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丹麦、挪威和瑞典的前儿童难民在青年期的健康结果:一项跨国比较研究。

Health outcomes in young adulthood among former child refugees in Denmark, Norway and Sweden: A cross-country comparative study.

机构信息

Centre for Health Equity Studies (CHESS), Department of Public Health Sciences, Stockholm University, Sweden.

Danish Research Centre for Migration, Ethnicity and Health (MESU), Department of Public Health, University of Copenhagen, Denmark.

出版信息

Scand J Public Health. 2023 May;51(3):330-338. doi: 10.1177/14034948211031408. Epub 2021 Jul 24.

Abstract

AIMS

This study aimed at comparing several health outcomes in young adulthood among child refugees who settled in the different immigration and integration policy contexts of Denmark, Norway and Sweden.

METHODS

The study population included refugees born between 1972 and 1997 who immigrated before the age of 18 and settled in the three Nordic countries during 1986-2005. This population was followed up in national registers during 2006-2015 at ages 18-43 years and was compared with native-born majority populations in the same birth cohorts using sex-stratified and age-adjusted regression analyses.

RESULTS

Refugee men in Denmark stood out with a consistent pattern of higher risks for mortality, disability/illness pension, psychiatric care and substance misuse relative to native-born majority Danish men, with risk estimates being higher than comparable estimates observed among refugee men in Norway and Sweden. Refugee men in Sweden and Norway also demonstrated increased risks relative to native-born majority population men for inpatient psychiatric care, and in Sweden also for disability/illness pension. With the exception of increased risk for psychotic disorders, outcomes among refugee women were largely similar to or better than those of native-born majority women in all countries.

CONCLUSIONS

摘要

目的

本研究旨在比较丹麦、挪威和瑞典在不同移民和融合政策背景下定居的儿童难民在青年期的多项健康结果。

方法

研究人群包括 1972 年至 1997 年间出生、18 岁前移民且于 1986-2005 年期间在北欧三国定居的难民。该人群在 2006-2015 年期间在国家登记处进行了随访,随访年龄为 18-43 岁,并与同一生育队列中的本国出生的大多数人群进行了性别分层和年龄调整的回归分析比较。

结果

丹麦的难民男性死亡率、残疾/患病抚恤金、精神科护理和物质滥用的风险始终高于丹麦本国出生的大多数男性,风险估计值高于挪威和瑞典难民男性观察到的可比估计值。瑞典和挪威的难民男性与本国出生的大多数男性相比,也表现出更高的住院精神科护理风险,在瑞典还表现出更高的残疾/患病抚恤金风险。除了精神分裂症风险增加外,在所有国家,难民女性的结局与本国出生的大多数女性基本相似或更好。

结论

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d657/10251467/356f0f1b6082/10.1177_14034948211031408-fig1.jpg

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