Evidence map›Paper›PMID 35597890›Full record

ArticleSocial psychiatry and psychiatric epidemiology2023

Neighbourhood socioeconomic disadvantage and psychiatric disorders among refugees: a population-based, quasi-experimental study in Denmark.

Else Foverskov, Justin S White, Marie Norredam, Trine Frøslev, Min Hee Kim, M Maria Glymour, Lars Pedersen, Henrik T Sørensen, Rita Hamad

Open access · greenAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
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  3. Social cohesion, social capital and mental health: current evidence and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
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  13. The social determinants of mental health and disorder: evidence, prevention and recommendations.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
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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

9 authors at 4 institutions in 2 countries.

Else FoverskovDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark. elfo@sund.ku.dk.ORCID http://orcid.org/0000-0003-4407-0759
Justin S WhitePhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-3388-9569
Marie NorredamDanish Research Centre for Migration, Department of Public Health, Ethnicity and Health, University of Copenhagen, Copenhagen, Denmark.
Trine FrøslevDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0003-1594-9959
Min Hee KimPhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-0829-1968
M Maria GlymourDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-9644-3081
Lars PedersenDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0002-9341-3888
Henrik T SørensenDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0003-4299-7040
Rita HamadPhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-0730-4077
Aarhus University Hospital · DKLee University · USUniversity of Copenhagen · DKUniversity of California, San Francisco · US

Funding

Using a Natural Experiment to Evaluate the Long-Term Effects of Neighborhood Deprivation on Alzheimer's Disease and Vascular Risk FactorsR01AG063385 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAMAD, RITA · 2019 to 2023
$2.8M
NIA NIH HHS R01 AG063385NIA NIH HHS R01AG063385
6 · The paper itself

Abstract

purposeRefugees are vulnerable to psychiatric disorders because of risk factors linked to migration. Limited evidence exist on the impact of the neighbourhood in which refugee resettle. We examined whether resettling in a socioeconomically disadvantaged neighbourhood increased refugees' risk of psychiatric disorders.

methodsThis register-based cohort study included 42,067 adults aged 18 years and older who came to Denmark as refugees during 1986-1998. Resettlement policies in those years assigned refugees in a quasi-random fashion to neighbourhoods across the country. A neighbourhood disadvantage index was constructed using neighbourhood-level data on income, education, unemployment, and welfare receipt. Main outcomes were psychiatric diagnoses and psychiatric medication usage ascertained from nationwide patient and prescription drug registers, with up to 30-year follow-up. Associations of neighbourhood disadvantage with post-migration risk of psychiatric disorders were examined using Cox proportional hazards and linear probability models adjusted for individual, family, and municipality characteristics.

resultsThe cumulative risk of psychiatric diagnoses and medication was 13.7% and 46.1%, respectively. Refugees' risk of psychiatric diagnoses and psychiatric medication usage was higher among individuals assigned to high-disadvantage compared with low-disadvantage neighbourhoods in analyses including fixed effects for assigned municipality (psychiatric diagnoses: hazard ratio (HR) = 1.14, 95% CI 1.04, 1.25; psychiatric medication: HR = 1.05, 95% CI 1.00, 1.11). Consistent results were found using linear probability models. Results for diagnostic categories and subclasses of medications suggested that the associations were driven by neurotic and stress-related disorders and use of anxiolytic medications.

conclusionResettlement in highly disadvantaged neighbourhoods was associated with an increase in refugees' risk of psychiatric disorders, suggesting that targeted placement of newly arrived refugees could benefit refugee mental health. The results contribute quasi-experimental evidence to support links between neighbourhood characteristics and health.

Indexed as

Mental DisordersRefugeesAdultCohort StudiesDenmarkHumansNeighborhood CharacteristicsResidence CharacteristicsSocioeconomic Disparities in HealthSocioeconomic FactorsMental healthNeighbourhood disadvantagePsychiatric disordersQuasi-experimental designRefugees

Identifiers

PMID35597890
PMCPMC9676407
OpenAlexW4281256766

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.