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Fecha
2025-03-03
Derechos de acceso
info:eu-repo/semantics/openAccess
Título de la revista
ISSN de la revista
Título del volumen
Editorial
BioMed Central
Citas
Resumen
Background
It is known that refugees have an elevated risk of common mental disorders (CMDs, including depression, anxiety, and stress‑related disorders). The effect of the coronavirus disease pandemic on healthcare use due to CMDs in refugees is yet unknown, especially in socioeconomically deprived groups. We conducted a populationwide study comparing specialized healthcare use for CMDs and antidepressant prescriptions before and during the pandemic in refugees and Swedish‑born, and investigated differences by labor market marginalization and education.
Methods
An interrupted time series analysis of quarterly cohorts (2018.01.01–2021.12.31) of all refugees and Swedish‑born, aged 19 to 65 was applied. Information on outcome measures and covariates were linked individually from administrative registers. We applied interrupted time series and estimated incidence rate ratios (IRR) of the incidence rates (IR) and their corresponding confidence intervals (CI) before and during the pandemic.
Results
A total of 4,932,916 individuals, of whom 488,299 (9.9%) were refugees, were included at baseline. We observed a 3% (95% CI: 1%, 5%) quarterly increase in trends of healthcare use due to CMDs in refugees, but no changes in Swedish‑born individuals. The IRRs were larger in refugees whose labor market position was marginalized (IRR: 6%, (3%, 9%)), and refugees with low education level (IRR: 4% (1%, 7%)). There were no substantial changes in antidepressant prescription.
Conclusion
Refugees, especially those already in a marginalized position, had increased CMD‑related mental healthcare use during the pandemic. Strategies to meet the mental health care needs of marginalized refugees are of outmost public health importance.
Descripción
The registered version of this article, first published in BMC Public Health, is available online at the publisher's website: BioMed Central, https://doi.org/10.1186/s12889-025-22028-4
La versión registrada de este artículo, publicado por primera vez en BMC Public Health, está disponible en línea en el sitio web del editor: BioMed Central, https://doi.org/10.1186/s12889-025-22028-4
La versión registrada de este artículo, publicado por primera vez en BMC Public Health, está disponible en línea en el sitio web del editor: BioMed Central, https://doi.org/10.1186/s12889-025-22028-4
Categorías UNESCO
Palabras clave
common mental disorders, COVID‑19, interrupted time‑series, population‑based cohort, mental health, refugees
Citación
Atarodi V, Mittendorfer-Rutz E, Morillo-Cuadrado D, Mediavilla R, Felez-Nobrega M, Monistrol-Mula A, Smith P, Lorant V, Petri-Romão P, Sijbrandij M, Witteveen AB, Pinucci I, Compagnoni MM, Conflitti C, Caggiu G, Melchior M, Vuillermoz C, Bergström J, Gémes K. Specialized mental healthcare use for common mental disorders and prescription of antidepressants before and during the COVID-19 pandemic among working-age refugees and Swedish-born individuals - a nationwide register-based study. BMC Public Health. 2025 Mar 3;25(1):840. doi: 10.1186/s12889-025-22028-4. PMID: 40033262; PMCID: PMC11874784.
Centro
Facultad de Psicología
Departamento
Metodología de las Ciencias del Comportamiento