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Are migrants diagnosed with a trauma-related disorder at risk of premature mortality? A register-based cohort study in Denmark.
Bager, Line; Agerbo, Esben; Skipper, Niels; Larsen, Janne Tidselbak; Laursen, Thomas Munk.
Afiliación
  • Bager L; NCRR - National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark.
  • Agerbo E; Department of Rehabilitation, DIGNITY - Danish Institute Against Torture.
  • Skipper N; NCRR - National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark.
  • Larsen JT; CIRRAU - Centre for Integrated Register-based Research, Aarhus University, Aarhus, Denmark.
  • Laursen TM; Department of Economics and Business Economics, Business and Social Sciences, Aarhus University, Denmark.
J Migr Health ; 8: 100197, 2023.
Article en En | MEDLINE | ID: mdl-37496744
Background: Mental illness is common among refugees displaced by conflict and war. While evidence points to the relatively good health in terms of longevity of migrants resettled in the destination country, less is known about the mortality of the most vulnerable migrants with a trauma-related diagnosis alone and those with an additional comorbid psychotic disorder. This study aimed to provide an overview of the number and mortality of foreign-born individuals diagnosed with Post-Traumatic Stress Disorder or Enduring Personality Change after a Catastrophic Event (PTSD/EPCACE), a psychotic disorder or both. Methods: A nationwide register-based cohort study, including residents in Denmark, followed from 1 January 1995 to 31 December 2016. The exposure was PTSD/EPCACE and psychotic disorders as well as region of origin. Relative all-cause mortality was estimated using Cox proportional hazards regression models and calculated for migrants with one or both groups of disorders compared to those from the same region without the disorder. Results: During the study period, 6,580,000 individuals (50.4% women) were included in the cohort. Of these 1,249,654 (50.5% women) died during follow-up. For men and women from the former Yugoslavia, the Middle East and Northern Africa, a PTSD/EPCACE diagnosis alone or with comorbid psychotic disorder was not associated with increased mortality after adjusting for region of origin. A psychotic disorder alone, however, was associated with an increased mortality rate. Conclusion: Despite the severity of many refugees' traumatic experiences, a diagnosis of a trauma-related psychiatric disorder did not appear to increase the mortality rates.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Idioma: En Revista: J Migr Health Año: 2023 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Reino Unido
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Idioma: En Revista: J Migr Health Año: 2023 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Reino Unido