Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
J Affect Disord. 2021 May 15;287:334-340. doi: 10.1016/j.jad.2021.03.049. Epub 2021 Mar 23.
The aims of this study were to (1) compare differences in psychiatric comorbidity of depression and anxiety disorders between immigrants and native Finns and to (2) compare differences in the intensity of psychiatric care received by different immigrant groups and Finnish-born controls with depression and/or anxiety disorders.
The study uses registered-based data, which includes all immigrants living in Finland at the end of 2010 and matched Finnish-born controls. For this study, we selected individuals who had received a diagnosis of depression and/or an anxiety disorder during the follow-up (2011-2015) (immigrants n = 6542, Finnish-born controls n = 9281). We compared differences in comorbidity between the immigrants and the Finnish-born controls using chi-squared tests. Multinomial logistic regression was used to predict psychiatric treatment intensity by immigrant status, region of origin, and other background factors.
In both diagnosis groups, Finnish-born participants exhibited greater comorbidity of other psychiatric disorders. Immigrants more often received lower intensity treatment and less often higher intensity treatment. These differences were most striking among those from Eastern Europe, the Middle East, and Africa.
We did not have the information on the perceived need for the services, which limits us from drawing further conclusions about the mechanisms behind the observed patterns.
Immigrants in Finland receive less intensive treatment for depression and anxiety disorders compared to the Finnish-born population. Since lower symptom levels can unlikely alone explain these differences, they could reflect a need for improvement in the psychiatric services for immigrants.
本研究旨在：(1) 比较移民和芬兰本地居民抑郁和焦虑障碍的精神共病差异；(2) 比较不同移民群体和芬兰出生对照者的抑郁和/或焦虑障碍患者接受精神卫生保健的强度差异。
本研究使用基于注册的资料，其中包括截至 2010 年底居住在芬兰的所有移民和与之匹配的芬兰出生对照者。在此项研究中，我们选择了在随访期间（2011-2015 年）被诊断为抑郁和/或焦虑障碍的患者（移民 n=6542，芬兰出生对照者 n=9281）。我们使用卡方检验比较了移民与芬兰出生对照者之间的共病差异。采用多项逻辑回归来预测移民身份、原籍地区和其他背景因素对精神卫生保健治疗强度的影响。
在这两个诊断组中，芬兰出生的参与者表现出其他精神障碍的共病率更高。移民患者接受的治疗强度往往更低，而接受高强度治疗的比例往往更低。这种差异在来自东欧、中东和非洲的移民中最为显著。
我们没有关于服务需求的信息，这限制了我们对观察到的模式背后机制的进一步结论。
与芬兰本地居民相比，芬兰的移民在接受抑郁和焦虑障碍的治疗时强度更低。由于较低的症状水平不太可能单独解释这些差异，因此这些差异可能反映了对移民的精神卫生服务的改进需求。
