Löfvander Monica, Rosenblad Andreas, Wiklund Tony, Bennström Halina, Leppert Jerzy
Centre for Clinical Research Västmanland - Uppsala University, Sweden Center for Family Medicine, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Sweden Department of Public Health and Caring Sciences. Family and Preventive Medicine, Uppsala University, Sweden
Centre for Clinical Research Västmanland - Uppsala University, Sweden.
Scand J Public Health. 2014 Dec;42(8):734-42. doi: 10.1177/1403494814550175. Epub 2014 Sep 23.
To examine whether new immigrants had inferior quality-of-life, well-being and general functioning compared with Swedish age- and sex-matched controls.
A prospective case-control study was designed including immigrants from non-European countries, 18-65 years of age, with recent Permanent Permits to Stay (PPS) in Sweden, and age- and sex-matched Swedish-born (SB) persons from the general population in Västmanland County, Sweden. The General Health Questionnaire (GHQ-12), the brief version of the World Health Organization Quality-of-Life (WHOQOL-BREF) Scale and the General Activity Functioning Assessment Scale (GAF) from DSM-IV were posted (SB), or applied in personal interviews (PPS) with interpreters. Differences between the PPS and SB groups were measured using McNemar's test and Wilcoxon signed-rank test conducted separately for observations at baseline, 6- and 12-month follow-up.
There were 93 pairs (mean age 36 years). Persons from Somalia (67%) and Iraq (27%) dominated the PPS group. The differences between the groups were statistically significant for all time points for the Psychological health and Social relationship domains of WHOQOL-BREF, and for the baseline and 6-month follow-up time points of GHQ-12 where the PPS-group had a higher degree of well-being, health and quality-of-life than the SB. This tendency applied for both sexes in the immigrant group.
These new immigrants did not have inferior physical or psychological health, quality-of-life, well-being or social functioning compared with their age- and sex-matched Swedish born pairs during a 1-year follow-up. Thus, there is reason to advocate immigrants' fast integration into society.
探讨与瑞典年龄及性别匹配的对照组相比，新移民的生活质量、幸福感和总体功能是否较差。
设计了一项前瞻性病例对照研究，纳入年龄在18至65岁之间、近期获得瑞典永久居留许可（PPS）的非欧洲国家移民，以及瑞典韦斯特曼兰县普通人群中年龄和性别匹配的瑞典出生（SB）者。《一般健康问卷》（GHQ - 12）、世界卫生组织生活质量简表（WHOQOL - BREF）以及《精神疾病诊断与统计手册》第四版（DSM - IV）中的总体活动功能评估量表（GAF），对SB组进行邮寄调查，对PPS组则在有口译人员的情况下进行个人访谈。使用麦克尼马尔检验和威尔科克森符号秩检验分别测量PPS组和SB组在基线、6个月和12个月随访时的差异。
共有93对（平均年龄36岁）。PPS组中索马里人（67%）和伊拉克人（27%）占主导。在WHOQOL - BREF的心理健康和社会关系领域，两组在所有时间点的差异均具有统计学意义；在GHQ - 12的基线和6个月随访时间点，PPS组的幸福感、健康状况和生活质量高于SB组。这种趋势在移民群体的男女中均存在。
在为期1年的随访中，与年龄及性别匹配的瑞典出生者相比，这些新移民在身体或心理健康、生活质量、幸福感或社会功能方面并不差。因此，有理由倡导移民快速融入社会。
