Han Yangdi, Luo Xiaoxia, Xiong Ying, Peng Xinyi, Wang Lin
Department of Social Work, Fudan University, Shanghai, 200433, China.
Clin Child Fam Psychol Rev. 2025 Aug 12. doi: 10.1007/s10567-025-00542-6.
Recent studies have shown that immigrant parents are at risk for various mental health issues, but there is a lack of meta-analyses on their prevalence. This systematic review aims to determine the prevalence of mental health problems (e.g., stress, anxiety, depression, and psychiatric disorders) in immigrant parents and identify contributing factors. We systematically searched multiple databases up to July 2023 and evaluated the quality of studies using AHRQ criteria. Pooled prevalence and 95% CI were used to assess mental health issues among immigrant parents, with subgroup analysis performed to examine influencing factors. A total of 33 studies with 214,536 participants found that mental health issues affected immigrant parents at a rate of about 25%, peaking at depression with a rate of about 24%. In the Middle East, this rate rose to 35%. Non-random sampling resulted in rates up to 43%, while cross-sectional study designs led to rates around 23%. Refugee parents and immigrant parents with lower educational attainment, reduced socioeconomic status, or limited host-country language proficiency demonstrated significantly elevated prevalence rates of psychological morbidity. The psychological challenges faced by immigrant parents are widespread. Future research should focus on the mental well-being of specific subgroups, such as immigrants from the Middle East, fathers, and low-income families. More rigorous survey methods and study designs (such as random sampling and cohort studies) are necessary to improve their mental health.
最近的研究表明，移民父母面临各种心理健康问题的风险，但缺乏对其患病率的荟萃分析。本系统评价旨在确定移民父母心理健康问题（如压力、焦虑、抑郁和精神障碍）的患病率，并确定促成因素。我们系统地检索了截至2023年7月的多个数据库，并使用美国医疗保健研究与质量局（AHRQ）的标准评估研究质量。采用合并患病率和95%置信区间来评估移民父母的心理健康问题，并进行亚组分析以检查影响因素。共有33项研究，涉及214536名参与者，发现心理健康问题影响移民父母的比例约为25%，其中抑郁症的比例最高，约为24%。在中东地区，这一比例上升至35%。非随机抽样导致的比例高达43%，而横断面研究设计导致的比例约为23%。难民父母以及教育程度较低、社会经济地位下降或东道国语言能力有限的移民父母，其心理疾病的患病率显著升高。移民父母面临的心理挑战普遍存在。未来的研究应关注特定亚组的心理健康，如来自中东的移民、父亲和低收入家庭。需要更严格的调查方法和研究设计（如随机抽样和队列研究）来改善他们的心理健康。
