format | Online Article Text |
id | pubmed-8192389 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-81923892021-06-28 Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders Di Thiene, D. Helgesson, Magnus Rahman, S. Alexanderson, K. Tiihonen, J. La Torre, G. Mittendorfer-Rutz, E. Soc Psychiatry Psychiatr Epidemiol Original Paper PURPOSE: Labour market marginalisation (LMM), i.e. long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension (DP), among young individuals with common mental disorders (CMDs) are a challenge for the welfare system, and refugees and non-refugee migrants seem particularly vulnerable. The aim was to investigate the risk of LMM in young adults with CMDs among refugees and non-refugee migrants compared to Swedish-born individuals and the role of country of birth, duration of residence and age at arrival. METHODS: A prospective cohort study was conducted including young adults (19–30 years) with inpatient or specialised outpatient healthcare due to CMDs and/or antidepressant prescriptions during 2009 (N = 69,515). Cox regression models were used to calculate hazard ratios (HRs) with 95% confidence intervals for the risk of LMM during 2010–2013. RESULTS: Both refugees and non-refugee migrants had a higher risk of LTU compared to Swedish-born individuals (HR refugees: Africa: 2.4; Asia: 2.2; Europe outside EU25: 1.6; South America: 1.4) with highest estimates in refugees from Afghanistan and Syria. Refugees from Africa and Asia had a lower risk of LTSA compared to Swedish-born individuals (HR: 0.6 and 0.7, respectively), particularly refugees from Afghanistan and Iraq. Especially among refugees, a longer duration of residence and a younger age at arrival were associated with a lower risk of LTU. CONCLUSIONS: The risk of LTU among refugees and non-refugee migrants was higher and the risk of LTSA was lower, compared to Swedish-born individuals. Duration of residence and age at arrival had an influence on the risk of LTU, particularly among refugees. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00127-020-02022-4. Springer Berlin Heidelberg 2021-01-20 2021 /pmc/articles/PMC8192389/ /pubmed/33471136 http://dx.doi.org/10.1007/s00127-020-02022-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Paper Di Thiene, D. Helgesson, Magnus Rahman, S. Alexanderson, K. Tiihonen, J. La Torre, G. Mittendorfer-Rutz, E. Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders |
title | Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders |
title_full | Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders |
title_fullStr | Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders |
title_full_unstemmed | Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders |
title_short | Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders |
title_sort | risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192389/ https://www.ncbi.nlm.nih.gov/pubmed/33471136 http://dx.doi.org/10.1007/s00127-020-02022-4 |
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