Antipsychotic medication use among working-age first-generation migrants resident in Finland: An administrative data linkage study

Tania J. Bosqui , Ari Väänänen , Aki Koskinen , André Buscariolli , Dermot O’Reilly , Auli Airila , Minna Toivanen , Anne Kouvonen Piotrowska

Abstract

Aims: Higher incidence of psychotic disorders in high-income countries for migrants compared with the settled majority has been well established. However, it is less clear to what extent different migrants groups have accessed and utilised mental health care. This study aimed to identify the hazard of antipsychotic medication use in the largest migrant groups in Finland, compared with a Finnish-born comparison group, using high quality datasets maintained by Statistics Finland and Social Insurance Institution Finland, and linking socio-demographic and -economic characteristics to antipsychotic prescription purchases. Methods: The study draws on a representative sample of 33% of the adult working-age population of Finland in 2005 ( n = 1,059,426, 50.2% male, 2.5% migrant). The use of antipsychotic drugs was followed-up from 2005 to 2014. Results: The results show that the hazard of antipsychotic medication purchases differed between migrant groups, with a higher hazard for migrants from North Africa and the Middle East before socio-economic adjustment (men HR 1.19, 95% CI 1.04–1.37; women HR 1.37, 95% CI 1.12–1.66), and a lower hazard for all migrant groups after adjustment for socio-economic characteristics compared with the Finland-born population. Conclusions: The findings suggest that attention should be paid to the lower use of medication for psychotic disorders in some migrant groups, as well as the potential role of social disadvantage for migrants from North Africa and Middle East.
Author Tania J. Bosqui
Tania J. Bosqui,,
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, Ari Väänänen
Ari Väänänen,,
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, Aki Koskinen
Aki Koskinen,,
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, André Buscariolli
André Buscariolli,,
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, Dermot O’Reilly
Dermot O’Reilly,,
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, Auli Airila
Auli Airila,,
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, Minna Toivanen
Minna Toivanen,,
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, Anne Kouvonen Piotrowska (Filia we Wrocławiu)
Anne Kouvonen Piotrowska,,
- Filia we Wrocławiu
Journal seriesScandinavian Journal of Public Health, ISSN 1403-4948, e-ISSN 1651-1905, (N/A 70 pkt)
Issue year2020
Vol48
No1
Pages64-71
Publication size in sheets0.5
Keywords in EnglishPsychosis, psychotropic medication, data linkage, migrants, Finland
ASJC Classification2700 General Medicine; 2739 Public Health, Environmental and Occupational Health
DOIDOI:10.1177/1403494819841960
Languageen angielski
File
Antipsychotic_tekst.pdf 105.88 KB
Antipsychotic_oswiadczenie.pdf 667.81 KB
Score (nominal)70
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2017 = 0.857; WoS Impact Factor: 2018 = 1.761 (2) - 2018=1.873 (5)
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