, Stockholm, Sweden.
Center for Psychiatric Research, Department of Clinical Neuroscience, Karolinska Institutet (KI), Stockholm, Sweden.
Soc Psychiatry Psychiatr Epidemiol. 2020 Nov;55(11):1449-1456. doi: 10.1007/s00127-020-01883-z. Epub 2020 May 13.
To better understand underutilisation of psychiatric care among migrant children, we compared utilisation of psychiatric care among unaccompanied refugee minors and accompanied migrant minors, with Swedish-born minors.
Using a large longitudinal database of linked national registers, we established a retrospective cohort of 1,328,397 people born 1984-1988 comparing minors born in Sweden to 2 Swedish-born parents (95.4%) to minors who had been arriving in Sweden between 2002 and 2011 with a permanent resident permit and were either unaccompanied refugee minors (0.4%), or accompanied migrant minors (4.0%). The outcome measures were different measures of psychiatric care including in- and outpatient care, and prescribed psychotropic medication.
Compared with the Swedish-born minors the unaccompanied refugee minors had a higher likelihood of utilisation of all psychiatric care except ADHD medication. However, compared with accompanied migrant minors, the Swedish-born minors had a higher likelihood of having utilised psychiatric care.
Our study shows that during the first years of living in Sweden, there seems to be fewer barriers to psychiatric care for unaccompanied refugee minors compared to the accompanied migrant minors. There are a number of possible reasons for this including stronger ties with the Swedish society.
为了更好地理解移民儿童精神卫生保健服务的利用不足问题，我们将无人陪伴的难民未成年和陪伴的移民未成年与瑞典出生的未成年人进行了比较，以了解他们在精神卫生保健服务方面的利用情况。
我们使用一个大型的、基于国家登记的纵向数据库，建立了一个回顾性队列，其中包括 1328397 名 1984 年至 1988 年出生的人群，将在瑞典出生的、父母均为瑞典籍的未成年人（95.4%）与在 2002 年至 2011 年期间持永久居留许可抵达瑞典的未成年人进行比较，这些未成年人分为无人陪伴的难民未成年（0.4%）和陪伴的移民未成年（4.0%）。结局指标为不同的精神卫生保健服务利用情况，包括门诊和住院治疗以及处方精神药物。
与瑞典出生的未成年人相比，无人陪伴的难民未成年更有可能利用所有的精神卫生保健服务，但除了 ADHD 药物外。然而，与陪伴的移民未成年相比，瑞典出生的未成年人更有可能利用精神卫生保健服务。
我们的研究表明，在瑞典生活的最初几年，与陪伴的移民未成年相比，无人陪伴的难民未成年似乎在利用精神卫生保健服务方面面临的障碍更少。造成这种情况的原因可能有很多，包括与瑞典社会的联系更紧密。
