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Gender differences in factors associated with psychological distress among immigrants from low- and middle-income countries

Findings from the Oslo Health Study

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Abstract

Objective

Despite the high rate of migration from low- and middle-income countries to high-income countries, there is still a lack of comprehensive studies of gender-specific differences in psychological distress in a diverse group of immigrants. We compared psychological distress between male and female immigrants from low- and middle-income countries living in Oslo, and identified factors associated with distress for men and women, separately.

Method

A cross-sectional survey with self-administered questionnaires was conducted among 1536 immigrants from low- and middle-income countries living in Oslo. The Hopkins Symptom Checklist (HSCL-10) was used to measure psychological distress. Data on their sociodemographic characteristics, negative and traumatic life events, and social integration and possible discrimination in the Norwegian society were also collected.

Results

One-fourth of the study population was found to be psychologically distressed, with almost equal levels among men and women. Lack of salaried job and recent negative life events were independently associated with psychological distress for both genders. Furthermore, experience of denial of job and past traumatic experiences were other associated negative factors among men, while visits made by Norwegians appeared as a protective factor against distress among men. Older age, Middle East background, living without a partner, and experiencing denial of housing were other associated negative factors among women.

Conclusion

Our findings show that, except for adverse living conditions, there are gender differences with regard to factors associated with psychological distress among immigrants living in Oslo. Such gender issues are relevant for assisting immigrants in the integration process as well as for future research in migration and health.

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References

  1. Ødegard Ø (1932) Immigrant and Insanity—a study of mental disease among the Norwegian-born population in Minnesota. Acta Psychiatrica Neurol Scand (Suppl 4)

  2. Vega WA, Kolody B, Aguilar-Gaxiola S, Alderete E, Catalano R, Caraveo-Anduaga (1998) Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Arch Gen Psychiatry 55:771–778

    Article  Google Scholar 

  3. Ortega A, Rosenheck R, Algeria M, Desai R (2000) Acculturation and lifetime risk of psychiatric and substance use disorders among Hispanics. J Nerv Ment Dis 188:728–735

    Google Scholar 

  4. Cochrane R, Stopes-Roe M (1981) Psychological symptom levels in Indian immigrants to England—a comparison with native English. Psychol Med 11:319–327

    CAS  PubMed  Google Scholar 

  5. Bengi-Arslan L, Verhulst FC, Crijnen AAM (2002) Prevalence and determinants of minor psychiatric disorder in Turkish immigrants living in the Netherlands. Soc Psychiatry Psychiatr Epidemiology 37:118–124

    Article  Google Scholar 

  6. Khavarpour F, Rissel C (1997) Mental health status of Iranian immigrants in Sydney. Aust N Z J Psychiatry 31:828–834

    Google Scholar 

  7. Miyasaka LS, Otsuka K, Tsuji K, Atallah AN, Kunihiro J, Nakamura Y, Kato S, Abe Y, Kamada Y (2002) Mental health of two communities of Japanese-Brazilians: Comparative study in Japan and in Brazil. Psychiatry Clin Neurosci 56:55–64

    Article  Google Scholar 

  8. Bayard-Burfield L, Sundquist J, Johansson SE (2001) Ethnicity, self-reported psychiatric illness, and intake of psychotropic drugs in five ethnic groups in Sweden. J Epidemiol Comm Health 55:657–664

    Article  Google Scholar 

  9. Lie B (2002) On immigrant population. In: Lie B (ed) Immigration and Immigrants. Statistisk Sentralbyrå. Statistics Norway, Oslo

  10. Dalgard OS, Sandanger I, Sorensen T, Ingebrigsten G (1998) Mental health among immigrants in Oslo, Norway. On Social psychiatry a global perspective. In: Varma VK, Kulhara P, Masserman CM, Malhotra A, Malik SC (eds) Macmillan Indian Limited, pp 107–112

  11. Hauff E, Vaglum P (1993) Vietnamese boat refugees: the influence of war and flight traumatization on mental health on arrival in the country of resettlement. Acta Psychiatr Scand 88:162–168

    Google Scholar 

  12. Hauff E, Valgum P (1995) Organized violence and the stress of exile: Predictors of mental health in a community cohort of Vietnamese refugees, three years after resettlements. Br J Psychiatry 166:360–367

    Google Scholar 

  13. Lie B (2002) A 3 year follow up study of psychosocial functioning and general symptoms in settled refugees. Acta Psychiatr Scand 37:13–22

    Google Scholar 

  14. Silveira E, Skoog I, Sundh V, Allebeck P, Steen B (2002) Health and Wellbeing among 70 year old migrants living in Sweden—results from the H 70 gerontological and geriatric population studies in Goteborg. Soc Psychiatry Psychiatr Epidemiol 5:43–55

    Google Scholar 

  15. Ritsner M, Ponizovsky A, Nechamkin Y, Modai I (2001) Gender differences in psychological distress among immigrants. Compr Psychiatry 42:151–160

    Article  Google Scholar 

  16. Selmer R, Søgaard AJ, Bjertness E, Thelle D (2003) The Oslo Health Study: Reminding the non-respondents effects on prevalence estimates. Nor J Epidemiol 13:89–94

    Google Scholar 

  17. Norwegian Institute of Public Health. The Oslo Health Study. Available at: http://www.fhi.no/dav/736B5D55E9. rtf. Accessed on 16. 03. 2004

  18. Søgaard AJ, Selmer R, Bjertness E, Thelle D (2004) The Oslo Health Study: The impact of self-selection in a large,population-based survey. Int J Equity Health 3:3

    Article  Google Scholar 

  19. Forty-eighth World Medical Assembly (1997) The Declaration of Helsinki: recommendations guiding physicians in biomedical research involving human subjects. JAMA 277:925–926

    Article  Google Scholar 

  20. Strand BH, Dalgard OS, Tambs K, Rognerud M (2003) Measuring the mental health status of the Norwegian population: comparision of the instruments SCL-25 SCL-10, SCL-5 and MHI-5 (SF-36). Nordic J Psychiatry 57:113–118

    Article  Google Scholar 

  21. Lipman RS, Covil L, Shapiro AK (1979) The Hopkins Symptom Checklist (HSCL). Factors derived from the HSCL-90. J Affect Disord 1:9–24

    Article  Google Scholar 

  22. Lavik NJ, Laake P, Hauff E, Solberg Ø (1999) The use of self-reports in psychiatric studies of traumatizerd refugees: validation and analysis of HSCL-25. Nord J Psychiatry 53:17–20

    Article  Google Scholar 

  23. Brugha T, Bebbington P, Tennant C, Hurry J (1985) The List of Threatening Experiences: a subset of 12 life events categories with considerable long term contextual threat. Psychol Med 15:189–194

    Google Scholar 

  24. Statistical Package for the Social Sciences (computer software program) (2003) Version 11.0, Chicago IL: SPSS Inc

  25. Bengi-Arslan L, Verhulst FC, Crijnen AAM (2000) Prevalence and determinants of minor psychiatric disorder in Turkish immigrants living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 37:118–124

    Article  Google Scholar 

  26. Nazroo JY (1997) Gender differences in onsets of depression: a study of couples. Psychol Med 27:9–19

    Article  Google Scholar 

  27. Khavarpour F, Rissel C (1997) Mental health status of Iranian immigrants in Sydney. Aust N Z J Psychiatry 31:828–834

    Google Scholar 

  28. Sondergaard HP, Ekblad S, Theorell T (2001) Self reported life event patterns and their relation to health among recently resettled Iraqi and Kurdish refugees in Sweden. J Nerv Ment Dis 189:838–845

    Article  Google Scholar 

  29. Brostedt EM, Pedersen NL (2003) Stressful life events and affective illness. Acta Psychiatr Scand 107:208–215

    Article  Google Scholar 

  30. Van Ommeren M, de Jong JTVM, Sharma B, Komproe I, Thapa SB, Cardena E (2001) Psychiatric disorders among tortured Bhutanese refugees in Nepal. Arch Gen Psychiatry 58:475–482

    Article  Google Scholar 

  31. Thapa SB, Van Ommeren M, Sharma B, de Jong JTVM, Hauff E (2003) Psychiatric disability among tortured Bhutanese refugees in Nepal. Am J Psychiatry 160:2032–2037

    Article  Google Scholar 

  32. Kuo WH (1984) Prevalence of depression among Asian-Americans. J Nerv Ment Dis 172:449–457

    Google Scholar 

  33. Statistics Norway. Unemployment among immigrants. Available at http://www.ssb.no/english/subjects/06/03/innvarbl_en/tab-2004-02-25-01-en.html. Accessed on 16. 03. 2004

  34. Piccinelli M, Wilkinson G (2000) Gender differences in depression. Br J Psychiatry 177:486–492

    Article  CAS  PubMed  Google Scholar 

  35. Johansson LM, Sundquist J, Johansson SE, Bergman B (1998) Immigration, moving house and psychiatric admissions. Acta Psychiatr Scand 98:105–111

    Google Scholar 

  36. Nazroo JY (1998) Rethinking the relationship between ethnicity and mental health: the British Fourth National Survey of Ethnic Minorities. Soc Psychiatry Psychiatr Epidemiol 33:145–148

    Article  Google Scholar 

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Authors and Affiliations

  1. Dept. of International Health, Institute of General Practice and Community Medicine, Faculty of Medicine, University of Oslo, P. O. Box 1130, Blindern, 0317, Oslo, Norway

    Suraj Bahadur Thapa MBBS, MPhil

  2. Institute of Psychiatry, Ullevål University Hospital, University of Oslo, Oslo, Norway

    Edvard Hauff MD, PhD

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  1. Suraj Bahadur Thapa MBBS, MPhil
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  2. Edvard Hauff MD, PhD
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Correspondence to Suraj Bahadur Thapa MBBS, MPhil.

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Thapa, S.B., Hauff, E. Gender differences in factors associated with psychological distress among immigrants from low- and middle-income countries. Soc Psychiatry Psychiatr Epidemiol 40, 78–84 (2005). https://doi.org/10.1007/s00127-005-0855-8

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  • DOI: https://doi.org/10.1007/s00127-005-0855-8

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