Scandinavian Journal of Public Health
Volume 42, Issue 8, 2014, Pages 734-742

A case–control study of self-reported health, quality-of-life and general functioning among recent immigrants and age- and sex-matched Swedish-born controls (Article)

Löfvander M.* , Rosenblad A. , Wiklund T. , Leppert J. , Bennström H.
  • a Centre for Clinical Research Vastmanland - Uppsala University, Center for Family Medicine, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Department of Public Health and Caring Sciences, Family and Preventive Medicine, Uppsala University, Sweden
  • b Centre for Clinical Research Vastmanland - Uppsala University, Sweden
  • c Centre for Clinical Research Vastmanland - Uppsala University, Sweden
  • d Centre for Clinical Research Vastmanland - Uppsala University, Sweden
  • e Centre for Asylum and Integration Health, Sweden

Abstract

Aim: To examine whether new immigrants had inferior quality-of-life, well-being and general functioning compared with Swedish age- and sex-matched controls. Methods: A prospective case–control study was designed including immigrants from non-European countries, 18–65 years of age, with recent Permanent Permits to Stay (PPS) in Sweden, and age- and sex-matched Swedish-born (SB) persons from the general population in Västmanland County, Sweden. The General Health Questionnaire (GHQ-12), the brief version of the World Health Organization Quality-of-Life (WHOQOL-BREF) Scale and the General Activity Functioning Assessment Scale (GAF) from DSM-IV were posted (SB), or applied in personal interviews (PPS) with interpreters. Differences between the PPS and SB groups were measured using McNemar's test and Wilcoxon signed-rank test conducted separately for observations at baseline, 6- and 12-month follow-up. Results: There were 93 pairs (mean age 36 years). Persons from Somalia (67%) and Iraq (27%) dominated the PPS group. The differences between the groups were statistically significant for all time points for the Psychological health and Social relationship domains of WHOQOL-BREF, and for the baseline and 6-month follow-up time points of GHQ-12 where the PPS-group had a higher degree of well-being, health and quality-of-life than the SB. This tendency applied for both sexes in the immigrant group. Conclusions: These new immigrants did not have inferior physical or psychological health, quality-of-life, well-being or social functioning compared with their age- and sex-matched Swedish born pairs during a 1-year follow-up. Thus, there is reason to advocate immigrants' fast integration into society. © 2014, the Nordic Societies of Public Health. All rights reserved.

Author Keywords

Immigrant Asylum Sweden Quality-of-Life level of functioning case–control study Ethnicity self-rated health immigrant status

Index Keywords

prospective study Follow-Up Studies follow up Prospective Studies human Self Report middle aged daily life activity statistics and numerical data Activities of Daily Living Iraq Time Factors Aged ethnology quality of life Young Adult Sweden Humans migrant Diagnostic Self Evaluation psychology Adolescent male Emigrants and Immigrants self evaluation female adult migration Somalia Emigration and Immigration Case-Control Studies case control study time

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84915807749&doi=10.1177%2f1403494814550175&partnerID=40&md5=2cf79459cc3f07384cbb3430a648a0f5

DOI: 10.1177/1403494814550175
ISSN: 14034948
Cited by: 6
Original Language: English