Common Mental health issues among non-refugee migrants in Australia: a scoping review.

IF 3.6 2区 医学 Q1 PSYCHIATRY
Pritimoy Das, Colette Browning, Muhammad Aziz Rahman
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引用次数: 0

Abstract

Purpose: Mental health issues were the fourth leading cause of disease burden in Australia in 2022. About 30% of Australia's population are migrants, whose mental health is poorly understood. We aimed to report the prevalence and risk factors of common mental health issues among non-refugee migrants in Australia.

Methods: We reviewed studies published between 2000 and 2024 on mental health issues amongst migrants in Australia following the Arksey and O'Malley's methodological framework and PRISMA-ScR guidelines.

Results: Out of 3122 titles retrieved on mental health issues among migrants in Australia, 30 papers were selected. Migrants from Greece reported the highest prevalence (43.1%) of anxiety disorders than Australian-born (15.8%). The highest prevalence of psychological distress and depression were found amongst migrants from Lebanon (33%) and China (19%), respectively. Migrants from North-Africa, the Middle East, Italy, Greece, and Europe experienced a higher prevalence of psychological distress (18.2-21.9%) than Australian-born (12.4%). Prevalence of depression was higher among migrants from non-English-speaking backgrounds (19.7% vs. 10%), Sub-Saharan Africa (18.8% vs. 9.3%), Italy (18% vs. 10%), Greece (17.1% vs. 4.1%), and China (10% vs. 3%), compared to Australian-born people, respectively. The way that risk factors were reported differed across studies. Anxiety disorders were associated with higher stress (p < 0.05), unemployment (OR 1.8, 95%CI:1.4-2.4), female gender (OR 2.13, 95%CI:1.64-2.76) unmarried status (p < 0.01) and poor physical health status (OR 7.35, 95%CI:3.86-14.01). Psychological distress was associated with being a single woman (OR 6.54, 95%CI:1.18-35.3), holding a temporary visa (p < 0.01), being economically inactive (p < 0.01) and having rare contact with friends (AOR 2.083, p < 0.001). Depression was associated with migrants who were never married (OR 4.11, 95%CI:1.59-10.65), younger or older (p < 0.001), female (OR 2.3, 95%CI:1.9-2.7), from non-English speaking countries (OR 2.41, 95%CI:1.14-5.10) and reported poor physical health (OR 3.55, 95%CI:1.60-7.88).

Conclusion: The high prevalence of mental health issues among non-refugee migrants necessitates revisiting strategies to tailor interventions appropriate for their mental health needs.

澳大利亚非难民移民中常见的心理健康问题:范围审查。
目的:2022年,心理健康问题是澳大利亚疾病负担的第四大原因。大约30%的澳大利亚人口是移民,他们的心理健康状况鲜为人知。我们的目的是报告澳大利亚非难民移民中常见心理健康问题的患病率和危险因素。方法:根据Arksey和O'Malley的方法框架和PRISMA-ScR指南,我们回顾了2000年至2024年间发表的关于澳大利亚移民心理健康问题的研究。结果:在检索到的有关澳大利亚移民心理健康问题的3122篇论文中,选择了30篇论文。来自希腊的移民报告的焦虑症患病率最高(43.1%),高于澳大利亚出生的移民(15.8%)。心理困扰和抑郁患病率最高的分别是黎巴嫩移民(33%)和中国移民(19%)。来自北非、中东、意大利、希腊和欧洲的移民的心理困扰患病率(18.2-21.9%)高于澳大利亚出生的移民(12.4%)。与澳大利亚出生的人相比,来自非英语背景的移民的抑郁症患病率分别更高(19.7%对10%)、撒哈拉以南非洲(18.8%对9.3%)、意大利(18%对10%)、希腊(17.1%对4.1%)和中国(10%对3%)。不同研究报告风险因素的方式不同。结论:非难民移民中心理健康问题的高发需要重新审视策略,以量身定制适合其心理健康需求的干预措施。
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来源期刊
CiteScore
8.50
自引率
2.30%
发文量
184
审稿时长
3-6 weeks
期刊介绍: Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.
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