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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 4/2020

28.10.2019 | Original Paper

Psychological distress among migrant groups in Australia: results from the 2015 National Health Survey

verfasst von: Bianca Brijnath, Josefine Antoniades, Jeromey Temple

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 4/2020

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Abstract

Purpose

To understand the relationship between migration and psychological distress, we (a) calculated the prevalence of psychological distress in specific migrant groups, and (b) examined the association between specific birth groups and psychological distress, while controlling for confounding variables to understand vulnerabilities across migrant groups.

Methods

The prevalence of psychological distress, disaggregated by birthplace, was calculated using data from the Australian 2015 National Health Survey, which measures psychological distress via the Kessler Screening Scale for Psychological Distress (K10). Multivariable logistic regression models, with adjustments for complex survey design, were fitted to examine the association between country of birth and psychological distress once extensive controls for demographic, and socioeconomics factors were included.

Results

14,466 individuals ≥ 18 years completed the K10. Migrants from Italy (20.7%), Greece (20.4%), Southern and Eastern European (18.2%), and North African and Middle Eastern (21.9%) countries had higher prevalence estimates of distress compared to Australian born (12.4%) or those born in the United Kingdom (UK) (9.5%)—the largest migrant group in Australia. After adjusting for demographics, SES factors, duration in Australia, a birthplace in Italy (OR = 2.79 95% CI 1.4, 5.7), Greece (OR = 2.46 95% CI 1.1, 5.5), India (OR = 2.28 95% CI 1.3, 3.9), Southern and Eastern Europe (excluding Greece and Italy) (OR = 2.43 95% CI 1.5, 3.9), North Africa and the Middle East (OR = 3.39 95% CI 1.9, 6.2) was associated with increased odds of distress relative to those born in the UK.

Conclusions

Illuminating variability in prevalence of psychological distress across migrant communities, highlights vulnerabilities in particular migrant groups, which have not previously been described. Identifying such communities can aid mental health policy-makers and service providers provide targeted culturally appropriate care.
Literatur
2.
Zurück zum Zitat Bhugra D, Tasman A, Pathare S, Priebe S, Smith S, Torous J, Arbuckle MR, Langford A, Alarcón RD, Chiu HFK, First MB, Kay J, Sunkel C, Thapar A, Udomratn P, Baingana FK, Kestel D, Ng RMK, Patel A, Picker LD, McKenzie KJ, Moussaoui D, Muijen M, Bartlett P, Davison S, Exworthy T, Loza N, Rose D, Torales J, Brown M, Christensen H, Firth J, Keshavan M, Li A, Onnela J-P, Wykes T, Elkholy H, Kalra G, Lovett KF, Travis MJ, Ventriglio A (2017) The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. Lancet Psychiatry 4(10):775–818. https://doi.org/10.1016/S2215-0366(17)30333-4 CrossRefPubMed Bhugra D, Tasman A, Pathare S, Priebe S, Smith S, Torous J, Arbuckle MR, Langford A, Alarcón RD, Chiu HFK, First MB, Kay J, Sunkel C, Thapar A, Udomratn P, Baingana FK, Kestel D, Ng RMK, Patel A, Picker LD, McKenzie KJ, Moussaoui D, Muijen M, Bartlett P, Davison S, Exworthy T, Loza N, Rose D, Torales J, Brown M, Christensen H, Firth J, Keshavan M, Li A, Onnela J-P, Wykes T, Elkholy H, Kalra G, Lovett KF, Travis MJ, Ventriglio A (2017) The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. Lancet Psychiatry 4(10):775–818. https://​doi.​org/​10.​1016/​S2215-0366(17)30333-4 CrossRefPubMed
3.
Zurück zum Zitat Chen W, Hall BJ, Ling L, Renzaho AMN (2017) Pre-migration and post-migration factors associated with mental health in humanitarian migrants in Australia and the moderation effect of post-migration stressors: findings from the first wave data of the BNLA cohort study. Lancet Psychiatry 4(3):218–229. https://doi.org/10.1016/S2215-0366(17)30032-9 CrossRefPubMed Chen W, Hall BJ, Ling L, Renzaho AMN (2017) Pre-migration and post-migration factors associated with mental health in humanitarian migrants in Australia and the moderation effect of post-migration stressors: findings from the first wave data of the BNLA cohort study. Lancet Psychiatry 4(3):218–229. https://​doi.​org/​10.​1016/​S2215-0366(17)30032-9 CrossRefPubMed
4.
Zurück zum Zitat Steel Z, Chey T, Silove D, Marnane C, Bryant RA, Van Ommeren M (2009) Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA 302(5):537–549CrossRef Steel Z, Chey T, Silove D, Marnane C, Bryant RA, Van Ommeren M (2009) Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA 302(5):537–549CrossRef
5.
Zurück zum Zitat Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32(6):959–976CrossRef Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32(6):959–976CrossRef
6.
Zurück zum Zitat Bloch S, Green SA, Janca A, Mitchell PB, Robertson M (2017) Foundations of Clinical Psychiatry, 4th edn. Melbourne Univ Publishing, Melbourne Bloch S, Green SA, Janca A, Mitchell PB, Robertson M (2017) Foundations of Clinical Psychiatry, 4th edn. Melbourne Univ Publishing, Melbourne
7.
Zurück zum Zitat Barnes DM, Bates LM (2017) Do racial patterns in psychological distress shed light on the Black-White depression paradox? A systematic review. Soc Psychiatry Psychiatr Epidemiol 52(8):913–928CrossRef Barnes DM, Bates LM (2017) Do racial patterns in psychological distress shed light on the Black-White depression paradox? A systematic review. Soc Psychiatry Psychiatr Epidemiol 52(8):913–928CrossRef
9.
Zurück zum Zitat Payton AR (2009) Mental health, mental illness, and psychological distress: same continuum or distinct phenomena? J Health Soc Behav 50(2):213–227CrossRef Payton AR (2009) Mental health, mental illness, and psychological distress: same continuum or distinct phenomena? J Health Soc Behav 50(2):213–227CrossRef
10.
Zurück zum Zitat Sunderland M, Slade T, Stewart G, Andrews G (2011) Estimating the prevalence of DSM-IV mental illness in the Australian general population using the Kessler Psychological Distress Scale. Aust N Z J Psychiatry 45(10):880–889CrossRef Sunderland M, Slade T, Stewart G, Andrews G (2011) Estimating the prevalence of DSM-IV mental illness in the Australian general population using the Kessler Psychological Distress Scale. Aust N Z J Psychiatry 45(10):880–889CrossRef
16.
Zurück zum Zitat Hanefeld J, Vearey J, Lunt N, Bell S, Blanchet K, Duclos D, Ghilardi L, Horsfall D, Howard N, Adams JH, Kamndaya M, Lynch C, Makandwa T, McGrath N, Modesinyane M, O’Donnell K, Siriwardhana C, Smith R, Testa A, Vanyoro K, Walls H, Wickramage KP, Zimmermann C (2017) A global research agenda on migration, mobility, and health. Lancet 389(10087):2358–2359. https://doi.org/10.1016/S0140-6736(17)31588-X CrossRefPubMed Hanefeld J, Vearey J, Lunt N, Bell S, Blanchet K, Duclos D, Ghilardi L, Horsfall D, Howard N, Adams JH, Kamndaya M, Lynch C, Makandwa T, McGrath N, Modesinyane M, O’Donnell K, Siriwardhana C, Smith R, Testa A, Vanyoro K, Walls H, Wickramage KP, Zimmermann C (2017) A global research agenda on migration, mobility, and health. Lancet 389(10087):2358–2359. https://​doi.​org/​10.​1016/​S0140-6736(17)31588-X CrossRefPubMed
19.
Zurück zum Zitat Department of Economic and Social Affairs Population Division (2015) International migrant stock 2015. United Nations New York Department of Economic and Social Affairs Population Division (2015) International migrant stock 2015. United Nations New York
23.
Zurück zum Zitat Kelaher MA, Ferdinand AS, Paradies Y (2014) Experiencing racism in health care: the mental health impacts for Victorian Aboriginal communities. Med J Australia 201(1):44–47CrossRef Kelaher MA, Ferdinand AS, Paradies Y (2014) Experiencing racism in health care: the mental health impacts for Victorian Aboriginal communities. Med J Australia 201(1):44–47CrossRef
25.
Zurück zum Zitat Anderson TM, Sunderland M, Andrews G, Titov N, Dear BF, Sachdev PS (2013) The 10-item kessler psychological distress scale (K10) as a screening instrument in older individuals. Am J Geriatr Psychiatry 21(7):596–606CrossRef Anderson TM, Sunderland M, Andrews G, Titov N, Dear BF, Sachdev PS (2013) The 10-item kessler psychological distress scale (K10) as a screening instrument in older individuals. Am J Geriatr Psychiatry 21(7):596–606CrossRef
33.
Zurück zum Zitat Belsley D, Kuh E, Welsch R (1980) Regression diagnostics: Identifying influential data and sources of collinearity. John Wiley & Sons Inc, New YorkCrossRef Belsley D, Kuh E, Welsch R (1980) Regression diagnostics: Identifying influential data and sources of collinearity. John Wiley & Sons Inc, New YorkCrossRef
34.
Zurück zum Zitat Hosmer DW, Hosmer T, Le Cessie S, Lemeshow S (1997) A comparison of goodness-of-fit tests for the logistic regression model. Stat Med 16(9):965–980CrossRef Hosmer DW, Hosmer T, Le Cessie S, Lemeshow S (1997) A comparison of goodness-of-fit tests for the logistic regression model. Stat Med 16(9):965–980CrossRef
35.
Zurück zum Zitat Wolter K (1985) Introduction to variance estimation. Springer, New York Wolter K (1985) Introduction to variance estimation. Springer, New York
40.
Zurück zum Zitat Karasz A (2005) Cultural differences in conceptual models of depression. Soc Sci Med 60(7):1625–1635CrossRef Karasz A (2005) Cultural differences in conceptual models of depression. Soc Sci Med 60(7):1625–1635CrossRef
41.
Zurück zum Zitat Kleinman A, Good BJ (1985) Culture and depression: Studies in the anthropology and cross-cultural psychiatry of affect and disorder. Comparative studies of health systems and medical care. University of California Press, Berkeley Kleinman A, Good BJ (1985) Culture and depression: Studies in the anthropology and cross-cultural psychiatry of affect and disorder. Comparative studies of health systems and medical care. University of California Press, Berkeley
Metadaten
Titel
Psychological distress among migrant groups in Australia: results from the 2015 National Health Survey
verfasst von
Bianca Brijnath
Josefine Antoniades
Jeromey Temple
Publikationsdatum
28.10.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 4/2020
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-019-01782-y

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