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The impact of migration background characteristics on the relationship between employment status and suicide: a longitudinal study of native- and foreign-origin persons in Sweden
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).ORCID iD: 0000-0003-4661-3462
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).ORCID iD: 0000-0001-9086-7588
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).ORCID iD: 0000-0002-6973-0381
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 182-182Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background:

Persons of foreign-origin have higher rates of unemployment than those of native-origin, yet few studies have explicitly assessed relationships between unemployment and mental health in persons of foreign-origin relative to those of native-origin. This study examines the extent to which generational status, region of origin, age at arrival, and duration of residence modify the relationship between employment status and suicide risk.

Methods:

Population-based registers were used to conduct a longitudinal, open cohort study of native-origin and foreign-origin Swedish residents of working age (25-64 years) from 1993-2008. Hazard ratios and 95% confidence intervals for suicide mortality were estimated using gender-stratified Cox regression models.

Results:

Elevated hazard ratios for suicide were observed among the majority of foreign-origin persons exposed to unemployment. Second generation Swedish men exposed to unemployment demonstrated significantly greater (p < 0.05) excess risk of suicide (HR = 3.63, 95% CI: 2.90-4.54) than that observed among native-origin Swedish men exposed to unemployment (HR = 1.67, 95% CI: 1.29-2.16). In unemployed foreign-born men, younger age at arrival and longer duration of residence were associated with increased risk of suicide, whereas unemployed foreign-born men who arrived as adults and had a shorter duration of residence did not demonstrate excess suicide risk.

Conclusions:

Suicide risk in most foreign-origin groups exposed to unemployment was of a similar magnitude to that observed among their native-origin counterparts. Yet there were notable differences in patterns of association by generational status, region of origin, age at arrival, and duration of residence. The high excess risk observed in unemployed second generation men suggests that ensuring employment among this group may be of particular public health importance.

Main messages:

The mental health impact of unemployment varies by migration background characteristics.

Unemployed second generation men had an elevated risk of suicide that was of a greater magnitude compared to the risk of suicide observed among unemployed native-origin men.

Place, publisher, year, edition, pages
2018. Vol. 28, p. 182-182
National Category
Other Social Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Sciences
Identifiers
URN: urn:nbn:se:su:diva-178317DOI: 10.1093/eurpub/cky048.212OAI: oai:DiVA.org:su-178317DiVA, id: diva2:1388220
Conference
1st World Congress on Migration, Ethnicity, Race and Health, Edinburgh, UK, 17-19 May, 2018
Note

Issue Section: e1. Poster presentations.

Available from: 2020-01-23 Created: 2020-01-23 Last updated: 2020-01-24Bibliographically approved

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Dunlavy, AndreaJuárez, SolRostila, Mikael
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