Common mental disorders in Peruvian immigrant in Chile: a comparison with the host population

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dc.catalogadorpau
dc.contributor.authorErrazuriz, Antonia
dc.contributor.authorSchmidt, Kristin
dc.contributor.authorValenzuela, Paulina
dc.contributor.authorPino, Rodolfo
dc.contributor.authorJones, Peter B. B.
dc.date.accessioned2023-07-31T13:28:13Z
dc.date.available2023-07-31T13:28:13Z
dc.date.issued2023
dc.description.abstractBackgroundThe Inner Santiago Health Study (ISHS) aimed to (i) estimate the prevalence of common mental disorders (CMD; i.e. depressive and anxiety disorders) among immigrants of Peruvian origin in Chile; (ii) determine whether such immigrants are at higher risk of CMD when compared with the native-born geographically matched population (i.e. non-immigrants); and (iii) identify factors associated with higher risk of any CMD among this immigrant group. A secondary aim was to describe access to mental health services by Peruvian immigrants meeting criteria for any CMD.MethodsFindings are based on a population-based cross-sectional household mental health survey of 608 immigrant and 656 non-immigrant adults (18-64 years) residing in Santiago de Chile. Diagnoses of ICD-10 depressive and anxiety disorders and of any CMD were obtained using the Revised Clinical Interview Schedule. The relationships between demographic, economic, psychosocial, and migration-specific predictor variables, and risk of any CMD were analyzed with a series of stepwise multivariate logistic regression models.ResultsThe one-week prevalence of any CMD was 29.1% (95% CI: 25.2-33.1) among immigrants and 34.7% (95% CI: 30.7-38.7) among non-immigrants. Depending on the statistical model used in the pooled sample, we found the prevalence of any CMD among non-immigrants to be higher (OR=1.53; 95% CI: 1.05-2.25) or similar (OR=1.34; 95% CI: 0.94-19.2) when compared with immigrants. In the multivariate stepwise regression of any CMD in immigrants only, the prevalence was higher for females, those with primary compared to higher education, in debt and exposed to discrimination. Conversely, higher levels of functional social support, sense of comprehensibility, and manageability were associated with a lower risk of any CMD in immigrants. In addition, no differences were observed between immigrants and non-immigrants reporting any CMD in mental health service utilization.ConclusionOur results evidence high levels of current CMD in this immigrant group, particularly amongst women. However, lower adjusted prevalence of any CMD in immigrants compared to non-immigrants was limited to preliminary statistical models, thus failing to provide clear support for a "healthy immigrant effect". The study sheds new light on differences in CMD prevalence by immigrant status in Latin America by examining differential exposure to risk factors in immigrant versus non-immigrant groups.
dc.fechaingreso.objetodigital2023-10-20
dc.fuente.origenWOS
dc.identifier.doi10.1186/s12889-023-15793-7
dc.identifier.eissn1471-2458
dc.identifier.urihttps://doi.org/10.1186/s12889-023-15793-7
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75146
dc.identifier.wosidWOS:001020905600004
dc.information.autorucEscuela de Medicina; Errazuriz, Antonia; 0000-0001-9948-388X; 1015339
dc.issue.numero1
dc.language.isoen
dc.nota.accesoContenido completo
dc.publisherBMC
dc.revistaBMC PUBLIC HEALTH
dc.rightsacceso abierto
dc.subjectCommon mental disorders
dc.subjectDepression
dc.subjectAnxiety
dc.subjectImmigrant mental health
dc.subjectHealthy immigrant effect
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleCommon mental disorders in Peruvian immigrant in Chile: a comparison with the host population
dc.typeartículo
dc.volumen23
sipa.codpersvinculados1015339
sipa.indexWOS
sipa.trazabilidadWOS;2023-07-30
sipa.trazabilidadORCID;2023-10-16
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