Being a refugee in childhood and health in adulthood

Abstract Aim To examine whether individuals who migrated to Sweden as refugees in childhood are more likely to experience poor mental and general health and violence in adulthood, compared to individuals born in Sweden, or who were migrants but not refugees. Methods This study included 151,614 individuals who answered the Swedish National Public Health Survey in 2018 or 2020. We grouped the participants into refugees in childhood, migrants in childhood, or non-migrants. Information about outcomes - mental health, general health, and risk behaviors - was collected through questionnaires. We analyzed the associations using logistic regressions. Results Overall, having been a refugee in childhood was generally not associated with poor general health and mental ill-health, risk behaviors, or exposure to violence, compared to those who were migrants or born in Sweden. However, there were some exceptions. For example, young men, who were refugees in childhood, had a higher likelihood of suicide attempts than non-migrants. Interestingly, childhood refugees and childhood migrants were less likely to use drugs and to have risky alcohol use as adults, compared to non-migrants, but were more likely to be risk gamblers. Conclusions Being a refugee in childhood was not, in general, associated with negative health consequences in adulthood with some exceptions, such as gambling, that will be discussed in the presentation. Key messages • In this study, refugee experience in childhood is not, in general, associated with worse health outcomes in adulthood. • There are certain risk groups that need to be highlighted such as young males with refugee experience in childhood.


Aim:
To examine whether individuals who migrated to Sweden as refugees in childhood are more likely to experience poor mental and general health and violence in adulthood, compared to individuals born in Sweden, or who were migrants but not refugees.

Methods:
This study included 151,614 individuals who answered the Swedish National Public Health Survey in 2018 or 2020. We grouped the participants into refugees in childhood, migrants in childhood, or non-migrants. Information about outcomesmental health, general health, and risk behaviors -was collected through questionnaires. We analyzed the associations using logistic regressions.

Results:
Overall, having been a refugee in childhood was generally not associated with poor general health and mental ill-health, risk behaviors, or exposure to violence, compared to those who were migrants or born in Sweden. However, there were some exceptions. For example, young men, who were refugees in childhood, had a higher likelihood of suicide attempts than non-migrants. Interestingly, childhood refugees and childhood migrants were less likely to use drugs and to have risky alcohol use as adults, compared to non-migrants, but were more likely to be risk gamblers.

Conclusions:
Being a refugee in childhood was not, in general, associated with negative health consequences in adulthood with some exceptions, such as gambling, that will be discussed in the presentation.

Key messages:
In this study, refugee experience in childhood is not, in general, associated with worse health outcomes in adulthood.
There are certain risk groups that need to be highlighted such as young males with refugee experience in childhood.

Background:
Vulnerability and inequality are exacerbated in undocumented migrants, the most invisible to health systems.

Objectives:
To estimate maternal and perinatal health needs in undocumented migrants and test a methodology for systematic monitoring & evaluation.

Conclusions:
Maternal and perinatal health was poor in undocumented migrants, varying by birthplace. Social determinants, health coverage and outcomes showed vulnerability and inequality compared to the general population. Key messages: Tailored interventions are needed: outreach health promotion on safe motherhood and neonatal care, healthcare provider training, cultural mediation, translation, and functional language learning. A systematic monitoring and evaluation system needs to routinely collect, integrate, and analyze data on key indicators.