Hollander Anna-Clara, Bruce Daniel, Burström Bo, Ekblad Solvig
Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden.
J Nerv Ment Dis. 2013 Aug;201(8):645-52. doi: 10.1097/NMD.0b013e31829dbd64.
Ethnicity and immigrant subgroup (classified as refugee or nonrefugee) are associated with poor mental health among immigrants. The aim of this study was to assess whether national origin-based differences in poor mental health can be explained by immigrant subgroup and if its importance varies depending on origin. A cross-sectional, population-based study of Swedish residents was conducted in 2006. The outcome was poor mental health, measured with the proxy variable psychotropic drugs purchased. Explanatory variables included immigrant subgroup and origin. Potential confounders were age, marital status, education, time in Sweden, and children. Logistic regression was carried out. The total population was 5,507,262. Immigrants from countries outside the Organisation for Economic Co-operation and Development (OECD) numbered 298,641. Immigrant subgroup partly explained the higher likelihood of poor mental health among non-OECD immigrants; when each country or area was analyzed separately, most refugees had a higher likelihood than nonrefugees did. Immigrant subgroup partly explained the origin-based differences in mental health, but this varied between different groups of origin.
种族和移民亚组（分为难民或非难民）与移民心理健康状况不佳有关。本研究的目的是评估基于国家来源的心理健康不佳差异是否可以由移民亚组来解释，以及其重要性是否因来源不同而有所变化。2006年对瑞典居民进行了一项基于人群的横断面研究。结果是心理健康不佳，用购买精神药物这一替代变量来衡量。解释变量包括移民亚组和来源。潜在混杂因素有年龄、婚姻状况、教育程度、在瑞典的时间以及子女情况。进行了逻辑回归分析。总人口为5507262人。来自经济合作与发展组织（经合组织）以外国家的移民有298641人。移民亚组部分解释了非经合组织移民心理健康不佳可能性较高的情况；当分别分析每个国家或地区时，大多数难民的可能性高于非难民。移民亚组部分解释了基于来源的心理健康差异，但这在不同来源组之间有所不同。
