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

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Bibliographic Details
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]
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Database: Psychology and Behavioral Sciences Collection
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