Yema Dan Paolo Rillorta, Wong Vincent Wing-Hei, Ho Fiona Yan-Yee
Department of Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong.
Department of Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong.
J Affect Disord. 2025 Jul 15;381:436-450. doi: 10.1016/j.jad.2025.03.183. Epub 2025 Apr 1.
International migrant workers face an elevated risk of common mental disorders (CMDs), stress, and sleep disturbances due to various individual, psychosocial, and occupational factors. This meta-analysis systematically evaluated the prevalence of CMDs, stress, and sleep disturbance among international migrant workers. Two independent reviewers systematically searched the literature on five electronic databases from inception to June 2022. Random effects meta-analyses were performed to estimate the pooled prevalence of depressive symptoms, anxiety symptoms, stress, and sleep disturbance among international migrant workers. Additionally, subgroup analyses were conducted to examine potential modifiers for the prevalence rates. Of 8461 records, 57 studies (n = 29,481) were included in this meta-analysis. The pooled prevalence rates of depressive symptoms, anxiety symptoms, stress, and sleep disturbance were 20.3 %, 17.8 %, 17.3 %, and 25.3 %, respectively. Subgroup analyses revealed that the prevalence of CMDs and stress was statistically significantly modified by country of destination and type of work, stress by gender and country of origin, and anxiety by migration type. Potential publication bias was observed only in the meta-analysis of stress. Most of the studies included were of moderate to high methodological quality. However, given that the included studies were predominantly cross-sectional and used non-probability sampling, the results should be interpreted with caution. This meta-analysis highlights that CMDs, stress, and sleep disturbances are prevalent among international migrant workers, posing a significant public health concern for host countries. These findings underscore the urgent need for tailored mental health interventions for specific subgroups within this population.
由于各种个人、心理社会和职业因素,国际移民工人面临着患常见精神障碍(CMD)、压力和睡眠障碍的风险升高。这项荟萃分析系统地评估了国际移民工人中CMD、压力和睡眠障碍的患病率。两名独立评审员系统地检索了从数据库建立到2022年6月的五个电子数据库中的文献。进行随机效应荟萃分析,以估计国际移民工人中抑郁症状、焦虑症状、压力和睡眠障碍的合并患病率。此外,还进行了亚组分析,以检查患病率的潜在影响因素。在8461条记录中,有57项研究(n = 29481)纳入了这项荟萃分析。抑郁症状、焦虑症状、压力和睡眠障碍的合并患病率分别为20.3%、17.8%、17.3%和25.3%。亚组分析显示,CMD和压力的患病率在统计学上因目的地国和工作类型而有显著差异,压力因性别和原籍国而有差异,焦虑因移民类型而有差异。仅在压力的荟萃分析中观察到潜在的发表偏倚。纳入的大多数研究方法质量为中等至高。然而,鉴于纳入的研究主要是横断面研究且使用非概率抽样,结果应谨慎解释。这项荟萃分析强调,CMD、压力和睡眠障碍在国际移民工人中普遍存在,这对东道国构成了重大的公共卫生问题。这些发现强调了迫切需要针对这一人群中的特定亚组量身定制心理健康干预措施。