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Published in: BMC Public Health 1/2007

Open Access 01-12-2007 | Research article

Mental health of immigrants from the former Soviet Bloc: a future problem for primary health care in the enlarged European Union? A cross-sectional study

Authors: Yulia Blomstedt, Sven-Erik Johansson, Jan Sundquist

Published in: BMC Public Health | Issue 1/2007

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Abstract

Background

Enlargement of the European Union has caused worries about the possibility of increased migration from its new members, the former Soviet countries, and consequently increased demands on the health care systems of the host countries. This study investigated whether or not earlier immigrants from the former Soviet Bloc have poorer self-reported mental health, measured as self-reported psychiatric illness and psychosomatic complaints, than the host population in Sweden. It also examined the particular factors which might determine the self-reported mental health of these immigrants.

Methods

The cross-sectional national sample included 25–84-year-old Swedish-born persons (n = 35,459) and immigrants from Poland (n = 161), other East European countries (n = 164), and the former Soviet Union (n = 60) who arrived in Sweden after 1944 and were interviewed during 1994–2001. Unconditional multivariate logistic regression was used in the analyses.

Results

The findings indicated that the country of birth had a profound influence on self-reported mental health. Polish and other East European immigrants in general had a twofold higher odds ratio of reporting psychiatric illness and psychosomatic complaints, which fact could not be explained by adjustments for the demographic and socioeconomic variables. However, immigrants from the former Soviet Union had odds similar to those of the Swedish-born reference group. Adjustments for migration-related variables (language spoken at home and years in Sweden) changed the association between the country of birth and the outcomes only to a limited extent.

Conclusion

Since poor mental health may hinder acculturation, the mental health of immigrants from Poland and other East European countries should be acknowledged, particularly with the expansion of the European Union and inclusion of nine former Soviet Bloc countries by 2007.
Literature
1.
2.
go back to reference Debleth JW: The Transition in Central and eastern European Politics. 2000, New Jersey , Prentice-Hall, Inc.: , 339- Debleth JW: The Transition in Central and eastern European Politics. 2000, New Jersey , Prentice-Hall, Inc.: , 339-
3.
go back to reference WHO: World Health Statistics. 2000, Geneva: World Health Organization WHO: World Health Statistics. 2000, Geneva: World Health Organization
4.
go back to reference WHO: The World Health Report: 2001: Mental Health: New Understanding, New Hope. 2001, Geneva: World Health Organization WHO: The World Health Report: 2001: Mental Health: New Understanding, New Hope. 2001, Geneva: World Health Organization
5.
go back to reference Idler EL, Hudson SV, Leventhal H: The meanings of self-ratings of health. A qualitative and quantitative approach. Research on Aging. 1999, 21 (3): 458-476. 10.1177/0164027599213006.CrossRef Idler EL, Hudson SV, Leventhal H: The meanings of self-ratings of health. A qualitative and quantitative approach. Research on Aging. 1999, 21 (3): 458-476. 10.1177/0164027599213006.CrossRef
6.
go back to reference Fayers PM, Sprangers MAG: Understanding self-rated health. Lancet. 2002, 359 (19): 187-188. 10.1016/S0140-6736(02)07466-4.CrossRefPubMed Fayers PM, Sprangers MAG: Understanding self-rated health. Lancet. 2002, 359 (19): 187-188. 10.1016/S0140-6736(02)07466-4.CrossRefPubMed
7.
go back to reference Fassmann H: European East-West migration, 1945-1992. International Migration Review. 1994, 28 (3): 520-538. 10.2307/2546819.CrossRefPubMed Fassmann H: European East-West migration, 1945-1992. International Migration Review. 1994, 28 (3): 520-538. 10.2307/2546819.CrossRefPubMed
8.
go back to reference Michalik E: Polish immigrant community in Sweden after World War II. Poles in Scandinavia. Edited by: Olszewski E. 1997, Lublin , 183-199. Michalik E: Polish immigrant community in Sweden after World War II. Poles in Scandinavia. Edited by: Olszewski E. 1997, Lublin , 183-199.
9.
go back to reference Chow JCC, Jaffee KD, Choi DY: Use of public mental health services by Russian refugees. Psychiatric Services. 1999, 50 (7): 936-940.CrossRefPubMed Chow JCC, Jaffee KD, Choi DY: Use of public mental health services by Russian refugees. Psychiatric Services. 1999, 50 (7): 936-940.CrossRefPubMed
10.
go back to reference Aroian KJ, Norris AE, Patsdaughter A, Tran TV: Predicting psychological distress among former Soviet immigrants. International Journal of Social Psychiatry. 1998, 44 (4): 284-294.CrossRefPubMed Aroian KJ, Norris AE, Patsdaughter A, Tran TV: Predicting psychological distress among former Soviet immigrants. International Journal of Social Psychiatry. 1998, 44 (4): 284-294.CrossRefPubMed
11.
go back to reference Ritsner M, Ponizovsky A, Nechamkin Y, Modai I: Gender differences in psychosocial risk factors for psychological distress among immigrants. Comprehensive Psychiatry. 2001, 42 (2): 151-160. 10.1053/comp.2001.19750.CrossRefPubMed Ritsner M, Ponizovsky A, Nechamkin Y, Modai I: Gender differences in psychosocial risk factors for psychological distress among immigrants. Comprehensive Psychiatry. 2001, 42 (2): 151-160. 10.1053/comp.2001.19750.CrossRefPubMed
12.
go back to reference Ritsner M, Ponizovsky A, Kurs R, Modai I: Somatization in an immigrant population in Israel: A community survey of prevalence, risk factors, and help-seeking behavior. American Journal of Psychiatry. 2000, 157 (3): 385-392. 10.1176/appi.ajp.157.3.385.CrossRefPubMed Ritsner M, Ponizovsky A, Kurs R, Modai I: Somatization in an immigrant population in Israel: A community survey of prevalence, risk factors, and help-seeking behavior. American Journal of Psychiatry. 2000, 157 (3): 385-392. 10.1176/appi.ajp.157.3.385.CrossRefPubMed
13.
go back to reference Soskolne V: Single parenthood, occupational drift and psychological distress among immigrant women from the former Soviet Union in Israel. Women Health. 2001, 33 (3-4): 67-84.CrossRefPubMed Soskolne V: Single parenthood, occupational drift and psychological distress among immigrant women from the former Soviet Union in Israel. Women Health. 2001, 33 (3-4): 67-84.CrossRefPubMed
14.
go back to reference Carlson P: The European health divide: a matter of financial or social capital?. Social Science and Medicine. 2004, 59 (9): 1985-1992. 10.1016/j.socscimed.2004.03.003.CrossRefPubMed Carlson P: The European health divide: a matter of financial or social capital?. Social Science and Medicine. 2004, 59 (9): 1985-1992. 10.1016/j.socscimed.2004.03.003.CrossRefPubMed
15.
go back to reference Kennedy BP, Kawachi I, Brainerd E: The role of social capital in the Russian mortality crisis. World Development. 1998, 26: 2029-2043. 10.1016/S0305-750X(98)00094-1.CrossRef Kennedy BP, Kawachi I, Brainerd E: The role of social capital in the Russian mortality crisis. World Development. 1998, 26: 2029-2043. 10.1016/S0305-750X(98)00094-1.CrossRef
16.
go back to reference Rose R: How much does social capital add to individual health? A survey of Russians. Social Science and Medicine. 2000, 51 (9): 1421-1435. 10.1016/S0277-9536(00)00106-4.CrossRefPubMed Rose R: How much does social capital add to individual health? A survey of Russians. Social Science and Medicine. 2000, 51 (9): 1421-1435. 10.1016/S0277-9536(00)00106-4.CrossRefPubMed
17.
go back to reference Ritsner M, Ponizovsky A, Ginath Y: Changing patterns of distress during the adjustment of recent immigrants: a 1-year follow-up study. Acta Psychiatrica Scandinavica. 1997, 494-499. Ritsner M, Ponizovsky A, Ginath Y: Changing patterns of distress during the adjustment of recent immigrants: a 1-year follow-up study. Acta Psychiatrica Scandinavica. 1997, 494-499.
18.
go back to reference Kristenson M, Kucinskiene Z, Bergdahl B, Calkauskas H, Urmonas V, Orth-Gomer K: Increased psychosocial strain in Lithuanian versus Swedish men: the LiVicordia study. Psychosomatic Medicine. 1998, 60 (3): 277-282.CrossRefPubMed Kristenson M, Kucinskiene Z, Bergdahl B, Calkauskas H, Urmonas V, Orth-Gomer K: Increased psychosocial strain in Lithuanian versus Swedish men: the LiVicordia study. Psychosomatic Medicine. 1998, 60 (3): 277-282.CrossRefPubMed
19.
20.
go back to reference Kopp MS, Skrabski A, Szedmak S: Psychosocial risk-factors, inequality and self-rated morbidity in a changing society. Social Science and Medicine. 2000, 51: 1351-1361. 10.1016/S0277-9536(00)00097-6.CrossRefPubMed Kopp MS, Skrabski A, Szedmak S: Psychosocial risk-factors, inequality and self-rated morbidity in a changing society. Social Science and Medicine. 2000, 51: 1351-1361. 10.1016/S0277-9536(00)00097-6.CrossRefPubMed
21.
go back to reference Skrabski A, Kopp MS, Kawachi I: Social capital in a changing society: cross-sectional associations withh middle-aged female and male mortality rates. Journal of Epidemiology and Community Health. 2003, 57: 114-119. 10.1136/jech.57.2.114.CrossRefPubMedPubMedCentral Skrabski A, Kopp MS, Kawachi I: Social capital in a changing society: cross-sectional associations withh middle-aged female and male mortality rates. Journal of Epidemiology and Community Health. 2003, 57: 114-119. 10.1136/jech.57.2.114.CrossRefPubMedPubMedCentral
22.
go back to reference Brown G, Harris T: The Social origins of depression. 1978, London , Tavistock Brown G, Harris T: The Social origins of depression. 1978, London , Tavistock
23.
go back to reference Lagerkvist L: Socioekonomisk indelning (SEI). [Swedish socioeconomic classification. Reports on Statistical Co-ordination]. 1984, Örebro , Statistics Sweden Lagerkvist L: Socioekonomisk indelning (SEI). [Swedish socioeconomic classification. Reports on Statistical Co-ordination]. 1984, Örebro , Statistics Sweden
24.
go back to reference Zilber N, Lerner Y: Psychological distress among recent immigrants from the former Soviet Union to Israel, I. Correlates of level of distress. Psychol Med. 1996, 26 (3): 493-501.CrossRefPubMed Zilber N, Lerner Y: Psychological distress among recent immigrants from the former Soviet Union to Israel, I. Correlates of level of distress. Psychol Med. 1996, 26 (3): 493-501.CrossRefPubMed
25.
go back to reference Diderichsen F: Omflyttning, boende och hälsa. [Migration, housing and health]. 1981, Uppsala , University of Uppsala Diderichsen F: Omflyttning, boende och hälsa. [Migration, housing and health]. 1981, Uppsala , University of Uppsala
26.
go back to reference Wroblewska W: Women's health status in Poland in transition to market economy. Social Science and Medicine. 2002, 54: 707-726. 10.1016/S0277-9536(01)00104-6.CrossRefPubMed Wroblewska W: Women's health status in Poland in transition to market economy. Social Science and Medicine. 2002, 54: 707-726. 10.1016/S0277-9536(01)00104-6.CrossRefPubMed
27.
go back to reference Bobak M: Relative and absolute gender gap in all-cause mortality in Europe and the contribution of smoking. European Journal of Epidemiology. 2003, 18: 15-18. 10.1023/A:1022556718939.CrossRefPubMed Bobak M: Relative and absolute gender gap in all-cause mortality in Europe and the contribution of smoking. European Journal of Epidemiology. 2003, 18: 15-18. 10.1023/A:1022556718939.CrossRefPubMed
28.
go back to reference Johansson J, Viigimaa M, Jensen-Urstad M, Krakau I, Hansson LO: Risk factors for coronary heart disease in 55- and 35-year-old men and women in Sweden and Estonia. Journal of Internal Medicine. 2002, 252: 551-560. 10.1046/j.1365-2796.2002.01068.x.CrossRefPubMed Johansson J, Viigimaa M, Jensen-Urstad M, Krakau I, Hansson LO: Risk factors for coronary heart disease in 55- and 35-year-old men and women in Sweden and Estonia. Journal of Internal Medicine. 2002, 252: 551-560. 10.1046/j.1365-2796.2002.01068.x.CrossRefPubMed
29.
go back to reference Siergrist J: Place, social exchange and health: proposed sociological framework. Social Science and Medicine. 2000, 51: 1283-1293. 10.1016/S0277-9536(00)00092-7.CrossRef Siergrist J: Place, social exchange and health: proposed sociological framework. Social Science and Medicine. 2000, 51: 1283-1293. 10.1016/S0277-9536(00)00092-7.CrossRef
30.
go back to reference Carlson P, Vågerö D: The social pattern of heavy drinking in Russia during transition: Evidence from Taganrog 1993. European Journal of Public Health. 1998, 8: 280-285. 10.1093/eurpub/8.4.280.CrossRef Carlson P, Vågerö D: The social pattern of heavy drinking in Russia during transition: Evidence from Taganrog 1993. European Journal of Public Health. 1998, 8: 280-285. 10.1093/eurpub/8.4.280.CrossRef
31.
go back to reference Sundquist J, Bayard-Burfield L, Johansson LM, Johansson SE: Impact of ethnicity, violence and acculturation on displaced migrants. Psychological distress and psychosomatic complaints among refugees in Sweden. The Journal of Nervous and Mental Disease. 2000, 188 (6): 357-365. 10.1097/00005053-200006000-00006.CrossRefPubMed Sundquist J, Bayard-Burfield L, Johansson LM, Johansson SE: Impact of ethnicity, violence and acculturation on displaced migrants. Psychological distress and psychosomatic complaints among refugees in Sweden. The Journal of Nervous and Mental Disease. 2000, 188 (6): 357-365. 10.1097/00005053-200006000-00006.CrossRefPubMed
32.
go back to reference Aroian KJ, Norris AE: Depression trajectories in relatively recent immigrants. Comprehensive Psychiatry. 2003, 44 (5): 420-427. 10.1016/S0010-440X(03)00103-2.CrossRefPubMed Aroian KJ, Norris AE: Depression trajectories in relatively recent immigrants. Comprehensive Psychiatry. 2003, 44 (5): 420-427. 10.1016/S0010-440X(03)00103-2.CrossRefPubMed
33.
go back to reference Miller AM, Chandler PJ: Acculturation, resilience, and depression in midlife women from the former Soviet Union. Nursing Research. 2002, 51 (1): 26-32. 10.1097/00006199-200201000-00005.CrossRefPubMed Miller AM, Chandler PJ: Acculturation, resilience, and depression in midlife women from the former Soviet Union. Nursing Research. 2002, 51 (1): 26-32. 10.1097/00006199-200201000-00005.CrossRefPubMed
34.
go back to reference Ritsner M: Psychological distress through immigration: the two-phase temporal pattern. International Journal of Social Psychiatry. 1999, 45 (2): 125-139.CrossRefPubMed Ritsner M: Psychological distress through immigration: the two-phase temporal pattern. International Journal of Social Psychiatry. 1999, 45 (2): 125-139.CrossRefPubMed
35.
go back to reference Holmes L: Post-Communism. An Introduction. 1997, Cambridge, UK , Polity press Holmes L: Post-Communism. An Introduction. 1997, Cambridge, UK , Polity press
36.
go back to reference Crampton RJ: Eastern Europe in the Twentieth Century – and After. 1997, Routledge , 526-Second Edition Crampton RJ: Eastern Europe in the Twentieth Century – and After. 1997, Routledge , 526-Second Edition
37.
go back to reference Govindaraj R, Rannan-Eliya R: Democracy, Communism and Health Status: A cross-national study. Data for Decision Making Project. 1994, Boston, Massachusetts , Department of Population and International Health. Harvard School of Public Health Govindaraj R, Rannan-Eliya R: Democracy, Communism and Health Status: A cross-national study. Data for Decision Making Project. 1994, Boston, Massachusetts , Department of Population and International Health. Harvard School of Public Health
38.
go back to reference Goldstein E: Psychosocial adaptation of Soviet immigrants. The American Journal of Psychoanalysis. 1979, 39 (3): 257-263. 10.1007/BF01253571.CrossRefPubMed Goldstein E: Psychosocial adaptation of Soviet immigrants. The American Journal of Psychoanalysis. 1979, 39 (3): 257-263. 10.1007/BF01253571.CrossRefPubMed
39.
go back to reference Bayard-Burfield L, Sundquist J, Johansson SE: Ethnicity, self-reported psychiatric illness, and intake of psychotropic drugs in five ethnic groups in Sweden. Journal of Epidemiology and Community Health. 2001, 55: 657-664. 10.1136/jech.55.9.657.CrossRefPubMedPubMedCentral Bayard-Burfield L, Sundquist J, Johansson SE: Ethnicity, self-reported psychiatric illness, and intake of psychotropic drugs in five ethnic groups in Sweden. Journal of Epidemiology and Community Health. 2001, 55: 657-664. 10.1136/jech.55.9.657.CrossRefPubMedPubMedCentral
40.
go back to reference Buchwald D, Klacsanzky G, Manson SM: Psychiatric disorders among recently-arrived Eastern Europeans seen through a US refugee counseling service. Int J Soc Psychiatry. 1993, 39 (3): 221-227.CrossRefPubMed Buchwald D, Klacsanzky G, Manson SM: Psychiatric disorders among recently-arrived Eastern Europeans seen through a US refugee counseling service. Int J Soc Psychiatry. 1993, 39 (3): 221-227.CrossRefPubMed
41.
go back to reference Hitch PJ, Rack PH: Mental illness among Polish and Russian refugees in Bradford. British Journal of Psychiatry. 1980, 137: 206-211.CrossRefPubMed Hitch PJ, Rack PH: Mental illness among Polish and Russian refugees in Bradford. British Journal of Psychiatry. 1980, 137: 206-211.CrossRefPubMed
42.
go back to reference Johansson LM: Psykisk hälsa (Mental health). Födelselandets betydelse En rapport om hälsan hos olika Invandargrupper i Sverige [Meaning of country of birth A report on health among different groups of immigrant]. Edited by: Folkhälsoinstitut S. 2002, Sandvikens Trykeri, 67-89. Johansson LM: Psykisk hälsa (Mental health). Födelselandets betydelse En rapport om hälsan hos olika Invandargrupper i Sverige [Meaning of country of birth A report on health among different groups of immigrant]. Edited by: Folkhälsoinstitut S. 2002, Sandvikens Trykeri, 67-89.
43.
go back to reference Miller AM: Demographic charachteristics, menopausal status, and depression in midlife immigrant women. Women's Health Issues. 2004, 14: 227-234. 10.1016/j.whi.2004.08.004.CrossRefPubMed Miller AM: Demographic charachteristics, menopausal status, and depression in midlife immigrant women. Women's Health Issues. 2004, 14: 227-234. 10.1016/j.whi.2004.08.004.CrossRefPubMed
44.
go back to reference Wärneryd B: Levnadsförhållanden. Återintervjustudie i undersökningen av levnadsförhållanden 1989 (ULF). [Living Conditions. Reinterview in ULF 1989]. Appendix 12. Edited by: StatisticsSweden . 1991 Wärneryd B: Levnadsförhållanden. Återintervjustudie i undersökningen av levnadsförhållanden 1989 (ULF). [Living Conditions. Reinterview in ULF 1989]. Appendix 12. Edited by: StatisticsSweden . 1991
45.
go back to reference Sundquist J: Ethnicity as a risk factor for consultations in primary health care and out-patient care. Scandinavian Journal of Primary Health Care. 1993, 11: 169-173.CrossRefPubMed Sundquist J: Ethnicity as a risk factor for consultations in primary health care and out-patient care. Scandinavian Journal of Primary Health Care. 1993, 11: 169-173.CrossRefPubMed
46.
go back to reference Sundquist J: Refugees, labour migrants and psychological distress. A population-based study of 338 Latin-American refugees, 161 South European and 396 Finnish labour migrants, and 996 Swedish age-, sex- and education-matched controls. Soc Psychiatry Psychiatr Epidemiol. 1994, 29: 20-24.PubMed Sundquist J: Refugees, labour migrants and psychological distress. A population-based study of 338 Latin-American refugees, 161 South European and 396 Finnish labour migrants, and 996 Swedish age-, sex- and education-matched controls. Soc Psychiatry Psychiatr Epidemiol. 1994, 29: 20-24.PubMed
47.
go back to reference StataCorp.: Stata Statistical Software: Release 8.0. College Station. 2003, TX: Stata Corporation StataCorp.: Stata Statistical Software: Release 8.0. College Station. 2003, TX: Stata Corporation
48.
go back to reference Kleinbaum DG, Klein M: Logistic regression. A self-learning text. Second edition. 2002, New York: Springer Verlag Kleinbaum DG, Klein M: Logistic regression. A self-learning text. Second edition. 2002, New York: Springer Verlag
49.
go back to reference Hosmer DW, Lemeshow S: Applied logistic regression. 2000, New York; Chichester: Wiley, cop.CrossRef Hosmer DW, Lemeshow S: Applied logistic regression. 2000, New York; Chichester: Wiley, cop.CrossRef
50.
go back to reference Johansson LM, Sundquist J, Johansson SE, Bergman B, Qvist J, Träskman-Bendz L: Suicide among foreign-born minorities and native Swedes: An epidemiological follow-up study of a defined population. Social Science and Medicine. 1997, 44 (2): 181-187. 10.1016/S0277-9536(96)00142-6.CrossRefPubMed Johansson LM, Sundquist J, Johansson SE, Bergman B, Qvist J, Träskman-Bendz L: Suicide among foreign-born minorities and native Swedes: An epidemiological follow-up study of a defined population. Social Science and Medicine. 1997, 44 (2): 181-187. 10.1016/S0277-9536(96)00142-6.CrossRefPubMed
51.
go back to reference Westman J, Hasselström J, Johansson SE, Sundquist J: The influences of place of birth and socioeconomic factors on attempted suicide in a defined population of 4.5 million people. Archives of General Psychiatry. 2003, 60: 409-414. 10.1001/archpsyc.60.4.409.CrossRefPubMed Westman J, Hasselström J, Johansson SE, Sundquist J: The influences of place of birth and socioeconomic factors on attempted suicide in a defined population of 4.5 million people. Archives of General Psychiatry. 2003, 60: 409-414. 10.1001/archpsyc.60.4.409.CrossRefPubMed
52.
go back to reference Westman J, Sundquist J, Johansson LM, Johansson SE, Sundquist K: Country of birth and suicide: a follow-up study of a national cohort in Sweden. Archives of Suicide Research. 2006, 10: 239-248. 10.1080/13811110600582471.CrossRefPubMed Westman J, Sundquist J, Johansson LM, Johansson SE, Sundquist K: Country of birth and suicide: a follow-up study of a national cohort in Sweden. Archives of Suicide Research. 2006, 10: 239-248. 10.1080/13811110600582471.CrossRefPubMed
53.
go back to reference Aroian KJ, Norris AE: Somatization and depression among former Soviet immigrants. Journal of Cultural Diversity. 1999, 6 (3): 93-101.PubMed Aroian KJ, Norris AE: Somatization and depression among former Soviet immigrants. Journal of Cultural Diversity. 1999, 6 (3): 93-101.PubMed
54.
go back to reference Mokhovikov A: The posttotalitarian pattern of suicidal behavior: impact on youth. Crisis. 1998, 19 (1): 8-11, 14.CrossRefPubMed Mokhovikov A: The posttotalitarian pattern of suicidal behavior: impact on youth. Crisis. 1998, 19 (1): 8-11, 14.CrossRefPubMed
55.
go back to reference Skultans V: From damaged nerves to masked depression: inevitability and hope in Latvian psychiatric narratives. Social Science and Medicine. 2003, 56: 2421-2431. 10.1016/S0277-9536(02)00245-9.CrossRefPubMed Skultans V: From damaged nerves to masked depression: inevitability and hope in Latvian psychiatric narratives. Social Science and Medicine. 2003, 56: 2421-2431. 10.1016/S0277-9536(02)00245-9.CrossRefPubMed
56.
go back to reference Baarnheim S, Ekblad S: Turkish immigrant women encountering health care in Stockholm: a qualitative study of somatization and illness meaning. Cult Med Psychiatry. 2000, 24: 431-454. 10.1023/A:1005671732703.CrossRef Baarnheim S, Ekblad S: Turkish immigrant women encountering health care in Stockholm: a qualitative study of somatization and illness meaning. Cult Med Psychiatry. 2000, 24: 431-454. 10.1023/A:1005671732703.CrossRef
57.
58.
go back to reference Sundquist J, Johansson SE: Self reported poor health and low educational level predictors for mortality: A population based follow up study of 39,156 people in Sweden. J Epidemiol Community Health. 1997, 51 (1): 35-40.CrossRefPubMedPubMedCentral Sundquist J, Johansson SE: Self reported poor health and low educational level predictors for mortality: A population based follow up study of 39,156 people in Sweden. J Epidemiol Community Health. 1997, 51 (1): 35-40.CrossRefPubMedPubMedCentral
60.
go back to reference McGee DL, Liao Y, Cao G, Cooper RS: Self-reported health status and mortality in a multiethnic US cohort. American Journal of Epidemiology. 1999, 149 (1): 41-46.CrossRefPubMed McGee DL, Liao Y, Cao G, Cooper RS: Self-reported health status and mortality in a multiethnic US cohort. American Journal of Epidemiology. 1999, 149 (1): 41-46.CrossRefPubMed
61.
go back to reference Idler EL, Angel R: Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study. American Journal of Public Health. 1990, 80 (4): 446-452.CrossRefPubMedPubMedCentral Idler EL, Angel R: Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study. American Journal of Public Health. 1990, 80 (4): 446-452.CrossRefPubMedPubMedCentral
62.
go back to reference Krakau I: Perception of health and use of health care services in a Swedish primary care district. A ten year’s perspective. Scandinavian Journal of Primary Health Care. 1991, 9 (2): 103-108.CrossRefPubMed Krakau I: Perception of health and use of health care services in a Swedish primary care district. A ten year’s perspective. Scandinavian Journal of Primary Health Care. 1991, 9 (2): 103-108.CrossRefPubMed
63.
go back to reference Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H: Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. Journal of Clinical Epidemiology. 1997, 50 (5): 517-528. 10.1016/S0895-4356(97)00045-0.CrossRefPubMed Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H: Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. Journal of Clinical Epidemiology. 1997, 50 (5): 517-528. 10.1016/S0895-4356(97)00045-0.CrossRefPubMed
64.
go back to reference Bayard-Burfield L, Sundquist J, Johansson SE: Self-reported long-standing psychiatric illness as a predictor of premature all-cause mortality and violent death: a 14-year follow-up study of native Swedes and foreign-born migrants. Social Science and Medicine. 1998, 33 (10): 491-496. Bayard-Burfield L, Sundquist J, Johansson SE: Self-reported long-standing psychiatric illness as a predictor of premature all-cause mortality and violent death: a 14-year follow-up study of native Swedes and foreign-born migrants. Social Science and Medicine. 1998, 33 (10): 491-496.
65.
go back to reference Huppert FA, Whittington JE: Symptoms of psychological distress predict 7-year mortality. Psychol Med. 1995, 25: 1073-1086.CrossRefPubMed Huppert FA, Whittington JE: Symptoms of psychological distress predict 7-year mortality. Psychol Med. 1995, 25: 1073-1086.CrossRefPubMed
66.
go back to reference Sundquist K: Individual health, neighborhood characteristics, and allocation of primary health care resources. Department of Clinical Sciences, Family Medicine Stockholm. 2003, Stockholm , Karolinska Institutet, 134- Sundquist K: Individual health, neighborhood characteristics, and allocation of primary health care resources. Department of Clinical Sciences, Family Medicine Stockholm. 2003, Stockholm , Karolinska Institutet, 134-
67.
go back to reference Runblom H: Sweden as a multicultural society. 1998 Runblom H: Sweden as a multicultural society. 1998
68.
go back to reference http://www.judiska-museet.a.se/grund/grund.htm: Judarnas historia i Sverige. [The history of Swedish Jews]. http://www.judiska-museet.a.se/grund/grund.htm: Judarnas historia i Sverige. [The history of Swedish Jews].
69.
go back to reference http://www.immi.se/asyl/grupper.htm: Större flyktinggrupper mottagna i Sverige sedan 1940. [The larger groups of refugees accepted by Sweden after 1940]. http://www.immi.se/asyl/grupper.htm: Större flyktinggrupper mottagna i Sverige sedan 1940. [The larger groups of refugees accepted by Sweden after 1940].
70.
go back to reference Nilsson : Immigration and emigration in the postwar period. Demographic Reports 2004:5. 2004, Örebro , Statistics Sweden Nilsson : Immigration and emigration in the postwar period. Demographic Reports 2004:5. 2004, Örebro , Statistics Sweden
71.
go back to reference StatisticsSweden: SCB Befolkningsstatistik, del 3. [Population Statistics, part 3]. 2001, Örebro , Statistics Sweden StatisticsSweden: SCB Befolkningsstatistik, del 3. [Population Statistics, part 3]. 2001, Örebro , Statistics Sweden
Metadata
Title
Mental health of immigrants from the former Soviet Bloc: a future problem for primary health care in the enlarged European Union? A cross-sectional study
Authors
Yulia Blomstedt
Sven-Erik Johansson
Jan Sundquist
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2007
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-7-27

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