Evidence map›Paper›PMID 34319406›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Mental health service use among migrant and Swedish-born children and youth: a register-based cohort study of 472,129 individuals in Stockholm.

Ester Gubi, Hugo Sjöqvist, Karima Viksten-Assel, Sofie Bäärnhielm, Christina Dalman, Anna-Clara Hollander

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ester GubiDepartment of Global Public Health, Karolinska Institutet, 171 77, Stockholm, Sweden. ester.gubi@ki.se.ORCID http://orcid.org/0000-0002-1165-0813
Hugo SjöqvistDepartment of Global Public Health, Karolinska Institutet, 171 77, Stockholm, Sweden.
Karima Viksten-AsselDepartment of Global Public Health, Karolinska Institutet, 171 77, Stockholm, Sweden.
Sofie BäärnhielmTranscultural Centre, Region Stockholm, Stockholm, Sweden.
Christina DalmanDepartment of Global Public Health, Karolinska Institutet, 171 77, Stockholm, Sweden.
Anna-Clara HollanderDepartment of Global Public Health, Karolinska Institutet, 171 77, Stockholm, Sweden.
Karolinska Institutet · SECentre for Palaeogenetics · SE

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2016-00870Vetenskapsrådet 523-2010-1052
6 · The paper itself

Abstract

purposeMigrant children underutilize mental health services (MHS), but differences according to age, reason for migration, type of problem, and time have not been thoroughly analyzed. We aimed to explore utilization of MHS among migrant children and youth and to study if the hypothesized lower utilization could be explained by fewer neurodevelopmental assessments.

methodsA cohort of the population aged 0-24 years in Stockholm, comprising 472,129 individuals were followed for maximum 10 years, between January 1, 2006 and December 31, 2015. We categorized individuals as accompanied refugee migrants, unaccompanied refugee migrants and non-refugee migrants, or Swedish-born. We used survival and logistic analyses to estimate rates of utilization of MHS.

resultsMigrant children and youth utilized less MHS than the majority population, with hazard ratios ranging from 0.62 (95% CI: 0.57; 0.67) to 0.72 (95% CI: 0.69; 0.76). Refugee and non-refugee children utilized less mental health care than their Swedish peers, apart from the youngest refugees (0-10 years) who had similar utilization as Swedish-born. The lower rates were partly explained by all migrant youths' lower risk of being diagnosed with a neurodevelopmental condition. Time in Sweden had a major impact, such that unaccompanied refugee minors had a higher utilization in their first 2 years in Sweden (OR: 3.39, 95% CI: 2.96; 3.85).

conclusionMigrant youth use less MHS compared with native-born peers, and this is partly explained by fewer neurodevelopmental diagnoses. Strengthening the awareness about unmet needs, and the referring capacity by professionals in contact with migrant children could help reduce barriers to care.

Indexed as

Mental Health ServicesRefugeesTransients and MigrantsAdolescentChildCohort StudiesHumansSwedenChild and adolescent healthHealth services utilizationMental health and psychiatryMigrantsRefugees

Identifiers

PMID34319406
PMCPMC8761127
OpenAlexW3183468377

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.