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Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders.

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Title: Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders.
Authors: Di Thiene, D. (AUTHOR), Helgesson, Magnus (AUTHOR), Rahman, S. (AUTHOR), Alexanderson, K. (AUTHOR), Tiihonen, J. (AUTHOR), La Torre, G. (AUTHOR), Mittendorfer-Rutz, E. (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Jun2021, Vol. 56 Issue 6, p1025-1034. 10p.
Subjects: Labor market, Mental illness, Refugees, Immigrants, Disability retirement
Geographic Terms: Afghanistan
Abstract: Purpose: Labour market marginalisation (LMM), i.e. long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension (DP), among young individuals with common mental disorders (CMDs) are a challenge for the welfare system, and refugees and non-refugee migrants seem particularly vulnerable. The aim was to investigate the risk of LMM in young adults with CMDs among refugees and non-refugee migrants compared to Swedish-born individuals and the role of country of birth, duration of residence and age at arrival. Methods: A prospective cohort study was conducted including young adults (19–30 years) with inpatient or specialised outpatient healthcare due to CMDs and/or antidepressant prescriptions during 2009 (N = 69,515). Cox regression models were used to calculate hazard ratios (HRs) with 95% confidence intervals for the risk of LMM during 2010–2013. Results: Both refugees and non-refugee migrants had a higher risk of LTU compared to Swedish-born individuals (HR refugees: Africa: 2.4; Asia: 2.2; Europe outside EU25: 1.6; South America: 1.4) with highest estimates in refugees from Afghanistan and Syria. Refugees from Africa and Asia had a lower risk of LTSA compared to Swedish-born individuals (HR: 0.6 and 0.7, respectively), particularly refugees from Afghanistan and Iraq. Especially among refugees, a longer duration of residence and a younger age at arrival were associated with a lower risk of LTU. Conclusions: The risk of LTU among refugees and non-refugee migrants was higher and the risk of LTSA was lower, compared to Swedish-born individuals. Duration of residence and age at arrival had an influence on the risk of LTU, particularly among refugees. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Risk of labour market marginalisation among young refugees and non-refugee migrants with common mental disorders.
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  Data: <searchLink fieldCode="AR" term="%22Di+Thiene%2C+D%2E%22">Di Thiene, D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Helgesson%2C+Magnus%22">Helgesson, Magnus</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rahman%2C+S%2E%22">Rahman, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alexanderson%2C+K%2E%22">Alexanderson, K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tiihonen%2C+J%2E%22">Tiihonen, J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22La+Torre%2C+G%2E%22">La Torre, G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mittendorfer-Rutz%2C+E%2E%22">Mittendorfer-Rutz, E.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Jun2021, Vol. 56 Issue 6, p1025-1034. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Labor+market%22">Labor market</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Refugees%22">Refugees</searchLink><br /><searchLink fieldCode="DE" term="%22Immigrants%22">Immigrants</searchLink><br /><searchLink fieldCode="DE" term="%22Disability+retirement%22">Disability retirement</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Afghanistan%22">Afghanistan</searchLink>
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  Data: Purpose: Labour market marginalisation (LMM), i.e. long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension (DP), among young individuals with common mental disorders (CMDs) are a challenge for the welfare system, and refugees and non-refugee migrants seem particularly vulnerable. The aim was to investigate the risk of LMM in young adults with CMDs among refugees and non-refugee migrants compared to Swedish-born individuals and the role of country of birth, duration of residence and age at arrival. Methods: A prospective cohort study was conducted including young adults (19–30 years) with inpatient or specialised outpatient healthcare due to CMDs and/or antidepressant prescriptions during 2009 (N = 69,515). Cox regression models were used to calculate hazard ratios (HRs) with 95% confidence intervals for the risk of LMM during 2010–2013. Results: Both refugees and non-refugee migrants had a higher risk of LTU compared to Swedish-born individuals (HR refugees: Africa: 2.4; Asia: 2.2; Europe outside EU25: 1.6; South America: 1.4) with highest estimates in refugees from Afghanistan and Syria. Refugees from Africa and Asia had a lower risk of LTSA compared to Swedish-born individuals (HR: 0.6 and 0.7, respectively), particularly refugees from Afghanistan and Iraq. Especially among refugees, a longer duration of residence and a younger age at arrival were associated with a lower risk of LTU. Conclusions: The risk of LTU among refugees and non-refugee migrants was higher and the risk of LTSA was lower, compared to Swedish-born individuals. Duration of residence and age at arrival had an influence on the risk of LTU, particularly among refugees. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Jun2021
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