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Article

Migrants Are Underrepresented in Mental Health and Rehabilitation Services—Survey and Register-Based Findings of Russian, Somali, and Kurdish Origin Adults in Finland

by
Anu E. Castaneda
1,2,*,
Katja Çilenti
1,2,
Shadia Rask
1,
Eero Lilja
1,
Natalia Skogberg
1,
Hannamaria Kuusio
1,
Essi Salama
3,
Jari Lahti
2,
Marko Elovainio
1,2,
Jaana Suvisaari
1,
Seppo Koskinen
1 and
Päivikki Koponen
1
1
Finnish Institute for Health and Welfare, 00271 Helsinki, Finland
2
Department of Psychology and Logopedics, University of Helsinki, 00014 Helsinki, Finland
3
Doctoral Programme in Clinical Research, Faculty of Medicine, University of Turku, FI-20014 Turku, Finland & Child Psychiatry, Turku University Hospital, 20521 Turku, Finland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(17), 6223; https://doi.org/10.3390/ijerph17176223
Received: 20 July 2020 / Revised: 13 August 2020 / Accepted: 21 August 2020 / Published: 27 August 2020
(This article belongs to the Special Issue Health Care Access among Underserved Groups)
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Abstract

Mounting evidence suggests that migration background increases the risk of mental ill health, but that problems exist in accessing healthcare services in people of migrant origin. The present study uses a combination of register- and survey-based data to examine mental health-related health service use in three migrant origin populations as well as the correspondence between the need and use of services. The data are from the Finnish Migrant Health and Wellbeing Study (Maamu), a comprehensive cross-sectional interview and a health examination survey. A random sample consisted of 5909 working-aged adults of Russian, Somali, and Kurdish origin of which 3000 were invited to participate in the survey and the rest were drawn for a register-based approach. Some of the mental health services, based on registers, were more prevalent in the Kurdish origin group in comparison with the general population and less prevalent in the Russian and Somali origin groups. All the migrant origin groups were underrepresented in rehabilitation services. When affective symptoms were taken into account, all the migrant origin groups were underrepresented in all of the services. This calls for actions to promote mental health, diminish the barriers to access services, and improve the service paths for migrants. View Full-Text
Keywords: migrant; mental health; service use; rehabilitation; psychiatry; population-based migrant; mental health; service use; rehabilitation; psychiatry; population-based
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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MDPI and ACS Style

Castaneda, A.E.; Çilenti, K.; Rask, S.; Lilja, E.; Skogberg, N.; Kuusio, H.; Salama, E.; Lahti, J.; Elovainio, M.; Suvisaari, J.; Koskinen, S.; Koponen, P. Migrants Are Underrepresented in Mental Health and Rehabilitation Services—Survey and Register-Based Findings of Russian, Somali, and Kurdish Origin Adults in Finland. Int. J. Environ. Res. Public Health 2020, 17, 6223. https://doi.org/10.3390/ijerph17176223

AMA Style

Castaneda AE, Çilenti K, Rask S, Lilja E, Skogberg N, Kuusio H, Salama E, Lahti J, Elovainio M, Suvisaari J, Koskinen S, Koponen P. Migrants Are Underrepresented in Mental Health and Rehabilitation Services—Survey and Register-Based Findings of Russian, Somali, and Kurdish Origin Adults in Finland. International Journal of Environmental Research and Public Health. 2020; 17(17):6223. https://doi.org/10.3390/ijerph17176223

Chicago/Turabian Style

Castaneda, Anu E., Katja Çilenti, Shadia Rask, Eero Lilja, Natalia Skogberg, Hannamaria Kuusio, Essi Salama, Jari Lahti, Marko Elovainio, Jaana Suvisaari, Seppo Koskinen, and Päivikki Koponen. 2020. "Migrants Are Underrepresented in Mental Health and Rehabilitation Services—Survey and Register-Based Findings of Russian, Somali, and Kurdish Origin Adults in Finland" International Journal of Environmental Research and Public Health 17, no. 17: 6223. https://doi.org/10.3390/ijerph17176223

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