The impact of immigration and visible minority status on psychosis symptom profile

Berg, Akiah Ottesen; Andreassen, Ole A.; Aminoff, Sofie Ragnhild; Romm, Kristin Lie; Hauff, Edvard; Melle, Ingrid

doi:10.1007/s00127-014-0897-x

Cited by 23 publications

(19 citation statements)

References 62 publications

(75 reference statements)

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“…Differences between migrants of Turkish and Polish vs. other countries of origin are consistent with the distinction between “visible” and “invisible minorities” [ 32 – 34 ] as elaborated in a North American context [ 16 – 18 ]. It was shown to make a difference whether the migrant is visibly different in the sense that his phenotype marks him as being different from the majority society of the country he has migrated to.…”

Section: Discussionsupporting

confidence: 75%

Depression, anxiety and suicidal ideation among 1st and 2nd generation migrants - results from the Gutenberg health study

et al. 2016

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BackgroundEven though migrants constitute a large proportion of the German population, there is a lack of representative studies on their mental health. Hence, the present study explored mental health characteristics and suicidal ideation comparing 1st and 2nd generation migrants to non-migrants and subgroups within 1st generation migrants.MethodsWe investigated cross-sectional data of 14,943 participants of the Gutenberg Health Study (GHS), a population-based, prospective, single-center cohort study in Mid-Germany (age 35 to 74 years). Migration status was assessed according to the German microcensus criteria. Depression and anxiety were measured by the PHQ (PHQ-8, GAD-2, Panic module), social anxiety by the Mini SPIN and Distressed Personality (Type D) by the DS-14. Suicidal ideation was assessed by the single item of the PHQ-9.ResultsA total of n = 3,525 participants had a migration background; the proportion of 1st generation (immigrated after 1949) migrants was 10.6 % (2nd generation 13 %). Among the 1st generation migrants those with Polish (N = 295) and Turkish (N = 141) origins were the largest groups from single countries. Controlling for sex, age and socioeconomic status, 1st generation migrants reported significantly more depression (OR 1.24; CI 1.01-1.52), generalized anxiety (OR 1.38; CI 1.13-1.68), panic attacks in the past 4 weeks (OR 1.43; CI 1.16-1.77); Type D (OR 1.28; CI 1.13-1.45) and suicidal ideation (1.44; CI 1.19-1.74) compared to non-migrants. The mental health of 2nd generation migrants did not differ from native Germans; they had the highest socioeconomic status of the three groups. Compared to native Germans, Turkish migrants of both sexes reported more depression and panic, particularly a strongly increased suicidal ideation (OR 3.02; CI 1.80-5.04) after taking sex, age, and socioeconomic status into account. Polish migrants only reported an increased rate of suicidal ideation and Type D. Turkish migrants exceeded Polish migrants regarding depression (OR = 2.61; 95 % CI 1.21-5.67), and panic attacks (OR=3.38; 95 % CI 1.45-7.85). In the subgroup analyses years lived in Germany was not significant.ConclusionsOne of few representative community studies shows that compared to native Germans depression, anxiety and suicidal ideation were more frequently reported by 1st generation migrants, particularly of Turkish origin. Overall, 2nd generation migrants appear to have adjusted successfully. Limitations refer to a lack of data for persons without German language skills and missing mental health data in the Turkish sample. Further analyses need to address causes of mental strains and health care needs and provision.

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Section: Discussionsupporting

confidence: 75%

Depression, anxiety and suicidal ideation among 1st and 2nd generation migrants - results from the Gutenberg health study

et al. 2016

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“…Immigrant heritage was categorized as European descent (Europe, Americas and Oceania) (n = 37), Asian descent (n = 28) or African descent (n = 15), as outlined in earlier publications. 16 The remainder of the participants, termed the reference group, were all born in Norway to Norwegian born parents and of European descent.…”

Section: Samplementioning

confidence: 99%

Psychosis: clinical insight and beliefs in immigrants in their first episode

Berg

Barrett

Nerhus

et al. 2015

Early Intervention Psych

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“…Because many people are considered Roma by members of the general population based on external traits, it seems to be a useful approach for interviewers to classify survey participants to prevent biases caused by refused admission of Roma ethnicity in self-reporting [ 32 , 33 ]. According to recent publications, non-self-reported ethnicity can be based on lifestyle [ 34 ], surname [ 35 ], and residence [ 36 , 37 , 38 , 39 , 40 ], but not on explicitly defined racial characteristics [ 41 , 42 , 43 , 44 , 45 , 46 , 47 ].…”

Section: Introductionmentioning

confidence: 99%

Is the Definition of Roma an Important Matter? The Parallel Application of Self and External Classification of Ethnicity in a Population-Based Health Interview Survey

Janka

Vincze

Ádány

et al. 2018

IJERPH

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The Roma population is typified by a poor and, due to difficulties in ethnicity assessment, poorly documented health status. We aimed to compare the usefulness of self-reporting and observer-reporting in Roma classification for surveys investigating differences between Roma and non-Roma populations. Both self-reporting and observer-reporting of Roma ethnicity were applied in a population-based health interview survey. A questionnaire was completed by 1849 people aged 18–64 years; this questionnaire provided information on 52 indicators (morbidity, functionality, lifestyle, social capital, accidents, healthcare use) indicators. Multivariate logistic regression models controlling for age, sex, education and employment were used to produce indicators for differences between the self-reported Roma (N = 124) and non-Roma (N = 1725) populations, as well as between observer-reported Roma (N = 179) and non-Roma populations (N = 1670). Differences between interviewer-reported and self-reported individuals of Roma ethnicity in statistical inferences were observed for only seven indicators. The self-reporting approach was more sensitive for two indicators, and the observer-reported assessment for five indicators. Based on our results, the self-reported identity can be considered as a useful approach, and the application of observer-reporting cannot considerably increase the usefulness of a survey, because the differences between Roma and non-Roma individuals are much bigger than the differences between indicators produced by self-reported or observer-reported data on individuals of Roma ethnicity.

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The impact of immigration and visible minority status on psychosis symptom profile

Cited by 23 publications

References 62 publications

Depression, anxiety and suicidal ideation among 1st and 2nd generation migrants - results from the Gutenberg health study

Depression, anxiety and suicidal ideation among 1st and 2nd generation migrants - results from the Gutenberg health study

Psychosis: clinical insight and beliefs in immigrants in their first episode

Is the Definition of Roma an Important Matter? The Parallel Application of Self and External Classification of Ethnicity in a Population-Based Health Interview Survey

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