Pre-migration traumatic experiences, post-migration perceived discrimination and substance use among Russian and Kurdish migrants-a population-based study

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http://hdl.handle.net/10138/325247

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Salama , E S , Castaneda , A E , Lilja , E , Suvisaari , J , Rask , S , Laatikainen , T & Niemela , S 2020 , ' Pre-migration traumatic experiences, post-migration perceived discrimination and substance use among Russian and Kurdish migrants-a population-based study ' , Addiction , vol. 115 , no. 6 , pp. 1160-1171 . https://doi.org/10.1111/add.14904

Titel: Pre-migration traumatic experiences, post-migration perceived discrimination and substance use among Russian and Kurdish migrants-a population-based study
Författare: Salama, Essi S.; Castaneda, Anu E.; Lilja, Eero; Suvisaari, Jaana; Rask, Shadia; Laatikainen, Tiina; Niemela, Solja
Upphovmannens organisation: Doctoral Programme in Social Sciences
Department of Psychology and Logopedics
HUS Helsinki and Uusimaa Hospital District
Datum: 2020-06
Språk: eng
Sidantal: 12
Tillhör serie: Addiction
ISSN: 0965-2140
DOI: https://doi.org/10.1111/add.14904
Permanenta länken (URI): http://hdl.handle.net/10138/325247
Abstrakt: Background and aims The associations between traumatic events, substance use and perceived discrimination have been rarely studied among migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. Design Cross-sectional interview and health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n = 1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. Setting Population-based data were collected from six cities in Finland during 2010-12. Participants The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n = 442-687, Kurds n = 459-613), as some participants completed only interview, health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). Measurements The three main outcomes were self-reported binge drinking, daily smoking and life-time cannabis use. PTEs and PD were self-reported in the interview. Socio-demographic background, migration-related factors and current affective symptoms were adjusted for. Findings Among Kurds, PTEs were associated with binge drinking [adjusted odds ratio (aOR) = 2.65, 95% confidence interval (CI) = 1.30-5.42] and PD was associated with life-time cannabis use (aOR = 3.89, 95% CI = 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with life-time cannabis use adjusting for contextual factors (aOR = 2.17, 95% CI = 1.12-4.18). Conclusions In Finland, pre-migration traumatic experiences appear to be associated with life-time cannabis use among the Russian migrant population (voluntary migration) and binge drinking among the Kurdish migrant population (forced migration). Perceived discrimination in Finland appears to be associated with life-time cannabis use among Kurdish migrants.
Subject: Alcohol
binge drinking
cannabis
daily smoking
discrimination
forced migration
migrant
substance use
tobacco
traumatic experiences
POSTTRAUMATIC-STRESS-DISORDER
COMMON MENTAL-DISORDERS
ETHNIC-MINORITY GROUPS
ILLICIT DRUG-USE
RACIAL-DISCRIMINATION
AUDIT-C
ALCOHOL-CONSUMPTION
UNFAIR TREATMENT
RACIAL/ETHNIC DISCRIMINATION
2ND-GENERATION IMMIGRANTS
3124 Neurology and psychiatry
Referentgranskad: Ja
Licens: cc_by_nc
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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