Westman J, Johansson L M, Sundquist K
Centre for Family Medicine, Karolinska Institute, MigraMed, Alfred-Nobels allé 12, Huddinge, Sweden.
Eur Psychiatry. 2006 Jul;21(5):307-14. doi: 10.1016/j.eurpsy.2006.02.001. Epub 2006 May 3.
This study analysed the association between country of birth and psychotic, affective, and neurotic disorders in seven immigrant categories, after adjustment for demographic and socioeconomic factors. A 2-year national cohort study of 4.5 million individuals in the age group 25-64 years was performed. Swedish national registers including individual demographic and socioeconomic data were linked to the hospital discharge register. Cox regression was used in the analysis. Several groups of immigrants, both men and women, had risks of hospital admission for psychotic, affective, or neurotic disorders compared to the Swedish-born reference group. The impact of demographic and socioeconomic factors on these risks seemed to be larger for men than for women. For foreign-born men, several of the risks no longer remained significant after adjustment for income and marital status. In contrast, most of the risks for foreign-born women remained significant after adjustment for income and marital status. Low income and being single were associated with an increased risk of psychiatric hospital admission. These results represent important knowledge for clinicians and public health planners who are involved in treatment and prevention of mental disorders among certain groups of immigrants, and among low income men and women irrespective of immigrant status.
本研究在对人口统计学和社会经济因素进行调整之后，分析了七个移民类别中出生国与精神病性障碍、情感性障碍和神经症性障碍之间的关联。对年龄在25至64岁的450万人进行了一项为期两年的全国队列研究。包括个人人口统计学和社会经济数据的瑞典国家登记册与医院出院登记册相链接。分析中使用了Cox回归。与瑞典出生的参照组相比，几组移民（包括男性和女性）患精神病性、情感性或神经症性障碍而住院的风险更高。人口统计学和社会经济因素对这些风险的影响似乎男性大于女性。对于外国出生的男性，在对收入和婚姻状况进行调整之后，一些风险不再具有统计学意义。相比之下，对于外国出生的女性，在对收入和婚姻状况进行调整之后，大多数风险仍然具有统计学意义。低收入和单身与精神科住院风险增加相关。这些结果为参与特定移民群体以及低收入男性和女性（无论移民身份如何）精神障碍治疗和预防工作的临床医生和公共卫生规划者提供了重要知识。
