Suicide and Self-Harm Among Immigrant Youth to Ontario, Canada From Muslim Majority Countries: A Population-Based Study.

IF 3.3 3区 医学 Q2 PSYCHIATRY
Natasha Saunders, Rachel Strauss, Sarah Swayze, Alex Kopp, Paul Kurdyak, Zainab Furqan, Arfeen Malick, Muhammad Ishrat Husain, Mark Sinyor, Juveria Zaheer
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引用次数: 0

Abstract

Objective: To examine the association between Muslim religious affiliation and suicide and self-harm presentations among first- and second-generation immigrant youth.

Methods: We performed a population-based cohort study involving individuals aged 12 to 24 years, living in Ontario, who immigrated to Canada between 1 January 2003 and 31 May 2017 (first generation) and those born to immigrant mothers (second generation). Health administrative and demographic data were used to analyze suicide and self-harm presentations. Sex-stratified logistic regression models generated odds ratios (OR) for suicide and negative binomial regression models generated rate ratios (aRR) for self-harm presentations, adjusting for refugee status and time since migration.

Results: Of 1,070,248 immigrant youth (50.1% female), there were 129,919 (23.8%) females and 129,446 (24.2%) males from Muslim-majority countries. Males from Muslim-majority countries had lower suicide rates (3.8/100,000 person years [PY]) compared to males from Muslim-minority countries (5.9/100,000 PY) (OR: 0.62, 95% CI, 0.42-0.92). Rates of suicide between female Muslim-majority and Muslim-minority groups were not different (Muslim-majority 1.8/100,000 PY; Muslim-minority 2.2/100,000 PY) (OR: 0.82, 95% CI, 0.46-1.47). Males from Muslim-majority countries had lower rates of self-harm presentations than males from Muslim-minority (<10%) countries (Muslim majority: 12.2/10,000 PY, Muslim-minority: 14.1/10,000 PY) (aRR: 0.82, 95% CI, 0.75, 0.90). Among female immigrants, rates of self-harm presentations were not different among Muslim-majority (30.1/10,000 PY) compared to Muslim-minority (<10%) (32.9/10,000 PY) (aRR: 0.93, 95% CI, 0.87-1.00) countries. For females, older age at immigration conferred a lower risk of self-harm presentations.

Conclusion: Being a male from a Muslim-majority country may confer protection from suicide and self-harm presentations but the same was not observed for females. Approaches to understanding the observed sex-based differences are warranted.

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穆斯林占多数的国家移民到加拿大安大略省的青年自杀和自残:一项基于人口的研究。
目的:研究穆斯林宗教信仰与第一代和第二代移民青年自杀和自残表现之间的关系。方法:我们进行了一项基于人群的队列研究,涉及2003年1月1日至2017年5月31日期间移民加拿大的12至24岁安大略省居民(第一代)和移民母亲所生的人(第二代)。卫生行政和人口统计数据用于分析自杀和自残表现。性别分层逻辑回归模型生成自杀的优势比(OR),负二项回归模型生成自残表现的比率比(aRR),并根据难民身份和移民后的时间进行调整。结果:在1070248名移民青年(50.1%的女性)中,有129919名(23.8%)女性和129446名(24.2%)男性来自穆斯林占多数的国家。穆斯林占多数国家的男性自杀率(3.8/10万人年[PY])低于穆斯林少数国家的男性(5.9/10万年)(OR:0.62,95%CI,0.42-0.92)。穆斯林占多数的女性和穆斯林少数群体的自杀率没有差异(穆斯林占多数1.8/10万年;穆斯林少数群体2.2/10万年])(OR=0.82,95%CI,0.46-1.47)穆斯林占多数的国家的自残表现率低于穆斯林少数民族的男性(结论:作为穆斯林占多数国家的男性,可以保护自己免受自杀和自残表现的伤害,但女性却没有这样做。有必要了解观察到的基于性别的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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