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

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dc.contributor.author Salama, Essi S.
dc.contributor.author Castaneda, Anu E.
dc.contributor.author Lilja, Eero
dc.contributor.author Suvisaari, Jaana
dc.contributor.author Rask, Shadia
dc.contributor.author Laatikainen, Tiina
dc.contributor.author Niemela, Solja
dc.date.accessioned 2021-01-26T14:39:01Z
dc.date.available 2021-01-26T14:39:01Z
dc.date.issued 2020-06
dc.identifier.citation 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
dc.identifier.other PURE: 159566347
dc.identifier.other PURE UUID: f28d29af-e3c2-4aae-8668-51be4e40e7ef
dc.identifier.other WOS: 000506171900001
dc.identifier.uri http://hdl.handle.net/10138/325247
dc.description.abstract 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. en
dc.format.extent 12
dc.language.iso eng
dc.relation.ispartof Addiction
dc.rights cc_by_nc
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Alcohol
dc.subject binge drinking
dc.subject cannabis
dc.subject daily smoking
dc.subject discrimination
dc.subject forced migration
dc.subject migrant
dc.subject substance use
dc.subject tobacco
dc.subject traumatic experiences
dc.subject POSTTRAUMATIC-STRESS-DISORDER
dc.subject COMMON MENTAL-DISORDERS
dc.subject ETHNIC-MINORITY GROUPS
dc.subject ILLICIT DRUG-USE
dc.subject RACIAL-DISCRIMINATION
dc.subject AUDIT-C
dc.subject ALCOHOL-CONSUMPTION
dc.subject UNFAIR TREATMENT
dc.subject RACIAL/ETHNIC DISCRIMINATION
dc.subject 2ND-GENERATION IMMIGRANTS
dc.subject 3124 Neurology and psychiatry
dc.title Pre-migration traumatic experiences, post-migration perceived discrimination and substance use among Russian and Kurdish migrants-a population-based study en
dc.type Article
dc.contributor.organization Doctoral Programme in Social Sciences
dc.contributor.organization Department of Psychology and Logopedics
dc.contributor.organization HUS Helsinki and Uusimaa Hospital District
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1111/add.14904
dc.relation.issn 0965-2140
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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