International Journal for Equity in Health
Volume 18, Issue 1, 2019

Antidepressant medication use among working age first-generation migrants resident in Finland: An administrative data linkage study (Article) (Open Access)

Bosqui T.* , Väänänen A. , Buscariolli A. , Koskinen A. , O'Reilly D. , Airila A. , Kouvonen A.
  • a Department of Psychology, American University of Beirut, Beirut, Lebanon, Administrative Data Research Centre - Northern Ireland, Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom
  • b Finnish Institute of Occupational Health, Helsinki, Finland, School of Social Policy, Sociology and Social Research, University of Kent, Canterbury, United Kingdom
  • c Faculty of Social Sciences, University of Helsinki, Helsinki, Finland, Finnish Institute of Occupational Health, Helsinki, Finland
  • d Finnish Institute of Occupational Health, Helsinki, Finland
  • e Administrative Data Research Centre - Northern Ireland, Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom, UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University Belfast, Belfast, United Kingdom
  • f Finnish Institute of Occupational Health, Helsinki, Finland
  • g Administrative Data Research Centre - Northern Ireland, Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland, SWPS University of Social Sciences and Humanities in Wroclaw, Wroclaw, Poland

Abstract

Background: A higher risk of common mental health disorders has been found for first-generation migrants in high income countries, but few studies have examined the use of mental health care. This study aimed to identify the level of antidepressant use amongst the largest first generation migrant groups resident in Finland. Methods: This cohort study used record-based data linkage methodology to examine the hazard of antidepressant use between migrant groups in Finland using Cox proportional hazard models. Data was derived using socio-demographic and prescription data from Statistics Finland and the Finnish Population Registry. The cohort included a random sample of 33% of the working age population in 2007 (N = 1,059,426, 49.8% women, 2.5% migrants) and dispensed antidepressant prescriptions from 2008 to 2014. Results: After adjustment for socio-demographic characteristics, results show higher antidepressant use for female migrants from North Africa and the Middle East compared to the Finland-born majority, a similar level of use for migrants from Western countries, and lower use for migrants from other non-Western countries. Conclusions: The gender and country of origin dependent use of antidepressant medication is discussed in terms of socio-political and cultural between-group differences. Recommendations are made to address inequalities in accessing services, particularly for migrants from non-Western countries. © 2019 The Author(s).

Author Keywords

Mental health Antidepressants Migrants Finland

Index Keywords

Finland working age mental disorder health risk gender disparity mental health human middle aged Middle East priority journal groups by age prescription socioeconomic conditions Young Adult migrant male female migratory population population research cultural factor Article health care adult North Africa drug use cohort analysis antidepressant agent sex
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073471662&doi=10.1186%2fs12939-019-1060-9&partnerID=40&md5=453594bf6760693c8b5510d65a43bea6
DOI: 10.1186/s12939-019-1060-9
ISSN: 14759276
Original Language: English