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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

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dc.contributor.authorAtarodi, Vera
dc.contributor.authorMittendorfer‑Rutz, Ellenor
dc.contributor.authorMorillo Cuadrado, Daniel Vicente
dc.contributor.authorMediavilla, Roberto
dc.contributor.authorFelez‑Nobrega, Mireia
dc.contributor.authorMonistrol‑Mula, Anna
dc.contributor.authorSmith, Pierre
dc.contributor.authorLorant, Vincent
dc.contributor.authorPetri‑Romão, Papoula
dc.contributor.authorSijbrandij, Marit
dc.contributor.authorWitteveen, Anke B.
dc.contributor.authorPinucci, Irene
dc.contributor.authorCompagnoni, Matteo Monzio
dc.contributor.authorConflitti, Claudia
dc.contributor.authorCaggiu, Giulia
dc.contributor.authorMelchior, Maria
dc.contributor.authorVuillermoz, Cécile
dc.contributor.authorBergström, Jakob
dc.contributor.authorGémes, Katalin
dc.date.accessioned2025-10-16T14:56:24Z
dc.date.available2025-10-16T14:56:24Z
dc.date.issued2025-03-03
dc.descriptionThe 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
dc.descriptionLa 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
dc.description.abstractBackground 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.en
dc.description.provenanceMade available in DSpace on 2025-10-16T14:56:24Z (GMT). No. of bitstreams: 1 Specialized_mental_hea.pdf: 1911981 bytes, checksum: 2796ecdbd390c681a060a7e6efcb0259 (MD5) Previous issue date: 2025-03-03en
dc.description.versionversión publicada
dc.identifier.citationAtarodi 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.
dc.identifier.doihttps://doi.org/10.1186/s12889-025-22028-4
dc.identifier.issn1471-2458
dc.identifier.urihttps://hdl.handle.net/20.500.14468/30431
dc.journal.titleBMC Public Health
dc.journal.volume25
dc.language.isoen
dc.publisherBioMed Central
dc.relation.centerFacultad de Psicología
dc.relation.departmentMetodología de las Ciencias del Comportamiento
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.es
dc.subject61 Psicología
dc.subject.keywordscommon mental disordersen
dc.subject.keywordsCOVID‑19en
dc.subject.keywordsinterrupted time‑seriesen
dc.subject.keywordspopulation‑based cohorten
dc.subject.keywordsmental healthen
dc.subject.keywordsrefugeesen
dc.titleSpecialized 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 studyen
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dc.typejournal articleen
dspace.entity.typePublication
relation.isAuthorOfPublicationeaf86785-e049-4e6e-a3cc-0409c8954333
relation.isAuthorOfPublication.latestForDiscoveryeaf86785-e049-4e6e-a3cc-0409c8954333
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