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International Journal of Social Psychiatry
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Article

Immigrant- and non-immigrant-specific factors’ association with mental ill health among immigrants in Sweden

Petter Tinghög1*, Suad Al-Saffar2, John Carstensen1, and Lennart Nordenfelt1

1 Department of Health and Society, Linköping University, Linköping, Sweden
2 Section of Psychiatry, Neurotec Institution, Karolinska Institutet, Stockholm, Sweden

* To whom correspondence should be addressed. E-mail: petter.tinghog{at}ihs.liu.se.


   Abstract

Background: It has often been shown that immigrants are particularly at risk for mental ill health. The aim of the study was to investigate the association of immigrant- and non-immigrant-specific factors with mental ill health within a diverse immigrant population.

Method: An extensive questionnaire was sent out to a stratified random sample of three immigrant populations from Finland, Iraq and Iran. The 720 respondents completed a Swedish, Arabic or Farsi (Persian) version of the questionnaire including the WHO (10) Well-Being Index and the HSCL-25.

Results: The results indicate that mental ill health among immigrants is independently associated with non-immigrant-specific factors (i.e. high number of types of traumatic episodes, divorced/widowed, poor social network, economic insecurity and being female) and immigrant-specific factors (i.e. low level of socio-cultural adaptation). These results were obtained regardless of whether mental ill health was operationalized as low subjective well-being or a high symptom level of anxiety/depression.

Conclusions: These findings support the notion that mental ill health among immigrants is a multi-faceted phenomenon that needs to be tackled within a wide range of sectors – e.g. the healthcare system, the social service sector and, of course, the political arena.

First published on July 10, 2009, doi:10.1177/0020764008096163
This version was published on August 19, 2009


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