AP-HP, DHU PePSY, Hôpitaux universitaires Henri-Mondor, Pôle de Psychiatrie, Inserm, U955, Team 15, UPEC, Université Paris-Est, Faculté de médecine, Créteil, 94000, France; Fondation FondaMental, Créteil, 94000, France.
Univ. Lille, CNRS UMR 9193-PsyCHIC-SCALab, CHU Lille, Pôle de Psychiatrie, Unité CURE, F-59000, Lille, France; Fédération régionale de recherche en santé mentale (F2RSM) Nord-Pas-de-Calais, F-59000, Lille, France.
J Psychiatr Res. 2018 Jul;102:38-43. doi: 10.1016/j.jpsychires.2018.03.007. Epub 2018 Mar 20.
We sought to examine the prevalence of anxiety disorders associated with migration in the first-, second- and third-generation.
The French Mental Health in the General Population cross-sectional survey interviewed 38,694 individuals using the MINI. The prevalence of lifetime anxiety disorders, and comorbidities was compared between migrants and non-migrants and by generation. All analyses were adjusted for age, sex, and income and education levels.
In comparison to natives, pooled anxiety disorders were more common among migrants (25.3% vs. 20.7%, OR = 1.24) and among the three studied generations of migrants. Moreover, the prevalence rate of the pooled anxiety disorders was significantly higher in third-generation migrants, in comparison to first-generation (26.7% vs. 22.6%, OR = 1.14). Prevalence rates were higher in migrants for panic disorder (6.6% vs. 5.3%, OR = 1.20), general anxiety disorder (15.0% vs. 12.0%, OR = 1.24), posttraumatic stress disorder (1.0% vs. 0.6%, OR = 1.51), but not for social anxiety disorder. In comparison to natives, migrants with anxiety disorders had higher prevalence rates of suicide attempts (14.0% vs. 12.8% for natives), psychotic disorders (8.3% vs. 5.7%), unipolar depressive disorder (29.5% vs. 25.4%), bipolar disorder (5.0% vs. 4.0%), and addictive disorders (9.6% vs. 6.2% for alcohol use disorder, 8.2% vs. 4.1% for substance use disorders).
Migration was associated with a higher prevalence of all anxiety disorders, in the first, second and third generation, and associated with more psychiatric comorbidities. Moreover, the prevalence increased across generations, and was significantly higher among third-generation migrants, in comparison to first-generation.
我们旨在研究第一代、第二代和第三代移民中与移民相关的焦虑障碍的患病率。
使用 MINI 对法国普通人群的心理健康进行了横断面调查，共对 38694 人进行了访谈。比较了移民与非移民以及各代移民之间终生焦虑障碍和合并症的患病率。所有分析均根据年龄、性别以及收入和教育水平进行了调整。
与本地人相比，第一代、第二代和第三代移民中所有焦虑障碍的总患病率均更高（25.3% vs. 20.7%，OR=1.24）。此外，与第一代移民相比，第三代移民中所有焦虑障碍的患病率显著更高（26.7% vs. 22.6%，OR=1.14）。在移民中，惊恐障碍（6.6% vs. 5.3%，OR=1.20）、广泛性焦虑障碍（15.0% vs. 12.0%，OR=1.24）、创伤后应激障碍（1.0% vs. 0.6%，OR=1.51）的患病率更高，但社交焦虑障碍除外。与本地人相比，患有焦虑障碍的移民自杀未遂的比例更高（14.0% vs. 12.8%），精神病性障碍（8.3% vs. 5.7%），单相抑郁障碍（29.5% vs. 25.4%），双相障碍（5.0% vs. 4.0%），以及物质使用障碍（9.6% vs. 6.2%，酒精使用障碍，8.2% vs. 4.1%）。
移民与第一代、第二代和第三代所有焦虑障碍的患病率较高相关，并且与更多的精神共病相关。此外，这种患病率随代际增加而增加，并且在第三代移民中明显高于第一代移民。
Zotero 插件