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Conduct disorder in immigrant children and adolescents : A nationwide cohort study in Sweden

Osooli, Mehdi LU orcid ; Ohlsson, Henrik LU ; Sundquist, Jan LU and Sundquist, Kristina LU (2021) In International Journal of Environmental Research and Public Health 18(20).
Abstract

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 followup 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... (More)

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 followup 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.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescents, Children, Cohort, Conduct disorder, Immigrants, Real-world data, Register-based research, Sweden
in
International Journal of Environmental Research and Public Health
volume
18
issue
20
article number
10643
publisher
MDPI AG
external identifiers
  • pmid:34682389
  • scopus:85116646421
ISSN
1661-7827
DOI
10.3390/ijerph182010643
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
id
5cade7ad-52ea-489d-bd99-b394bcdcada9
date added to LUP
2021-10-22 11:04:41
date last changed
2025-01-13 15:51:31
@article{5cade7ad-52ea-489d-bd99-b394bcdcada9,
  abstract     = {{<p>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 followup 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.</p>}},
  author       = {{Osooli, Mehdi and Ohlsson, Henrik and Sundquist, Jan and Sundquist, Kristina}},
  issn         = {{1661-7827}},
  keywords     = {{Adolescents; Children; Cohort; Conduct disorder; Immigrants; Real-world data; Register-based research; Sweden}},
  language     = {{eng}},
  month        = {{10}},
  number       = {{20}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{Conduct disorder in immigrant children and adolescents : A nationwide cohort study in Sweden}},
  url          = {{http://dx.doi.org/10.3390/ijerph182010643}},
  doi          = {{10.3390/ijerph182010643}},
  volume       = {{18}},
  year         = {{2021}},
}