2023-09-28 14:46:10 +00:00
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abstract: 'Background: The increasing mental health inequalities between native-
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and foreign-born persons in Sweden is an important public health issue.
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Improving social integration has been stressed as a key strategy to
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combat this development. While a vast amount of studies have confirmed
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the importance of social integration for good mental health, less is
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known about the role of different types of social integration, and how
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they relate to mental health inequalities. This study aimed to examine
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the extent to which indicators of social integration explained mental
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health inequalities between the native- and foreign-born.
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Methods: Based on the Health on Equal Terms survey from 2011/2015 in
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Vastra Gotaland, Sweden (n=71,643), a non-linear Oaxaca-Blinder
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decomposition analysis was performed comparing native- and foreign-born
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individuals from Nordic-, European- and non-European countries. The
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General Health Questionnaire was used to assess psychological distress,
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while 11 items assessed employment conditions and economic disparities,
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social relations, and experiences of discrimination to measure different
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aspects of social integration.
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Results: Differences in social integration explained large proportions
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of observed mental health differences between the native- and
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foreign-born. Important indicators included low levels of social
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activity (20\%), trust in others (17\%) and social support (16\%), but
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also labour market disadvantages, such as being outside the labour
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market (15\%), unemployment (10\%) and experiencing financial strain
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(16\%). In analyses stratified by region of origin, low trust in others
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and discrimination contributed to the mental health gap between the
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native-born and European-born (17 and 9\%, respectively), and the
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native-born and non-European-born (19 and 10\%, respectively).
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Precarious labour market position was a particularly important factor in
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the mental health gap between the native-born and Nordic-origin (22\%),
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and non-European origin (36\%) populations.
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Conclusion: Social integration factors play a central role in explaining
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the mental health inequality between natives and migrants in Sweden. Our
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findings suggest that public health actions targeting mental health gaps
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could benefit from focusing on inequalities in social and economic
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recourses between natives and migrants in Sweden. Areas of priority
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include improving migrants'' financial strain, as well as increasing
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trust in othersand social support and opportunities for civic
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engagement.'
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affiliation: 'Brydsten, A (Corresponding Author), Stockholm Univ, Karolinska Inst,
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Ctr Hlth Equ Studies CHESS, Dept Publ Hlth Sci, SE-10591 Stockholm, Sweden.
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Brydsten, Anna; Rostila, Mikael; Dunlavy, Andrea, Stockholm Univ, Karolinska Inst,
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Ctr Hlth Equ Studies CHESS, Dept Publ Hlth Sci, SE-10591 Stockholm, Sweden.'
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article-number: '48'
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author: Brydsten, Anna and Rostila, Mikael and Dunlavy, Andrea
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author-email: anna.brydsten@su.se
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author_list:
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- family: Brydsten
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given: Anna
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- family: Rostila
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given: Mikael
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- family: Dunlavy
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given: Andrea
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da: '2023-09-28'
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doi: 10.1186/s12939-019-0950-1
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eissn: 1475-9276
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files: []
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: 'Mental health inequality; Foreign-born; Social integration;
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Oaxaca-Blinder decomposition; Sweden'
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keywords-plus: 'IMMIGRANTS; UNEMPLOYMENT; MIGRANTS; HOSPITALIZATION; DIFFERENTIALS;
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DEPRESSION; MIGRATION; DISORDER; GENDER; INCOME'
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language: English
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month: APR 3
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number-of-cited-references: '62'
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orcid-numbers: Brydsten, Anna/0000-0002-4118-6441
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papis_id: bdfeefcd27983ccab2c4a7521aee822a
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ref: Brydsten2019socialintegration
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times-cited: '29'
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title: Social integration and mental health - a decomposition approach to mental health
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inequalities between the foreign-born and native-born in Sweden
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000463738400001
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usage-count-last-180-days: '3'
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usage-count-since-2013: '22'
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volume: '18'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2019'
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