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Trajectories of antidepressant use and characteristics associated with trajectory groups among young refugees and their Swedish-born peers with diagnosed common mental disorders-findings from the REMAIN study
- Source :
- Social Psychiatry and Psychiatric Epidemiology
- Publication Year :
- 2020
-
Abstract
- Purpose This study aimed to (1) identify the trajectories of prescribed antidepressants in refugee youth and matched Swedish-born peers diagnosed with common mental disorder (CMD) and (2) characterize the trajectories according to sociodemographic and medical factors. Methods The study population comprised 2,198 refugees and 12,199 Swedish-born individuals with both Swedish-born parents, aged 16–25 years in 2011, residing in Sweden and treated in specialised healthcare for CMD 2009–11. Group-based trajectory modelling was used to identify different trajectory groups of antidepressant use-based on annual defined daily dosages (DDDs). Multinomial logistic regression was applied to investigate the association of sociodemographic and medical characteristics with the identified trajectories. Nagelkerke pseudo-R2 values were estimated to evaluate the strength of these associations. Results Four trajectory groups of antidepressant use among young refugees were identified with following proportions and DDD levels in 2011: ‘low constant’ (88%, R2 = 0.013), comorbid ‘other mental disorders’ (R2 = 0.009) and ‘disability pension’ (R2 = 0.007), while ‘disability pension’ (R2 = 0.017), comorbid ‘other mental disorders’ (R2 = 0.008) and ‘educational level’ (R2 = 0.008) were the most important determinants discriminating trajectory groups among Swedish-born youth. Conclusion The lower use of antidepressants in refugees with CMDs compared to their Swedish-born counterparts warrants health literacy programs for refugees and training in transcultural psychiatry for healthcare professionals.
- Subjects :
- REMAIN
medicine.medical_specialty
Health (social science)
Refugee
Social Psychology
Adolescent
Epidemiology
Health literacy
Antidepressant
Common mental disorders
03 medical and health sciences
Pensions
0302 clinical medicine
Sick leave
medicine
Humans
030212 general & internal medicine
Migration
Multinomial logistic regression
Sweden
Refugees
Original Paper
Disability pension
business.industry
Mental Disorders
Antidepressive Agents
030227 psychiatry
Psychiatry and Mental health
Population study
Transcultural Psychiatry
business
Demography
Subjects
Details
- ISSN :
- 14339285
- Volume :
- 57
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Social psychiatry and psychiatric epidemiology
- Accession number :
- edsair.doi.dedup.....054e698a2305bb54f641fdf59e4cf2f9