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Increased prevalence of anxiety disorders in third-generation migrants in comparison to natives and to first-generation migrants

Identifieur interne : 000932 ( Main/Exploration ); précédent : 000931; suivant : 000933

Increased prevalence of anxiety disorders in third-generation migrants in comparison to natives and to first-generation migrants

Auteurs : Baptiste Pignon [France] ; Ali Amad [France] ; Antoine Pelissolo [France] ; Thomas Fovet [France] ; Pierre Thomas [France] ; Guillaume Vaiva [France] ; Jean-Luc Roelandt [France] ; Imane Benradia [France] ; Benjamin Rolland [France] ; Pierre-Alexis Geoffroy [France]

Source :

RBID : Hal:hal-02497553

English descriptors

Abstract

We sought to examine the prevalence of anxiety disorders associated with migration in the first-, second- and third-generation.The French Mental Health in the General Population cross-sectional survey interviewed 38,694 individuals using the MINI. The prevalence of lifetime anxiety disorders, and comorbidities was compared between migrants and non-migrants and by generation. All analyses were adjusted for age, sex, and income and education levels.In comparison to natives, pooled anxiety disorders were more common among migrants (25.3% vs. 20.7%, OR = 1.24) and among the three studied generations of migrants. Moreover, the prevalence rate of the pooled anxiety disorders was significantly higher in third-generation migrants, in comparison to first-generation (26.7% vs. 22.6%, OR = 1.14). Prevalence rates were higher in migrants for panic disorder (6.6% vs. 5.3%, OR = 1.20), general anxiety disorder (15.0% vs. 12.0%, OR = 1.24), posttraumatic stress disorder (1.0% vs. 0.6%, OR = 1.51), but not for social anxiety disorder. In comparison to natives, migrants with anxiety disorders had higher prevalence rates of suicide attempts (14.0% vs. 12.8% for natives), psychotic disorders (8.3% vs. 5.7%), unipolar depressive disorder (29.5% vs. 25.4%), bipolar disorder (5.0% vs. 4.0%), and addictive disorders (9.6% vs. 6.2% for alcohol use disorder, 8.2% vs. 4.1% for substance use disorders).Migration was associated with a higher prevalence of all anxiety disorders, in the first, second and third generation, and associated with more psychiatric comorbidities. Moreover, the prevalence increased across generations, and was significantly higher among third-generation migrants, in comparison to first-generation.


Url:
DOI: 10.1016/j.jpsychires.2018.03.007


Affiliations:


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<orgName>Université de Lyon</orgName>
<desc>
<address>
<addrLine>92 rue Pasteur - CS 30122, 69361 Lyon Cedex 07</addrLine>
<country key="FR"></country>
</address>
<ref type="url">https://www.universite-lyon.fr/</ref>
</desc>
</org>
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<orgName>Université Jean Monnet [Saint-Étienne]</orgName>
<orgName type="acronym">UJM</orgName>
<desc>
<address>
<addrLine>10 rue Tréfilerie - 42100 Saint-Étienne</addrLine>
<country key="FR"></country>
</address>
<ref type="url">https://www.univ-st-etienne.fr/</ref>
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<org type="institution" xml:id="struct-303623" status="VALID">
<idno type="IdRef">026388278</idno>
<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
<orgName type="acronym">INSERM</orgName>
<desc>
<address>
<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.inserm.fr</ref>
</desc>
</org>
</tutelle>
<tutelle name="UMR5292" active="#struct-441569" type="direct">
<org type="institution" xml:id="struct-441569" status="VALID">
<idno type="IdRef">02636817X</idno>
<idno type="ISNI">0000000122597504</idno>
<orgName>Centre National de la Recherche Scientifique</orgName>
<orgName type="acronym">CNRS</orgName>
<date type="start">1939-10-19</date>
<desc>
<address>
<country key="FR"></country>
</address>
<ref type="url">http://www.cnrs.fr/</ref>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>France</country>
<placeName>
<settlement type="city">Lyon</settlement>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
</placeName>
<orgName type="university">Université Claude Bernard Lyon 1</orgName>
<orgName type="institution" wicri:auto="newGroup">Université de Lyon</orgName>
</affiliation>
</author>
<author>
<name sortKey="Geoffroy, Pierre Alexis" sort="Geoffroy, Pierre Alexis" uniqKey="Geoffroy P" first="Pierre-Alexis" last="Geoffroy">Pierre-Alexis Geoffroy</name>
<affiliation wicri:level="1">
<hal:affiliation type="laboratory" xml:id="struct-30690" status="VALID">
<orgName>Service de psychiatrie</orgName>
<desc>
<address>
<addrLine>Créteil</addrLine>
<country key="FR"></country>
</address>
</desc>
<listRelation>
<relation active="#struct-300068" type="direct"></relation>
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<relation active="#struct-300088" type="direct"></relation>
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<tutelles>
<tutelle active="#struct-300068" type="direct">
<org type="regroupinstitution" xml:id="struct-300068" status="VALID">
<orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName>
<orgName type="acronym">APHP</orgName>
<desc>
<address>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
<tutelle active="#struct-300087" type="direct">
<org type="institution" xml:id="struct-300087" status="VALID">
<orgName>Hôpital Henri Mondor</orgName>
<desc>
<address>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
<tutelle active="#struct-300088" type="direct">
<org type="institution" xml:id="struct-300088" status="VALID">
<orgName>Hôpital Albert Chenevier</orgName>
<desc>
<address>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>France</country>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1016/j.jpsychires.2018.03.007</idno>
<series>
<title level="j">Journal of Psychiatric Research</title>
<idno type="ISSN">1879-1379</idno>
<imprint>
<date type="datePub">2018-03-20</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="mix" xml:lang="en">
<term>Anxiety disorders</term>
<term>Generalized anxiety disorder</term>
<term>Migrants</term>
<term>Panic disorder</term>
<term>Post-traumatic stress disorder</term>
<term>Social anxiety disorder</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>We sought to examine the prevalence of anxiety disorders associated with migration in the first-, second- and third-generation.The French Mental Health in the General Population cross-sectional survey interviewed 38,694 individuals using the MINI. The prevalence of lifetime anxiety disorders, and comorbidities was compared between migrants and non-migrants and by generation. All analyses were adjusted for age, sex, and income and education levels.In comparison to natives, pooled anxiety disorders were more common among migrants (25.3% vs. 20.7%, OR = 1.24) and among the three studied generations of migrants. Moreover, the prevalence rate of the pooled anxiety disorders was significantly higher in third-generation migrants, in comparison to first-generation (26.7% vs. 22.6%, OR = 1.14). Prevalence rates were higher in migrants for panic disorder (6.6% vs. 5.3%, OR = 1.20), general anxiety disorder (15.0% vs. 12.0%, OR = 1.24), posttraumatic stress disorder (1.0% vs. 0.6%, OR = 1.51), but not for social anxiety disorder. In comparison to natives, migrants with anxiety disorders had higher prevalence rates of suicide attempts (14.0% vs. 12.8% for natives), psychotic disorders (8.3% vs. 5.7%), unipolar depressive disorder (29.5% vs. 25.4%), bipolar disorder (5.0% vs. 4.0%), and addictive disorders (9.6% vs. 6.2% for alcohol use disorder, 8.2% vs. 4.1% for substance use disorders).Migration was associated with a higher prevalence of all anxiety disorders, in the first, second and third generation, and associated with more psychiatric comorbidities. Moreover, the prevalence increased across generations, and was significantly higher among third-generation migrants, in comparison to first-generation.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
</region>
<settlement>
<li>Lyon</li>
</settlement>
<orgName>
<li>Université Claude Bernard Lyon 1</li>
<li>Université de Lyon</li>
</orgName>
</list>
<tree>
<country name="France">
<noRegion>
<name sortKey="Pignon, Baptiste" sort="Pignon, Baptiste" uniqKey="Pignon B" first="Baptiste" last="Pignon">Baptiste Pignon</name>
</noRegion>
<name sortKey="Amad, Ali" sort="Amad, Ali" uniqKey="Amad A" first="Ali" last="Amad">Ali Amad</name>
<name sortKey="Benradia, Imane" sort="Benradia, Imane" uniqKey="Benradia I" first="Imane" last="Benradia">Imane Benradia</name>
<name sortKey="Fovet, Thomas" sort="Fovet, Thomas" uniqKey="Fovet T" first="Thomas" last="Fovet">Thomas Fovet</name>
<name sortKey="Geoffroy, Pierre Alexis" sort="Geoffroy, Pierre Alexis" uniqKey="Geoffroy P" first="Pierre-Alexis" last="Geoffroy">Pierre-Alexis Geoffroy</name>
<name sortKey="Pelissolo, Antoine" sort="Pelissolo, Antoine" uniqKey="Pelissolo A" first="Antoine" last="Pelissolo">Antoine Pelissolo</name>
<name sortKey="Roelandt, Jean Luc" sort="Roelandt, Jean Luc" uniqKey="Roelandt J" first="Jean-Luc" last="Roelandt">Jean-Luc Roelandt</name>
<name sortKey="Rolland, Benjamin" sort="Rolland, Benjamin" uniqKey="Rolland B" first="Benjamin" last="Rolland">Benjamin Rolland</name>
<name sortKey="Thomas, Pierre" sort="Thomas, Pierre" uniqKey="Thomas P" first="Pierre" last="Thomas">Pierre Thomas</name>
<name sortKey="Vaiva, Guillaume" sort="Vaiva, Guillaume" uniqKey="Vaiva G" first="Guillaume" last="Vaiva">Guillaume Vaiva</name>
</country>
</tree>
</affiliations>
</record>

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