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Absence of protective ethnic density effect on Ecuadorian migrants' mental health in a recent migration setting: a multilevel analysis.
Jarrín, Inma; García-Fulgueiras, Ana; Ibáñez-Rojo, Vicente; Alvarez, Débora; García-Pina, Rocío; Fernández-Liria, Alberto; García-Ortúzar, Visitación; Díaz, Domingo; Rodríguez-Arenas, Maria Angeles; Mazarrasa, Lucía; Zunzunegui, Maria Victoria; Llácer, Alicia; Del Amo, Julia.
Afiliação
  • Jarrín I; National Center of Epidemiology, Instituto de Salud Carlos III, Monforte de Lemos 5, 28029, Madrid, Spain. ijarrin@isciii.es
Soc Psychiatry Psychiatr Epidemiol ; 48(1): 95-103, 2013 Jan.
Article em En | MEDLINE | ID: mdl-22717594
PURPOSE: We aimed to study the association between the Ecuadorians' ethnic density (EED) of the areas of residence (AR) with the mental health of Ecuadorians in Spain. METHODS: Multilevel study of 568 Ecuadorian adults in 33 AR randomly selected from civil registries and interviewed at home. Possible psychiatric case (PPC) was measured by scoring ≥5 in General Health Questionnaire-28. Ecuadorians' ethnic density was dichotomized in high and low EED (<6 %). Multilevel logistic regression was used to estimate odds ratios (OR) and 95 % confidence intervals (CI). RESULTS: Prevalence of PPC, 24 % (95 %CI 20-28 %), varied by area of residence. Ecuadorians' ethnic density varied by area of residence ranging from 0.9 to 19.5 %. PPC prevalence in High Ecuadorians' ethnic density AR was 29.5 and 20.4 % in low EED AR (p 0.013). Ecuadorians from High EED AR had higher odds of PPC than those from Low EED AR (OR 1.65 95 %CI 1.01-2.72). Adjusting for individual confounders (largely self-perceived discrimination), OR decreased to 1.48 (95 %CI 0.87-2.55). The final model, adjusted by area of residence and educational level, yielded an OR 1.37 (95 %CI 0.78-2.40). CONCLUSIONS: No protective association between the Ecuadorians' ethnic density of the Area of residence and Ecuadorian migrants' mental health was found. Mechanisms underlying beneficial ethnic density effects may be absent in recent migration settings.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Meio Social / Migrantes / Saúde Mental / Densidade Demográfica / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Etiology_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Ecuador / Europa Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Assunto da revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Espanha País de publicação: Alemanha
Texto completo
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XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Meio Social / Migrantes / Saúde Mental / Densidade Demográfica / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Etiology_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Ecuador / Europa Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Assunto da revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Espanha País de publicação: Alemanha