Antidepressant medication use among working age first-generation migrants resident in Finland: an administrative data linkage study
Abstract Background A higher risk of common mental health disorders has been found for first-generation migrants in high income countries, but few studies have examined the use of mental health care. This study aimed to identify the level of antidepressant use amongst the largest first generation mi...
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | International Journal for Equity in Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12939-019-1060-9 |
| _version_ | 1818262694137954304 |
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| author | Tania Bosqui Ari Väänänen Andre Buscariolli Aki Koskinen Dermot O’Reilly Auli Airila Anne Kouvonen |
| author_facet | Tania Bosqui Ari Väänänen Andre Buscariolli Aki Koskinen Dermot O’Reilly Auli Airila Anne Kouvonen |
| author_sort | Tania Bosqui |
| collection | DOAJ |
| description | Abstract Background A higher risk of common mental health disorders has been found for first-generation migrants in high income countries, but few studies have examined the use of mental health care. This study aimed to identify the level of antidepressant use amongst the largest first generation migrant groups resident in Finland. Methods This cohort study used record-based data linkage methodology to examine the hazard of antidepressant use between migrant groups in Finland using Cox proportional hazard models. Data was derived using socio-demographic and prescription data from Statistics Finland and the Finnish Population Registry. The cohort included a random sample of 33% of the working age population in 2007 (N = 1,059,426, 49.8% women, 2.5% migrants) and dispensed antidepressant prescriptions from 2008 to 2014. Results After adjustment for socio-demographic characteristics, results show higher antidepressant use for female migrants from North Africa and the Middle East compared to the Finland-born majority, a similar level of use for migrants from Western countries, and lower use for migrants from other non-Western countries. Conclusions The gender and country of origin dependent use of antidepressant medication is discussed in terms of socio-political and cultural between-group differences. Recommendations are made to address inequalities in accessing services, particularly for migrants from non-Western countries. |
| first_indexed | 2024-12-12T19:07:11Z |
| format | Article |
| id | doaj.art-e4922be9b0a542f7a2f534d61499a189 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-12-12T19:07:11Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-e4922be9b0a542f7a2f534d61499a1892022-12-22T00:14:57ZengBMCInternational Journal for Equity in Health1475-92762019-10-011811910.1186/s12939-019-1060-9Antidepressant medication use among working age first-generation migrants resident in Finland: an administrative data linkage studyTania Bosqui0Ari Väänänen1Andre Buscariolli2Aki Koskinen3Dermot O’Reilly4Auli Airila5Anne Kouvonen6Department of Psychology, American University of BeirutFinnish Institute of Occupational HealthFaculty of Social Sciences, University of HelsinkiFinnish Institute of Occupational HealthAdministrative Data Research Centre - Northern Ireland, Centre for Public Health, Queen’s University BelfastFinnish Institute of Occupational HealthAdministrative Data Research Centre - Northern Ireland, Centre for Public Health, Queen’s University BelfastAbstract Background A higher risk of common mental health disorders has been found for first-generation migrants in high income countries, but few studies have examined the use of mental health care. This study aimed to identify the level of antidepressant use amongst the largest first generation migrant groups resident in Finland. Methods This cohort study used record-based data linkage methodology to examine the hazard of antidepressant use between migrant groups in Finland using Cox proportional hazard models. Data was derived using socio-demographic and prescription data from Statistics Finland and the Finnish Population Registry. The cohort included a random sample of 33% of the working age population in 2007 (N = 1,059,426, 49.8% women, 2.5% migrants) and dispensed antidepressant prescriptions from 2008 to 2014. Results After adjustment for socio-demographic characteristics, results show higher antidepressant use for female migrants from North Africa and the Middle East compared to the Finland-born majority, a similar level of use for migrants from Western countries, and lower use for migrants from other non-Western countries. Conclusions The gender and country of origin dependent use of antidepressant medication is discussed in terms of socio-political and cultural between-group differences. Recommendations are made to address inequalities in accessing services, particularly for migrants from non-Western countries.http://link.springer.com/article/10.1186/s12939-019-1060-9MigrantsFinlandMental healthAntidepressants |
| spellingShingle | Tania Bosqui Ari Väänänen Andre Buscariolli Aki Koskinen Dermot O’Reilly Auli Airila Anne Kouvonen Antidepressant medication use among working age first-generation migrants resident in Finland: an administrative data linkage study International Journal for Equity in Health Migrants Finland Mental health Antidepressants |
| title | Antidepressant medication use among working age first-generation migrants resident in Finland: an administrative data linkage study |
| title_full | Antidepressant medication use among working age first-generation migrants resident in Finland: an administrative data linkage study |
| title_fullStr | Antidepressant medication use among working age first-generation migrants resident in Finland: an administrative data linkage study |
| title_full_unstemmed | Antidepressant medication use among working age first-generation migrants resident in Finland: an administrative data linkage study |
| title_short | Antidepressant medication use among working age first-generation migrants resident in Finland: an administrative data linkage study |
| title_sort | antidepressant medication use among working age first generation migrants resident in finland an administrative data linkage study |
| topic | Migrants Finland Mental health Antidepressants |
| url | http://link.springer.com/article/10.1186/s12939-019-1060-9 |
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