@article{ref1,
title="Major depressive disorders in young immigrants: a cohort study from primary healthcare settings in Sweden",
journal="Scandinavian journal of public health",
year="2021",
author="Osooli, Mehdi and Ohlsson, Henrik and Sundquist, Jan and Sundquist, Kristina",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIMS: Previous studies on major depressive disorder (MDD) among immigrants have reported mixed results. Using data from primary healthcare settings in Sweden, we compared the incidence of MDD among first- and second-generation immigrants aged 15-39 years with natives. <br><br>METHODS: This was a retrospective nationwide open cohort study. Eligible individuals were born 1965-1983, aged 15-39 years at baseline, and resided in Sweden for at least one year during the study period 2000-2015. We identified MDD cases through the Primary Care Registry (PCR). The follow-up for each individual started when they met the inclusion criteria and were registered in the PCR and ended at MDD diagnosis, death, emigration, moving to a county without PCR coverage, or the end of the study period, whichever came first. <br><br>RESULTS: The final sample included 1,341,676 natives and 785,860 immigrants. The MDD incidence rate per 1000 person-years ranged from 6.1 (95% confidence intervals: 6.1, 6.2) to 16.6 (95% confidence intervals: 16.2, 17.0) in native males and second-generation female immigrants with a foreign-born father, respectively. After adjusting for income, the MDD risk did not differ substantially between first-generation male and female immigrants and natives. However, male and female second-generation immigrants had a 16-29% higher adjusted risk of MDD than natives. <br><br>CONCLUSIONS: This cohort study using primary healthcare data in Sweden, albeit incomplete, indicated that second-generation immigrants seem to be at a particularly high risk of MDDs. The underlying mechanisms need further investigation.<p /> <p>Language: en</p>",
language="en",
issn="1403-4948",
doi="10.1177/14034948211019796",
url="http://dx.doi.org/10.1177/14034948211019796"
}