Full Spectrum of Psychiatric Disorders Related to Foreign Migration A Danish Population-Based Cohort Study
(2013) In JAMA Psychiatry 70(4). p.427-435- Abstract
- Importance: Although increased risk for schizophrenia among immigrants is well established, knowledge of the broader spectrum of psychiatric disorders associated with a foreign migration background is lacking. Objective: To examine the full range of psychiatric disorders associated with any type of foreign migration background among persons residing in Denmark, including foreign-born adoptees, first- and second-generation immigrants, native Danes with a history of foreign residence, and persons born abroad to Danish expatriates. Design and Setting: Danish population-based cohort study. Persons were followed up from their 10th birthday for the development of mental disorders based on outpatient and inpatient data. Participants: All persons... (More)
- Importance: Although increased risk for schizophrenia among immigrants is well established, knowledge of the broader spectrum of psychiatric disorders associated with a foreign migration background is lacking. Objective: To examine the full range of psychiatric disorders associated with any type of foreign migration background among persons residing in Denmark, including foreign-born adoptees, first- and second-generation immigrants, native Danes with a history of foreign residence, and persons born abroad to Danish expatriates. Design and Setting: Danish population-based cohort study. Persons were followed up from their 10th birthday for the development of mental disorders based on outpatient and inpatient data. Participants: All persons born between January 1, 1971, and December 31, 2000 (N= 1 859 419) residing in Denmark by their 10th birthday with follow-up data to December 31, 2010. Main Outcome Measures: Incidence rate ratios (IRRs) and cumulative incidences for psychiatric outcomes. Results: All categories of foreign migration background, except persons born abroad to Danish expatriates, were associated with increased risk for at least 1 psychiatric disorder. Foreign-born adoptees had increased IRRs for all psychiatric disorders and had the highest IRRs for these disorders compared with other foreign migration categories. First-and second-generation immigrants having 2 foreign-born parents had significantly increased IRRs for schizophrenia and schizophrenia spectrum disorders and had similar risk magnitudes. Second- generation immigrants having 1 foreign-born parent had significantly increased IRRs for all psychiatric disorders. Native Danes with a history of foreign residence had increased IRRs for bipolar affective disorder, affective disorders, personality disorders, and schizophrenia spectrum disorders. Conclusions and Relevance: The extent to which a background of foreign migration confers an increased risk for the broad spectrum of psychiatric disorders varies according to parental origin, with greatest risks for foreign-born adoptees. The spectrum of psychiatric disorders showed greater variation within the second-generation immigrant group than between first-generation vs second-generation immigrants, and the spectrum differed according to whether individuals had 1 or 2 foreign-born parents. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3979311
- author
- Cantor-Graae, Elizabeth LU and Pedersen, Carsten B.
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- JAMA Psychiatry
- volume
- 70
- issue
- 4
- pages
- 427 - 435
- publisher
- American Medical Association
- external identifiers
-
- wos:000320853400009
- scopus:84876062796
- pmid:23446644
- ISSN
- 2168-6238
- DOI
- 10.1001/jamapsychiatry.2013.441
- language
- English
- LU publication?
- yes
- id
- 4254e1a1-dc4e-4de5-bf16-4e8ce70de9fe (old id 3979311)
- date added to LUP
- 2016-04-01 10:12:31
- date last changed
- 2022-04-12 03:01:56
@article{4254e1a1-dc4e-4de5-bf16-4e8ce70de9fe, abstract = {{Importance: Although increased risk for schizophrenia among immigrants is well established, knowledge of the broader spectrum of psychiatric disorders associated with a foreign migration background is lacking. Objective: To examine the full range of psychiatric disorders associated with any type of foreign migration background among persons residing in Denmark, including foreign-born adoptees, first- and second-generation immigrants, native Danes with a history of foreign residence, and persons born abroad to Danish expatriates. Design and Setting: Danish population-based cohort study. Persons were followed up from their 10th birthday for the development of mental disorders based on outpatient and inpatient data. Participants: All persons born between January 1, 1971, and December 31, 2000 (N= 1 859 419) residing in Denmark by their 10th birthday with follow-up data to December 31, 2010. Main Outcome Measures: Incidence rate ratios (IRRs) and cumulative incidences for psychiatric outcomes. Results: All categories of foreign migration background, except persons born abroad to Danish expatriates, were associated with increased risk for at least 1 psychiatric disorder. Foreign-born adoptees had increased IRRs for all psychiatric disorders and had the highest IRRs for these disorders compared with other foreign migration categories. First-and second-generation immigrants having 2 foreign-born parents had significantly increased IRRs for schizophrenia and schizophrenia spectrum disorders and had similar risk magnitudes. Second- generation immigrants having 1 foreign-born parent had significantly increased IRRs for all psychiatric disorders. Native Danes with a history of foreign residence had increased IRRs for bipolar affective disorder, affective disorders, personality disorders, and schizophrenia spectrum disorders. Conclusions and Relevance: The extent to which a background of foreign migration confers an increased risk for the broad spectrum of psychiatric disorders varies according to parental origin, with greatest risks for foreign-born adoptees. The spectrum of psychiatric disorders showed greater variation within the second-generation immigrant group than between first-generation vs second-generation immigrants, and the spectrum differed according to whether individuals had 1 or 2 foreign-born parents.}}, author = {{Cantor-Graae, Elizabeth and Pedersen, Carsten B.}}, issn = {{2168-6238}}, language = {{eng}}, number = {{4}}, pages = {{427--435}}, publisher = {{American Medical Association}}, series = {{JAMA Psychiatry}}, title = {{Full Spectrum of Psychiatric Disorders Related to Foreign Migration A Danish Population-Based Cohort Study}}, url = {{http://dx.doi.org/10.1001/jamapsychiatry.2013.441}}, doi = {{10.1001/jamapsychiatry.2013.441}}, volume = {{70}}, year = {{2013}}, }