Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study

Background Young migrants face multiple challenges that can affect their mental, sexual and reproductive health. Objective To assess the prevalence of self-reported poor mental health and its associated demographic, post-migration and sexual risk behaviour factors among young migrants (aged 15–25) i...

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Main Authors: Sara Causevic, Anna Mia Ekström, Nicola Orsini, Anna Kagesten, Susanne Strömdahl, Mariano Salazar
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
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Online Access:http://dx.doi.org/10.1080/16549716.2023.2294592
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author Sara Causevic
Anna Mia Ekström
Nicola Orsini
Anna Kagesten
Susanne Strömdahl
Mariano Salazar
author_facet Sara Causevic
Anna Mia Ekström
Nicola Orsini
Anna Kagesten
Susanne Strömdahl
Mariano Salazar
author_sort Sara Causevic
collection DOAJ
description Background Young migrants face multiple challenges that can affect their mental, sexual and reproductive health. Objective To assess the prevalence of self-reported poor mental health and its associated demographic, post-migration and sexual risk behaviour factors among young migrants (aged 15–25) in Sweden. Methods Data were drawn from a cross-sectional survey conducted with migrants aged 15–65 years old in Sweden between December 2018 and November 2019 (n = 6449). Among these, 990 participants aged 15–25 were eligible for the study. Mental health was measured using the Refugee Health Screener-13. Missing data indicator analysis and multivariable logistic regression models were conducted to estimate the association between mental health, sexual risk behaviour, demographic and migration-related variables. Results Of the 990 participants, 59% reported poor mental health. Participants reporting poor mental health were more likely to be female (AOR:1.63, 95% CI:1.18–2.25), to have lived in Sweden more than three years (AOR:2.16, 95% CI:1.17–3.97), to engage in any sexual risk behaviour (AOR:1.99, 95% CI:1.25–3.17), and to live alone (AOR:1.95, 95% CI:1.25–3.03) or with friends they already knew (AOR:1.60, 95% CI:1.37–4.91). People arriving from the Americas (AOR:0.54, 95% CI:0.33–0.88), Asia (AOR:0.44, 95% CI:0.22–0.86), Europe (AOR:0.30, 95% CI:0.14–0.61) and Africa (AOR 0.37, 95% CI: 0.23–0.60) had lower odds of poor mental health than those arriving from Syria. Conclusion The prevalence of poor mental health among young migrants in Sweden was high, with specific subgroups (women, asylum seekers, people arriving from Syria, and those residing longer in Sweden) being particularly vulnerable. Our results indicate the interconnectedness between poor mental health and sexual risk behaviour in this population. Thus, policies targeting young migrants should ensure that healthcare services screen for both poor sexual and mental health at the same time.
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spelling doaj-art-b9eafa7c138c42f68a886369111ab91e2025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2023.22945922294592Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional studySara Causevic0Anna Mia Ekström1Nicola Orsini2Anna Kagesten3Susanne Strömdahl4Mariano Salazar5Stockholm UniversityKarolinska Institutet, Widerströmska husetKarolinska Institutet, Widerströmska husetKarolinska Institutet, Widerströmska husetKarolinska Institutet, Widerströmska husetKarolinska Institutet, Widerströmska husetBackground Young migrants face multiple challenges that can affect their mental, sexual and reproductive health. Objective To assess the prevalence of self-reported poor mental health and its associated demographic, post-migration and sexual risk behaviour factors among young migrants (aged 15–25) in Sweden. Methods Data were drawn from a cross-sectional survey conducted with migrants aged 15–65 years old in Sweden between December 2018 and November 2019 (n = 6449). Among these, 990 participants aged 15–25 were eligible for the study. Mental health was measured using the Refugee Health Screener-13. Missing data indicator analysis and multivariable logistic regression models were conducted to estimate the association between mental health, sexual risk behaviour, demographic and migration-related variables. Results Of the 990 participants, 59% reported poor mental health. Participants reporting poor mental health were more likely to be female (AOR:1.63, 95% CI:1.18–2.25), to have lived in Sweden more than three years (AOR:2.16, 95% CI:1.17–3.97), to engage in any sexual risk behaviour (AOR:1.99, 95% CI:1.25–3.17), and to live alone (AOR:1.95, 95% CI:1.25–3.03) or with friends they already knew (AOR:1.60, 95% CI:1.37–4.91). People arriving from the Americas (AOR:0.54, 95% CI:0.33–0.88), Asia (AOR:0.44, 95% CI:0.22–0.86), Europe (AOR:0.30, 95% CI:0.14–0.61) and Africa (AOR 0.37, 95% CI: 0.23–0.60) had lower odds of poor mental health than those arriving from Syria. Conclusion The prevalence of poor mental health among young migrants in Sweden was high, with specific subgroups (women, asylum seekers, people arriving from Syria, and those residing longer in Sweden) being particularly vulnerable. Our results indicate the interconnectedness between poor mental health and sexual risk behaviour in this population. Thus, policies targeting young migrants should ensure that healthcare services screen for both poor sexual and mental health at the same time.http://dx.doi.org/10.1080/16549716.2023.2294592mental healthsexual healthrefugeesadolescentrisk behaviour
spellingShingle Sara Causevic
Anna Mia Ekström
Nicola Orsini
Anna Kagesten
Susanne Strömdahl
Mariano Salazar
Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study
Global Health Action
mental health
sexual health
refugees
adolescent
risk behaviour
title Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study
title_full Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study
title_fullStr Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study
title_full_unstemmed Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study
title_short Prevalence and associated factors for poor mental health among young migrants in Sweden: a cross-sectional study
title_sort prevalence and associated factors for poor mental health among young migrants in sweden a cross sectional study
topic mental health
sexual health
refugees
adolescent
risk behaviour
url http://dx.doi.org/10.1080/16549716.2023.2294592
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