First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women: a register-based study
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First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women : a register-based study. / Castaner, Maria Marti; Villadsen, Sarah Fredsted; Petersen, Jørgen Holm; Nørredam, Marie.
In: Social Psychiatry and Psychiatric Epidemiology, Vol. 56, 2021, p. 2239–2250.Research output: Contribution to journal › Journal article › Research › peer-review
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T1 - First perinatal psychiatric episode among refugee and family-reunified immigrant women compared to Danish-born women
T2 - a register-based study
AU - Castaner, Maria Marti
AU - Villadsen, Sarah Fredsted
AU - Petersen, Jørgen Holm
AU - Nørredam, Marie
N1 - Publisher Copyright: © 2021, Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2021
Y1 - 2021
N2 - Purpose: This study aimed at examining psychiatric morbidity in the perinatal period among refugees and family-reunified immigrants compared to Danish-born women, including predictors of psychiatric morbidity according to migration history. Methods: Inclusion criteria were women who had a residence permit in Denmark and gave birth to a live child between 1 April 1998 and 31 December 2014. The study included 7804 refugee women, 21,257 family-reunified women, and 245,865 Danish-born women. We estimated Odds Ratios (ORs) of having a first-time perinatal psychiatric episode (PPE) and specific risk for affective, psychotic, and neurotic disorders. Results: Compared with Danish-born women, women family-reunified with immigrants had lower (aOR 0.37, 95% CI 0.22–0.64) and refugees had higher ORs of PPE (OR 1.46, 95% CI 1.22–1.76). In fully adjusted models, refugees no longer presented increased risk of PPE (OR 1.16, 95% CI 0.95–1.42) but showed higher ORs for psychotic (aOR 4.72, 95% CI 2.18–9.84) and neurotic disorders (aOR 1.31, 95% CI 1.01–1.72). Women family-reunified with refugees and to Nordic citizens had higher ORs of psychotic disorders. Among migrants, refugees had higher ORs of PPE. Conclusions: Results suggest that elevation in risk of PPE among refugees compared to Danish-born may be related to higher likelihood of poverty and single-parenting among refugees. Still, refugees appear to have increased risk for neurotic and psychotic disorders. In contrast, family-reunified to immigrants may have lower risk of PPE. Maternal health programs need to focus on promotion of mental health and tackle social risks that disproportionately affect immigrant women, particularly refugees.
AB - Purpose: This study aimed at examining psychiatric morbidity in the perinatal period among refugees and family-reunified immigrants compared to Danish-born women, including predictors of psychiatric morbidity according to migration history. Methods: Inclusion criteria were women who had a residence permit in Denmark and gave birth to a live child between 1 April 1998 and 31 December 2014. The study included 7804 refugee women, 21,257 family-reunified women, and 245,865 Danish-born women. We estimated Odds Ratios (ORs) of having a first-time perinatal psychiatric episode (PPE) and specific risk for affective, psychotic, and neurotic disorders. Results: Compared with Danish-born women, women family-reunified with immigrants had lower (aOR 0.37, 95% CI 0.22–0.64) and refugees had higher ORs of PPE (OR 1.46, 95% CI 1.22–1.76). In fully adjusted models, refugees no longer presented increased risk of PPE (OR 1.16, 95% CI 0.95–1.42) but showed higher ORs for psychotic (aOR 4.72, 95% CI 2.18–9.84) and neurotic disorders (aOR 1.31, 95% CI 1.01–1.72). Women family-reunified with refugees and to Nordic citizens had higher ORs of psychotic disorders. Among migrants, refugees had higher ORs of PPE. Conclusions: Results suggest that elevation in risk of PPE among refugees compared to Danish-born may be related to higher likelihood of poverty and single-parenting among refugees. Still, refugees appear to have increased risk for neurotic and psychotic disorders. In contrast, family-reunified to immigrants may have lower risk of PPE. Maternal health programs need to focus on promotion of mental health and tackle social risks that disproportionately affect immigrant women, particularly refugees.
KW - Mental health
KW - Migrants
KW - Perinatal
KW - Refugee
KW - Women
U2 - 10.1007/s00127-021-02104-x
DO - 10.1007/s00127-021-02104-x
M3 - Journal article
C2 - 34008058
AN - SCOPUS:85105976266
VL - 56
SP - 2239
EP - 2250
JO - Social Psychiatry and Psychiatric Epidemiology
JF - Social Psychiatry and Psychiatric Epidemiology
SN - 0933-7954
ER -
ID: 270714623