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Psychological distress among migrant groups in Australia: results from the 2015 National Health Survey

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Abstract

Purpose

To understand the relationship between migration and psychological distress, we (a) calculated the prevalence of psychological distress in specific migrant groups, and (b) examined the association between specific birth groups and psychological distress, while controlling for confounding variables to understand vulnerabilities across migrant groups.

Methods

The prevalence of psychological distress, disaggregated by birthplace, was calculated using data from the Australian 2015 National Health Survey, which measures psychological distress via the Kessler Screening Scale for Psychological Distress (K10). Multivariable logistic regression models, with adjustments for complex survey design, were fitted to examine the association between country of birth and psychological distress once extensive controls for demographic, and socioeconomics factors were included.

Results

14,466 individuals ≥ 18 years completed the K10. Migrants from Italy (20.7%), Greece (20.4%), Southern and Eastern European (18.2%), and North African and Middle Eastern (21.9%) countries had higher prevalence estimates of distress compared to Australian born (12.4%) or those born in the United Kingdom (UK) (9.5%)—the largest migrant group in Australia. After adjusting for demographics, SES factors, duration in Australia, a birthplace in Italy (OR = 2.79 95% CI 1.4, 5.7), Greece (OR = 2.46 95% CI 1.1, 5.5), India (OR = 2.28 95% CI 1.3, 3.9), Southern and Eastern Europe (excluding Greece and Italy) (OR = 2.43 95% CI 1.5, 3.9), North Africa and the Middle East (OR = 3.39 95% CI 1.9, 6.2) was associated with increased odds of distress relative to those born in the UK.

Conclusions

Illuminating variability in prevalence of psychological distress across migrant communities, highlights vulnerabilities in particular migrant groups, which have not previously been described. Identifying such communities can aid mental health policy-makers and service providers provide targeted culturally appropriate care.

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References

  1. The Lancet Public H (2018) No public health without migrant health. Lancet Public Health 3(6):e259. https://doi.org/10.1016/S2468-2667(18)30101-4

    Article  Google Scholar 

  2. Bhugra D, Tasman A, Pathare S, Priebe S, Smith S, Torous J, Arbuckle MR, Langford A, Alarcón RD, Chiu HFK, First MB, Kay J, Sunkel C, Thapar A, Udomratn P, Baingana FK, Kestel D, Ng RMK, Patel A, Picker LD, McKenzie KJ, Moussaoui D, Muijen M, Bartlett P, Davison S, Exworthy T, Loza N, Rose D, Torales J, Brown M, Christensen H, Firth J, Keshavan M, Li A, Onnela J-P, Wykes T, Elkholy H, Kalra G, Lovett KF, Travis MJ, Ventriglio A (2017) The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. Lancet Psychiatry 4(10):775–818. https://doi.org/10.1016/S2215-0366(17)30333-4

    Article  PubMed  Google Scholar 

  3. Chen W, Hall BJ, Ling L, Renzaho AMN (2017) Pre-migration and post-migration factors associated with mental health in humanitarian migrants in Australia and the moderation effect of post-migration stressors: findings from the first wave data of the BNLA cohort study. Lancet Psychiatry 4(3):218–229. https://doi.org/10.1016/S2215-0366(17)30032-9

    Article  PubMed  Google Scholar 

  4. Steel Z, Chey T, Silove D, Marnane C, Bryant RA, Van Ommeren M (2009) Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA 302(5):537–549

    Article  CAS  Google Scholar 

  5. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32(6):959–976

    Article  CAS  Google Scholar 

  6. Bloch S, Green SA, Janca A, Mitchell PB, Robertson M (2017) Foundations of Clinical Psychiatry, 4th edn. Melbourne Univ Publishing, Melbourne

    Google Scholar 

  7. Barnes DM, Bates LM (2017) Do racial patterns in psychological distress shed light on the Black-White depression paradox? A systematic review. Soc Psychiatry Psychiatr Epidemiol 52(8):913–928

    Article  Google Scholar 

  8. Lincoln KD, Taylor RJ, Watkins DC, Chatters LM (2011) Correlates of psychological distress and major depressive disorder among african american men. Res Soc Work Pract 21(3):278–288. https://doi.org/10.1177/1049731510386122

    Article  PubMed  PubMed Central  Google Scholar 

  9. Payton AR (2009) Mental health, mental illness, and psychological distress: same continuum or distinct phenomena? J Health Soc Behav 50(2):213–227

    Article  Google Scholar 

  10. Sunderland M, Slade T, Stewart G, Andrews G (2011) Estimating the prevalence of DSM-IV mental illness in the Australian general population using the Kessler Psychological Distress Scale. Aust N Z J Psychiatry 45(10):880–889

    Article  Google Scholar 

  11. Liddell BJ, Chey T, Silove D, Phan TTB, Giao NM, Steel Z (2013) Patterns of risk for anxiety-depression amongst Vietnamese-immigrants: a comparison with source and host populations. BMC Psychiatry. https://doi.org/10.1186/1471-244x-13-329

    Article  PubMed  PubMed Central  Google Scholar 

  12. Salas-Wright CP, Kagotho N, Vaughn MG (2014) Mood, anxiety, and personality disorders among first and second-generation immigrants to the United States. Psychiat Res 220(3):1028–1036. https://doi.org/10.1016/j.psychres.2014.08.045

    Article  Google Scholar 

  13. Nieuwenhuijsen K, Schene AH, Stronks K, Snijder MB, Frings-Dresen MHW, Sluiter JK (2015) Do unfavourable working conditions explain mental health inequalities between ethnic groups?: cross-sectional data of the HELIUS study. BMC Public Health 15(1):805. https://doi.org/10.1186/s12889-015-2107-5

    Article  PubMed  PubMed Central  Google Scholar 

  14. Schrier AC, de Wit MAS, Rijmen F, Tuinebreijer WC, Verhoeff AP, Kupka RW, Dekker J, Beekman ATF (2010) Similarity in depressive symptom profile in a population-based study of migrants in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 45(10):941–951. https://doi.org/10.1007/s00127-009-0135-0

    Article  PubMed  Google Scholar 

  15. Liddell BJ, Nickerson A, Sartor L, Ivancic L, Bryant RA (2016) The generational gap: mental disorder prevalence and disability amongst first and second generation immigrants in Australia. J Psychiatr Res 83:103–111. https://doi.org/10.1016/j.jpsychires.2016.08.011

    Article  PubMed  Google Scholar 

  16. Hanefeld J, Vearey J, Lunt N, Bell S, Blanchet K, Duclos D, Ghilardi L, Horsfall D, Howard N, Adams JH, Kamndaya M, Lynch C, Makandwa T, McGrath N, Modesinyane M, O’Donnell K, Siriwardhana C, Smith R, Testa A, Vanyoro K, Walls H, Wickramage KP, Zimmermann C (2017) A global research agenda on migration, mobility, and health. Lancet 389(10087):2358–2359. https://doi.org/10.1016/S0140-6736(17)31588-X

    Article  PubMed  Google Scholar 

  17. Australian Bureau of Statistics (2012) 2011 Census reveals one in four Australians is born overseas. ABS. http://www.abs.gov.au/websitedbs/censushome.nsf/home/CO-59?opendocument&navpos=620. Accessed 22 Oct 2019

  18. Australian Bureau of Statistics (2017) 2071.0–Census of population and housing: reflecting Australia–stories from the Census, 2016. ABS. http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/2071.0~2016~Main%20Features~Cultural%20Diversity%20Data%20Summary~30. Accessed 30 Nov 2017

  19. Department of Economic and Social Affairs Population Division (2015) International migrant stock 2015. United Nations New York

  20. Australian Bureau of Statistics (2019) 3412.0 - Migration, Australia, 2017-18. ABS. http://www.abs.gov.au/ausstats/abs@.nsf/Latestproducts/3412.0Main%20Features42017-18?opendocument&tabname=Summary&prodno=3412.0&issue=2017-18&num=&view. Accessed 17 May 2019

  21. Australian Bureau of Statistics (2015) National Health Survey: Users’Guide, 2014-15. Catalogue number 4363.0. ABS. https://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4363.02014-15?OpenDocument. Accessed 22 Oct 2019

  22. Harvard Medical School K10 and K6 Scales. https://www.hcp.med.harvard.edu/ncs/k6_scales.php. Accessed 8 Aug 2018

  23. Kelaher MA, Ferdinand AS, Paradies Y (2014) Experiencing racism in health care: the mental health impacts for Victorian Aboriginal communities. Med J Australia 201(1):44–47

    Article  Google Scholar 

  24. Temple J, Kelaher M (2018) Is disability exclusion associated with psychological distress? Australian evidence from a national cross-sectional survey. BMJ Open 8:e020829. https://doi.org/10.1136/bmjopen-2017-020829

    Article  PubMed  PubMed Central  Google Scholar 

  25. Anderson TM, Sunderland M, Andrews G, Titov N, Dear BF, Sachdev PS (2013) The 10-item kessler psychological distress scale (K10) as a screening instrument in older individuals. Am J Geriatr Psychiatry 21(7):596–606

    Article  Google Scholar 

  26. Australian Bureau of Statistics (2012) 4817.0.55.001–Use of the Kessler psychological distress scale in ABS Health Surveys, Australia, 2007-08. ABS. http://www.abs.gov.au/ausstats/abs@.nsf/mf/4817.0.55.001. Accessed 10 Dec 2018

  27. Australian Bureau of Statistics (2016) Standard Australian Classification of Countries (SACC), 2016. ABS. http://www.abs.gov.au/ausstats/abs@.nsf/mf/1269.0. Accessed 10 Dec 2018

  28. Brijnath B, Antoniades J (2018) Beyond patient culture: filtering cultural presentations of depression through structural terms. Crit Public Health 28(2):237–247. https://doi.org/10.1080/09581596.2017.1344771

    Article  Google Scholar 

  29. Reid A (2012) Under-use of migrants’ employment skills linked to poorer mental health. Aust N Z J Public Health 36(2):120–125. https://doi.org/10.1111/j.1753-6405.2012.00842.x

    Article  PubMed  Google Scholar 

  30. Sharma S (2012) Psychological distress among Australians and immigrants: findings from the 2007 National Survey of Mental Health and Wellbeing. Adv Ment Health 10(2):106–116. https://doi.org/10.5172/jamh.2011.10.2.106

    Article  Google Scholar 

  31. Jie H, Zhiqiang W (2016) Exploring the associated factors of elevated psychological distress in a community residing sample of Australian Chinese migrants. Australian J Psychol 68(2):116–122. https://doi.org/10.1111/ajpy.12099

    Article  Google Scholar 

  32. Raftery AE (1995) Bayesian model selection in social research. Soc Methodol 25:111–163. https://doi.org/10.2307/271063

    Article  Google Scholar 

  33. Belsley D, Kuh E, Welsch R (1980) Regression diagnostics: Identifying influential data and sources of collinearity. John Wiley & Sons Inc, New York

    Book  Google Scholar 

  34. Hosmer DW, Hosmer T, Le Cessie S, Lemeshow S (1997) A comparison of goodness-of-fit tests for the logistic regression model. Stat Med 16(9):965–980

    Article  CAS  Google Scholar 

  35. Wolter K (1985) Introduction to variance estimation. Springer, New York

    Google Scholar 

  36. McEvoy PM, Grove R, Slade T (2011) Epidemiology of anxiety disorders in the Australian general population: findings of the 2007 Australian National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 45(11):957–967. https://doi.org/10.3109/00048674.2011.624083

    Article  PubMed  Google Scholar 

  37. Brijnath B (2015) Applying the CHIME recovery framework in two culturally diverse Australian communities: qualitative results. Int J Soc Psychiatry. https://doi.org/10.1177/0020764015573084

    Article  PubMed  Google Scholar 

  38. Giallo R, Riggs E, Lynch C, Vanpraag D, Yelland J, Szwarc J, Duell-Piening P, Tyrell L, Casey S, Brown SJ (2017) The physical and mental health problems of refugee and migrant fathers: findings from an Australian population-based study of children and their families. BMJ Open 7(11):e015603. https://doi.org/10.1136/bmjopen-2016-015603

    Article  PubMed  PubMed Central  Google Scholar 

  39. Commander MJ, Odell SM, Surtees PG, Sashidharan SP (2004) Care pathways for south Asian and white people with depressive and anxiety disorders in the community. Soc Psychiatry Psychiatr Epidemiol 39(4):259–264. https://doi.org/10.1007/s00127-004-0736-6

    Article  CAS  PubMed  Google Scholar 

  40. Karasz A (2005) Cultural differences in conceptual models of depression. Soc Sci Med 60(7):1625–1635

    Article  Google Scholar 

  41. Kleinman A, Good BJ (1985) Culture and depression: Studies in the anthropology and cross-cultural psychiatry of affect and disorder. Comparative studies of health systems and medical care. University of California Press, Berkeley

    Google Scholar 

  42. Connor P (2012) Balm for The Soul: immigrant Religion and Emotional Well-Being. Int Migr 50(2):130–157. https://doi.org/10.1111/j.1468-2435.2010.00623.x

    Article  Google Scholar 

  43. Koneru VK, Weisman de Mamani AG, Flynn PM, Betancourt H (2007) Acculturation and mental health: current findings and recommendations for future research. Appl Prev Psychol 12(2):76–96. https://doi.org/10.1016/j.appsy.2007.07.016

    Article  Google Scholar 

  44. Minas H, Kakuma R, Too LS, Vayani H, Orapeleng S, Prasad-Ildes R, Turner G, Procter N, Oehm D (2013) Mental health research and evaluation in multicultural Australia: developing a culture of inclusion. Int J Ment Health Syst. https://doi.org/10.1186/1752-4458-7-23

    Article  PubMed  PubMed Central  Google Scholar 

  45. Hsieh E (2015) Not just “getting by”: factors influencing providers’ choice of interpreters. J Gen Intern Med 30(1):75–82. https://doi.org/10.1007/s11606-014-3066-8

    Article  PubMed  Google Scholar 

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Acknowledgements

The Australian Research Council (ARC) Centre of Excellence in Ageing Research funds JT [CE1101029]. This research project received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

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Correspondence to Bianca Brijnath.

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Brijnath, B., Antoniades, J. & Temple, J. Psychological distress among migrant groups in Australia: results from the 2015 National Health Survey. Soc Psychiatry Psychiatr Epidemiol 55, 467–475 (2020). https://doi.org/10.1007/s00127-019-01782-y

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