BACKGROUND A higher risk of common mental health disorders has been found for first-generation migrants in high income countries, but few studies have examined the use of mental health care. This study aimed to identify the level of antidepressant use amongst the largest first generation migrant groups resident in Finland. METHODS This cohort study used record-based data linkage methodology to examine the hazard of antidepressant use between migrant groups in Finland using Cox proportional hazard models. Data was derived using socio-demographic and prescription data from Statistics Finland and the Finnish Population Registry. The cohort included a random sample of 33% of the working age population in 2007 (N = 1,059,426, 49.8% women, 2.5% migrants) and dispensed antidepressant prescriptions from 2008 to 2014. RESULTS After adjustment for socio-demographic characteristics, results show higher antidepressant use for female migrants from North Africa and the Middle East compared to the Finland-born majority, a similar level of use for migrants from Western countries, and lower use for migrants from other non-Western countries. CONCLUSIONS The gender and country of origin dependent use of antidepressant medication is discussed in terms of socio-political and cultural between-group differences. Recommendations are made to address inequalities in accessing services, particularly for migrants from non-Western countries.

中文翻译：

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居住在芬兰的第一代工作年龄移民的抗抑郁药物使用情况：一项行政数据关联研究。

背景 人们发现，高收入国家的第一代移民患常见精神健康疾病的风险较高，但很少有研究考察精神卫生保健的使用情况。本研究旨在确定芬兰最大的第一代移民群体的抗抑郁药物使用水平。方法 这项队列研究采用基于记录的数据关联方法，利用 Cox 比例风险模型来检查芬兰移民群体之间使用抗抑郁药物的风险。数据是使用芬兰统计局和芬兰人口登记处的社会人口统计和处方数据得出的。该队列包括 2007 年 33% 的工作年龄人口的随机样本（N = 1,059,426，其中 49.8% 为女性，2.5% 为移民），并在 2008 年至 2014 年期间开出抗抑郁药处方。 结果 在对社会人口特征进行调整后，结果显示更高与芬兰出生的大多数女性移民相比，来自北非和中东的女性移民使用抗抑郁药物的比例较高，来自西方国家的移民的使用水平相似，来自其他非西方国家的移民的使用比例较低。结论 从社会政治和文化组间差异的角度讨论了抗抑郁药物使用的性别和原籍国依赖性。建议解决获得服务方面的不平等问题，特别是对于来自非西方国家的移民。