Epidemiology of psychiatric morbidity among migrants compared to native born population in Spain: a controlled study

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• 作者：Adil Qureshi ; Ph.D.^a ; ^{aqureshi@vhebron.net} ; Francisco Collazos ; M.D.^a ; ^b ; Natalia Sobradiel ; Ph.D. ; M.D.^c ; Francisco Jose Eiroa-Orosa ; Ph.D.^b ; Mercedes Febrel ; Ph.D.^c ; Hilda Wara Revollo-Escudero ; M.Sc.^a ; Eva André ; s ; Ph.D.^c ; Mar&#237 ; a del Mar Ramos ; M.D.^a ; Miquel Roca ; M.D. ; Ph.D.^d ; Miguel Casas ; M.D. ; Ph.D.^a ; ^b ; Antoni Serrano-Blanco ; M.D. ; Ph.D.^e ; Javier I. Escobar ; M.D. ; Ph.D.^f ; Javier Garc&#237 ; a-Campayo ; M.D. ; Ph.D.^c
• 关键词：Migrants ; Psychopathology ; Epidemiology ; Transcultural psychiatry
• 刊名：General Hospital Psychiatry
• 出版年：2013
• 出版时间：January-February, 2013
• 年：2013
• 卷：35
• 期：1
• 页码：93-99
• 全文大小：321 K

文摘

Objective

The aim of this paper is to explore the prevalence of psychiatric morbidity in different immigrant groups in Spain. In keeping with prior studies carried out in Europe, it is expected that the immigrant population will have elevated levels of psychopathology, with some variation across immigrant groups.

Method

Design: Multicenter, observational, cross-sectional study. Setting: Primary care settings of two Spanish regions. Sample: N= 1.503 immigrants paired with the same number of Spanish controls, adjusted by gender and age. Variables: Demographic variables, MINI International Neuropsychiatric Interview and Standardized Polyvalent Psychiatric Interview, somatic symptoms section. Student's t tests, ORs and logistic regressions were used to analyze the data.

Results

No differences in psychiatric morbidity were found (native born 30.9 % , population vs. immigrants 29.6 % , OR=.942, CI=.806-1.100) when comparing immigrants to native born Spaniards. Relative to Spaniards (30.9 % ), Latin American immigrants had significantly higher levels of psychopathology (36.8 % ), Sub-Saharan Africans (24.4 % ) and Asians (16 % ) had significantly lower levels, and Eastern Europeans (31.4 % ) and North Africans (26.8 % ) showed no significant difference.

Conclusions

The hypotheses were only partially supported. Although overall immigrants did not differ from the native born population, when analyzed by geographic origin, only Latin Americans had higher levels of psychopathology. It is concluded that multiple factors need to be taken into consideration when studying the mental health of immigrants given that different immigrant groups have different levels of psychopathology.