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1.
Vínculo ; 18(2): 1-10, jul.-dez. 2021. ilus
Artigo em Espanhol | LILACS, Index Psicologia - Periódicos | ID: biblio-1341792

RESUMO

O trabalho é uma reflexão crítica sobre uma intervenção realizada no Centro Nocturno (Albergue) do Programa de Atención a Personas en Situación de Calle (PASC), do Ministerio de Desarrollo Social (MIDES, Uruguai) que visa à reinserção sociocultural/laboral dos usuários. Trabalhou-se com a equipe do albergue (coordenador, técnicos e educadores), a partir de uma demanda da Coordenação do Albergue ao Departamento de Fotolinguagem da Asociación de Psicopatología y Psiquiatría de la Infancia y la Adolescencia (APPIA). A metodologia combinou Fotolinguagem, Palavra e Psicodrama. O discurso dos participantes foi analisado salvaguardando a identidade dos participantes. Surgiram elementos que colocavam em risco a saúde ocupacional. Estes resultavam de uma tarefa altamente exigente, com insuficientes antecedentes e recursos disponíveis no sistema institucional. Trata-se de um trabalho pioneiro que exige a convivência com o erro em situações extremas. Foi observado um aumento da autoconfiança para desbravar um território desafiador. Foi valorizado o ato de fazer, de transcender e de criar saberes, assim como o conhecimento que surge da experiência para contribuir e trocar ideias com outras instituições e melhorar assim os programas de intervenção.


This work is a critical reflection on an intervention carried out at a night shelter of the Homeless Assistance Program (PASC), under the Ministry of Social Development (MIDES), aimed at the socio-cultural/labour reintegration of the users. The intervention was carried out with the work team (coordinator, technicians and educators) upon request of the Coordinator to the Photolanguage Department of the Uruguayan Association of Psychopathology and Psychiatry of Children and Adolescents (APPIA). The methodology articulated Photolanguage, words and Psychodrama. The discourse of the participants was analyzed without disclosing their identities. There were working conditions that jeopardized their occupational health; they involved a very demanding job combined with a lack of background and resources in the institutional system. It is a pioneering work that requires coping with error in extreme situations. Participants experienced an increase in their self-confidence which was necessary to open new pathways in a challenging territory. Participants placed value on hands-on experience, on going beyond what was already accomplished by creating new knowledge that can contribute to enhance the interaction with other professionals and institutions to improve future programs.


El trabajo es una reflexión crítica sobre una intervención en un Centro Nocturno (Refugio) del Programa de Atención a Personas en Situación de Calle (PASC) del Ministerio de Desarrollo Social (MIDES), cuyo objetivo es la reinserción socio-cultural/laboral de los usuarios. Se trabajó con el equipo del Centro (coordinador, técnicos y educadores) por demanda de la Coordinación del Centro al Departamento de Fotolenguaje de la Asociación de Psicopatología y Psiquiatría de la Infancia y la Adolescencia (APPIA). La metodología articuló Fotolenguaje, Palabra y Psicodrama. Se analizó el discurso de los participantes salvaguardando la identidad de los mismos. Surgieron elementos que ponen en riesgo la salud laboral, y que se generaron por tarea altamente exigente con escasos antecedentes y recursos disponibles en el sistema institucional. Es un trabajo pionero que exige la convivencia con el error en situaciones límites. Se observó un aumento de la auto-confianza para abrir caminos en un terreno desafiante. Se valora el hacer, trascender y crear saberes, así como el conocimiento que surge de la experiencia para intercambiar con otras instituciones para mejorar los programas de intervención.


Assuntos
Psicodrama , Mudança Social , Pessoas em Situação de Rua , Campos de Refugiados , Abrigo , Emigrantes e Imigrantes , Processos Grupais
2.
Acad Pediatr ; 21(8S): S117-S125, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34740418

RESUMO

Although they are an increasing share of the US child population (26% in 2020) and have much higher poverty rates than children in nonimmigrant families (20.9% vs 9.9%), children in immigrant families have much more restricted access to the social safety net, which can lead to increased economic hardship and health and developmental risks. More than 90% of children in immigrant families are US citizens, but they are excluded from the safety net due to restrictions that affect their parents and other family members. Exclusions that affect children in immigrant families include restricted categorical eligibility based on immigrant status, stricter income eligibility, reduced benefit levels, high administrative burden, and interactions with immigration policy such as public charge. These exclusions limit the ability of both existing and enhanced social programs to reduce child poverty among this population. Results derived from the Transfer Income Model simulations for the National Academy of Sciences, Engineering and Medicine's 2019 report A Roadmap to Reducing Child Poverty show that the poverty-reducing effects of potential enhancements to three main antipoverty programs result in unequal poverty reduction effects by family citizenship/immigration status with disproportionate negative effects on Hispanic children, 54% of whom live in immigrant families. Policy principles to improve equitable access and poverty-reduction effects of social programs for children in immigrant families include basing eligibility and benefit levels on the developmental, health and nutrition needs of the child instead of the immigration status of other family members, reducing administrative burden, and eliminating the link between immigration policy and access to the safety net.


Assuntos
Emigrantes e Imigrantes , Pobreza , Criança , Emigração e Imigração , Família , Humanos , Políticas , Estados Unidos
3.
Artigo em Inglês | MEDLINE | ID: mdl-34770030

RESUMO

We conducted a prospective study, aimed to study whether the prevalence of mental disorders after birth differs by country of origin. Parturient mothers of Ethiopian origin, Former-USSR (FSU) origin, or nonimmigrant, native-Israeli origin (n = 974, all Jewish) were recruited in hospitals in Israel and were followed 6-8 weeks and one year after birth. General linear models were used to study the associations between origin and mental health, comparing Ethiopian and FSU origin with native-Israeli. Ethiopian and FSU mothers were more likely to report on somatic symptoms, compared with native-Israeli women. Ethiopian origin was negatively and significantly associated with anxiety in all three interviews (ß = -1.281, ß = -0.678 and ß = -1.072, respectively; p < 0.05 in all). FSU origin was negatively associated with depression after birth (ß = -0.709, p = 0.036), and negatively associated with anxiety after birth and one-year postpartum (ß = -0.494, and ß = -0.630, respectively). Stressful life events were significantly associated with all mental disorders in the three time points of interviews. Our findings suggest that immigrants tend to express higher mental distress with somatic symptoms. Additional tools are needed for mental distress screening among immigrants.


Assuntos
Emigrantes e Imigrantes , Transtornos Mentais , Grupo com Ancestrais do Continente Africano , Feminino , Humanos , Israel/epidemiologia , Transtornos Mentais/epidemiologia , Período Pós-Parto , Estudos Prospectivos
4.
Artigo em Inglês | MEDLINE | ID: mdl-34769942

RESUMO

This paper explores loneliness as it is understood and experienced by adolescents, with a special focus on the importance of their migration status. We recruited students from five schools following a maximum variation sampling scheme, and we conducted 15 semi-structured, individual interviews with eighth-grade adolescents (aged 14-15 years) that were immigrants, descendants, and with a Danish majority background. A thematic analysis was applied with a special focus on differences and similarities in understanding and experiencing loneliness between adolescents with diverse migration status. The results showed more similarities than differences in loneliness. Generally, loneliness was described as an adverse feeling, varying in intensity and duration, and participants referenced distressing emotions. Feeling lonely was distinguished from being alone and characterized as an invisible social stigma. A variety of perceived social deficiencies were emphasized as causing loneliness, emerging in the interrelation between characteristics of the individual and their social context. The results add to the current literature by highlighting that it is not the presence of specific individual characteristics that causes loneliness; instead, loneliness is dependent on the social contexts the individual is embedded in. Differences across migration status were few and related to variations in the adolescents' individual characteristics. The findings highlight the importance of (1) studying the characteristics of both the individual and the social context in research on the antecedents to adolescents' loneliness, and (2) applying this perspective in other studies on the importance of migration status.


Assuntos
Emigrantes e Imigrantes , Solidão , Adolescente , Emoções , Humanos , Grupos Populacionais , Pesquisa Qualitativa
5.
Artigo em Inglês | MEDLINE | ID: mdl-34769631

RESUMO

BACKGROUND: In Australia, Indian immigrants are one of the fastest-growing communities. Since oral cancer is widespread in India, the indulgence of Indians in customs of areca (betel) nut use in Australia may be linked to the recent rise in oral cancer cases. Since GPs (general practitioners) are primary healthcare providers, it is pivotal to ensure the oral cancer awareness of GPs. This study aimed to explore oral cancer risk-related knowledge, beliefs, and clinical practices of GPs in Australia. METHODS: Fourteen semi-structured interviews were conducted with GPs practicing across New South Wales and Victoria. Purposive and snowball sampling were used for recruitment. Data were analysed through a directed content analysis approach. RESULTS: All GPs were knowledgeable of major oral cancer causative factors including tobacco and alcohol, but some had limited understanding about the risks associated with areca nut preparations. Positive attitudes were evident, with all participants acknowledging the importance of oral cancer risk assessment. Most GPs recalled not performing oral cancer routine check-ups. CONCLUSION: GPs presented good oral cancer knowledge except for emerging risk factors such as areca nut use. Varied beliefs and inconsistent clinical practices relating to oral cancer screening is concerning. Accessible oral cancer training around emerging risk factors may benefit GPs.


Assuntos
Emigrantes e Imigrantes , Clínicos Gerais , Neoplasias Bucais , Atitude do Pessoal de Saúde , Humanos , Neoplasias Bucais/epidemiologia , Neoplasias Bucais/etiologia , Percepção , Fatores de Risco , Vitória
6.
Zhonghua Liu Xing Bing Xue Za Zhi ; 42(8): 1518-1522, 2021 Aug 10.
Artigo em Chinês | MEDLINE | ID: mdl-34814577

RESUMO

HIV infection among foreign personnel is one of the nonnegligible issues to control the epidemic of HIV/AIDS in China. It is necessary for HIV infection among foreign personnel to be taken effective measures in China. This paper consists of information about epidemic characteristics among foreign personnel with HIV in China, including influence on the overall infection, geographical distribution, and prevention status, referencing more effective AIDS knowledge and health education and behavior intervention.


Assuntos
Síndrome de Imunodeficiência Adquirida , Emigrantes e Imigrantes , Infecções por HIV , Síndrome de Imunodeficiência Adquirida/epidemiologia , Síndrome de Imunodeficiência Adquirida/prevenção & controle , China/epidemiologia , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Educação em Saúde , Humanos
7.
Zhonghua Liu Xing Bing Xue Za Zhi ; 42(10): 1850-1854, 2021 Oct 10.
Artigo em Chinês | MEDLINE | ID: mdl-34814623

RESUMO

Objective: To understand the social support, social network, and sexual behavior characteristics of foreigners living in Guangzhou, analyze factors relating to aspects of online social interactions and sexual behaviors of foreigners in Guangzhou, and provide references for targeted HIV intervention services for foreigners. Methods: A cross-sectional survey (both online and offline), among those who met the inclusion criteria was conducted between November 2019 and January 2020. Data were collected on demographics, social support, online social interactions, sexual behaviors, and so on. Statistics were compiled to analyze the factors that may influence casual sexual behaviors. Results: A total of 434 participants were included in the study (241 offline and 193 online). The majority of the participants were male 68.4% (297/434), age (31.0±8.8) years old, African 79.0% (343/434), business people 46.5% (202/434), students 48.2% (209/434), who have business partners and family members in China were 59.4% (258/434) and 28.1% (122/434) separately. They also had the following features: less than 10 close friends 57.1% (248/434); spend 1-3 hours on social applications per day 43.3% (188/434), had casual sexual behaviors in the last 3 months 15.2% (55/363). Multiple logistic regression model analysis showed that compared with those who used social applications for less than 1 hour per day, participants who used social applications for more than 6 hours per day were more likely to have casual sexual behaviors in the last 3 months (OR=3.63, 95%CI: 1.31-10.08). Conclusions: Participants who used social applications for a longer period every day were more likely to have casual sexual behaviors among foreigners in Guangzhou. Good use of social applications for health promotion and education of HIV can increase the health awareness of foreigners in China.


Assuntos
Emigrantes e Imigrantes , Infecções por HIV , Adulto , Estudos Transversais , Feminino , Infecções por HIV/epidemiologia , Humanos , Masculino , Comportamento Sexual , Interação Social , Adulto Jovem
9.
Lakartidningen ; 1182021 10 28.
Artigo em Sueco | MEDLINE | ID: mdl-34806761

RESUMO

PURPOSE: To investigate Swedish immigrants to the United States debarred for medical reasons, with particular focus on trachoma. METHOD: Annual official reports of debarred immigrants have been compiled to compare reasons for debarment among Scandinavian immigrants vs. immigrants from all countries. Individual cases of trachoma among Swedish immigrants have been searched for in contemporary newspaper articles and combined with personal sources such as passenger lists and church records. RESULT: Between 1900-1925 about 1% of 850 000 Scandinavian immigrants to the United States were debarred, compared to 2,3% for migrants from all nations. The most common reason for Scandinavians to be debarred was likelihood to become a public charge, which included both poverty and several chronic diseases (46%). The share of individuals with contagious diseases among the debarred was 8%. Mental defects accounted for 3 %, the same number as trachoma during the time this was reported 1908-1925. Three cases of Swedes debarred from emigration due to trachoma are presented.  Conclusion: Scandinavian immigrants could be debarred due to trachoma but were less affected than other nationalities by the restrictions launched in the late 19th century.  Keywords: Emigration, trachoma, Ellis Island, debarment.


Assuntos
Emigrantes e Imigrantes , Tracoma , Emigração e Imigração , Pálpebras , Humanos , Suécia/epidemiologia , Tracoma/epidemiologia , Estados Unidos/epidemiologia
10.
Int J Public Health ; 66: 1604055, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34744595

RESUMO

Objective: Cancer screening rates are suboptimal for disadvantaged populations in France, yet little evidence exists on their cancer-related knowledge and screening barriers. The main objective of this study was to examine cancer-related knowledge, awareness, self-efficacy, and perceptions of screening barriers among low-income, illiterate immigrant women in France following an 8-weeks cancer educational intervention. Methods: Semi-structured qualitative interviews were conducted with 164 female participants in the Ain department of France between January 2019 and March 2020. Adopting the Health Belief Model as an intervention and analytic framework, salient themes were identified using qualitative thematic analysis. Results: Increased levels of perceived susceptibility to and perceived severity of cancer contributed to higher motivation to get screened. Barriers to screening included low French proficiency, shame surrounding illiteracy, and constant worries due to precarious living conditions. Perceived benefits (e.g., valuing one's health and health-promoting behaviors), cues to action from a trusted source, and greater self-efficacy (e.g., more autonomous in healthcare-seeking) outweighed perceived barriers, including cultural barriers. Conclusions: Implications include developing audience-responsive targeted cancer screening communication strategies and educational materials to increase screening rates and reduce cancer and cancer screening inequities.


Assuntos
Detecção Precoce de Câncer , Emigrantes e Imigrantes , Promoção da Saúde , Disparidades em Assistência à Saúde , Detecção Precoce de Câncer/estatística & dados numéricos , Emigrantes e Imigrantes/psicologia , Emigrantes e Imigrantes/estatística & dados numéricos , Feminino , França , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/métodos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Humanos , Alfabetização , Neoplasias/diagnóstico , Pobreza , Autoeficácia
11.
Am J Public Health ; 111(S3): S224-S231, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34709878

RESUMO

The COVID-19 pandemic has exposed the many broken fragments of US health care and social service systems, reinforcing extant health and socioeconomic inequities faced by structurally marginalized immigrant communities. Throughout the pandemic, even during the most critical period of rising cases in different epicenters, immigrants continued to work in high-risk-exposure environments while simultaneously having less access to health care and economic relief and facing discrimination. We describe systemic factors that have adversely affected low-income immigrants, including limiting their work opportunities to essential jobs, living in substandard housing conditions that do not allow for social distancing or space to safely isolate from others in the household, and policies that discourage access to public resources that are available to them or that make resources completely inaccessible. We demonstrate that the current public health infrastructure has not improved health care access or linkages to necessary services, treatments, or culturally competent health care providers, and we provide suggestions for how the Public Health 3.0 framework could advance this. We recommend the following strategies to improve the Public Health 3.0 public health infrastructure and mitigate widening disparities: (1) address the social determinants of health, (2) broaden engagement with stakeholders across multiple sectors, and (3) develop appropriate tools and technologies. (Am J Public Health. 2021;111(S3):S224-S231. https://doi.org/10.2105/AJPH.2021.306433).


Assuntos
COVID-19 , Emigrantes e Imigrantes/estatística & dados numéricos , Acesso aos Serviços de Saúde , Saúde Pública , Assistência à Saúde Culturalmente Competente/etnologia , Emprego , Humanos , Racismo
12.
J Youth Adolesc ; 50(12): 2374-2393, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34686950

RESUMO

Asian Americans are simultaneously stereotyped as a perpetual foreigner and a model minority. This cross-sectional study of 308 Filipino American youth (mean age 18 years; 47% emerging adult; 72% U.S.-born; 57% female) and 340 Korean American youth (mean age 18 years; 39% emerging adult; 59% U.S.-born; 49% female) is the first to investigate both the direct and interactive effects of these seemingly opposite stereotypes on internalizing and externalizing outcomes, and how these relations differ by ethnicity, age group (adolescence vs. emerging adulthood), and nativity (foreign-born vs. U.S.-born). The results confirm that the perpetual foreigner stereotype predicts more internalizing problems, whereas aspects of the model minority stereotype (i.e., achievement orientation and unrestricted mobility) had different effects by ethnicity. Those who deeply internalize the model minority stereotype were found to be particularly vulnerable. Furthermore, the interactive effects of these stereotypes were more prominent during emerging adulthood than in adolescence, regardless of ethnicity. These nuanced and complex mechanisms need to be thoroughly understood in order to develop appropriate and effective public health or school interventions that can support Asian American young people in dealing with the harmful effects of racial stereotypes.


Assuntos
Americanos Asiáticos , Emigrantes e Imigrantes , Adolescente , Adulto , Grupos de Populações Continentais , Estudos Transversais , Feminino , Humanos , Masculino , Estereotipagem
14.
Matern Child Health J ; 25(12): 1807-1813, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34687401

RESUMO

INTRODUCTION: Development of mHealth interventions to address health disparities for Latino children in immigrant families requires understanding access to and use of information and communication technology. METHODS: We examined access to information and communication technology and use of common applications/programs by low-income immigrant Latino parents of infants to inform development of mHealth interventions for this population. Latino immigrant parents reported technology use and access of common applications/software via survey. RESULTS: Of the 157 participants, we found nearly all parents owned a smartphone and that 60% accessed the internet only via their smartphone. Around one-quarter of participants had access to unlimited data. Frequent use of text messaging was common, but frequent email use was less common. Less than 10% of participants frequently used health-oriented applications. DISCUSSION: Our findings suggest that mHealth interventions that use data, email, or an application interface may not have the intended reach or effectiveness among low-income immigrant Latino parents. Consideration of these findings is important in guiding the development of future mHealth programs for the low-income Latino population. This study was registered at clinicaltrials.gov (NCT02647814).


Assuntos
Emigrantes e Imigrantes , Telemedicina , Acesso à Informação , Hispano-Americanos , Humanos , Pais , Tecnologia
17.
Sci Diabetes Self Manag Care ; 47(5): 382-390, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34610761

RESUMO

PURPOSE: The purpose of this study was to describe the experiences of older adult Haitian immigrants in managing type 2 diabetes mellitus (T2DM). METHODS: A descriptive qualitative approach using semistructured interviews was conducted with 20 older adult Haitian immigrants with T2DM. Interviews were transcribed verbatim and categorized using NVivo. An iterative descriptive data analysis method was used to examine the data, compare codes, challenge interpretations, and develop themes inductively. RESULTS: Older adult Haitian immigrants reported that T2DM affected every aspect of their lives. Financial hardship and social isolation were described as the major barriers to T2DM management, which forced them to choose between basic needs and health care, and at times, they had to forgo medications or avoid seeking medical care. They recognized that creating and maintaining good community support was the key to self-management of T2DM. CONCLUSIONS: Financial hardship and social isolation have a tremendous impact on the ability of older Haitian immigrants to manage T2DM effectively. It is challenging to modify these barriers through individual efforts, and clinical, research, and public efforts may be necessary to address these concerns.


Assuntos
Diabetes Mellitus Tipo 2 , Emigrantes e Imigrantes , Autogestão , Idoso , Diabetes Mellitus Tipo 2/terapia , Haiti , Humanos , Pesquisa Qualitativa
18.
Artigo em Inglês | MEDLINE | ID: mdl-34682320

RESUMO

BACKGROUND: In the rapidly shifting Canadian climate, an ageing population, and increased migration, a greater understanding of how local climate and air pollution hazards impact older adults and immigrant populations will be necessary for mitigating and adapting to adverse health impacts. OBJECTIVES: To explore the reported health impacts of climate change and air pollution exposures in older adults and immigrant people living in Canada, identify known factors influencing risk and resilience in these populations and gaps in the literature. METHODS: We searched for research focused on older adults and immigrants living in Canada, published from 2010 onward, where the primary exposures were related to climate or air pollution. We extracted data on setting, exposures, health outcomes, and other relevant contextual factors. RESULTS AND DISCUSSION: We identified 52 eligible studies, most focused in Ontario and Quebec. Older people in Canada experience health risks due to climate and air pollution exposures. The extent of the risk depends on multiple factors. We found little information about the climate- and air pollution-related health impacts experienced by immigrant communities. CONCLUSIONS: Further research about climate- and air pollution-related exposures, health, and which factors promote or reduce resiliency in Canada's older adults and immigrant communities is necessary.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Emigrantes e Imigrantes , Idoso , Envelhecimento , Poluentes Atmosféricos/análise , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Canadá/epidemiologia , Mudança Climática , Humanos , Ontário/epidemiologia
19.
Artigo em Inglês | MEDLINE | ID: mdl-34682340

RESUMO

Past studies have shown that acculturation and self-efficacy can affect respite care knowledge, which are notable issues among immigrant caregivers due to the rapid increasing aging family members. The aim of this study was to investigate relationships among acculturation, self-efficacy, and respite care knowledge in immigrant caregivers, and to determine the mediating effects of self-efficacy on the relationship between acculturation and respite care knowledge. A cross-sectional design was used. We enrolled 134 female immigrant caregivers who had married Taiwanese men and lived with care recipients who used LTC services. Based on Baron and Kenny' mediating analytic framework, multiple regression and Sobel tests were used to examine whether self-efficacy mediated the relationship between acculturation and respite care knowledge. The findings showed that after controlling for confounding factors, acculturation and self-efficacy separately affected respite care knowledge (B = 0.229, standard error (SE) = 0.084; B = 0.123, SE = 0.049, respectively). Acculturation had a positive impact on respite care knowledge through self-efficacy (B = 0.181, SE = 0.084). Therefore, self-efficacy partially mediated the effect of acculturation on respite care knowledge, and accounted for 20.9% of the total mediating effect in this study. Acculturation predicted immigrant caregiver' respite care knowledge partially through self-efficacy. The association between acculturation and respite care knowledge was partially mediated by immigrant caregivers' self-efficacy. As a result, it was proposed that boosting self-efficacy could increase and drive immigrant caregivers' respite care knowledge. To assist this population in obtaining enough resources, targeted educational programs to promote immigrant caregivers' self-efficacy should be designed and implemented. Furthermore, health care practitioners should be aware of the relevance of immigrant caregivers' acculturation.


Assuntos
Cuidadores , Emigrantes e Imigrantes , Aculturação , Estudos Transversais , Feminino , Humanos , Masculino , Cuidados Intermitentes , Autoeficácia
20.
Artigo em Inglês | MEDLINE | ID: mdl-34682389

RESUMO

INTRODUCTION: Conduct disorder is a psychiatric diagnosis characterized by repetitive and persistent norm-breaking behavior. This study aimed to compare the risk of conduct disorder between first- and second-generation immigrant children and adolescents and their native controls. METHODS: In this nationwide, open-cohort study from Sweden, participants were born 1987-2010, aged 4-16 years at baseline, and were living in the country for at least one year during the follow-up period between 2001 and 2015. The sample included 1,902,526 and 805,450 children-adolescents with native and immigrant backgrounds, respectively. Data on the conduct disorder diagnoses were retrieved through the National Patient Register. We estimated the incidence of conduct disorder and calculated adjusted Hazard Ratios. RESULTS: Overall, the adjusted risk of conduct disorder was lower among first-generation immigrants and most second-generation immigrant groups compared with natives (both males and females). However, second-generation immigrants with a Swedish-born mother and a foreign-born father had a higher risk of conduct disorder than natives. Similar results were found for sub-diagnoses of conduct disorder. CONCLUSIONS: The higher risk of conduct disorder among second-generation immigrants with a Swedish-born mother and the lower risk among most of the other immigrant groups warrants special attention and an investigation of potential underlying mechanisms.


Assuntos
Transtorno da Conduta , Emigrantes e Imigrantes , Adolescente , Criança , Estudos de Coortes , Transtorno da Conduta/epidemiologia , Feminino , Humanos , Incidência , Masculino , Suécia/epidemiologia
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