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Tiina Laatikainen - One of the best experts on this subject based on the ideXlab platform.

  • substance use affective symptoms and suicidal ideation among russian somali and kurdish Migrants in finland
    Transcultural Psychiatry, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Solja Niemelä
    Abstract:

    : Comorbidity of substance use with affective symptoms and suicidality has been well documented in the general population. However, population-based Migrant studies about this association are scarce. We examined the association of affective symptoms and suicidal ideation with binge drinking, daily smoking, and lifetime cannabis use among Russian, Somali, and Kurdish Migrants in comparison with the Finnish general population. Cross-sectional data from the Finnish Migrant Health and Wellbeing Study (Maamu, n = 1307) and comparison group data of the general Finnish population (n = 860) from the Health 2011 Survey were used. Substance use included self-reported current binge drinking, daily smoking, and lifetime cannabis use. Affective symptoms and suicidal ideation were measured using the Hopkins Symptom Checklist-25 (HSCL-25). We performed multivariate logistic regression analyses, including age, gender, and additional socio-demographic and migration-related factors. Suicidal ideation (OR 2.4 95% CI 1.3-4.3) was associated with binge drinking among Kurds and lifetime cannabis use among Russians (OR 5.6, 95% CI 1.9-17.0) and Kurds (OR 5.5, 95% CI 1.9-15.6). Affective symptoms were associated with daily smoking (OR 1.6, 95% CI 1.02-2.6) and lifetime cannabis use (OR 6.1, 95% CI 2.6-14.5) among Kurdish Migrants. Our results draw attention to the co-occurrence of suicidal ideation, affective symptoms, and substance use, especially among Kurdish Migrants. These results highlight the variation of comorbidity of substance use and affective symptoms between the different populations. This implies that screening for substance use in mental Healthcare cannot be neglected based on presumed habits of substance use.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    Addiction, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS: The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN: Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n=1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING: Population-based data were collected from six cities in Finland during 2010-2012. PARTICIPANTS: The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n=442-687, Kurds n=459-613) since some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS: The three main outcomes were self-reported binge drinking, daily smoking and lifetime cannabis use. PTEs and PD were self-reported in the interview. Sociodemographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS: Among Kurds, PTEs were associated with binge drinking (adjusted OR (aOR) 2.65, 95%CI 1.30-5.42), and PD was associated with lifetime cannabis use (aOR 3.89, 95%CI 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with lifetime cannabis use adjusting for contextual factors (aOR 2.17, 95%CI 1.12-4.18). CONCLUSIONS: In Finland, pre-migration traumatic experiences appear to be associated with lifetime cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with lifetime cannabis use among Kurdish Migrants.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    WOS, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n = 1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING Population-based data were collected from six cities in Finland during 2010-12. PARTICIPANTS The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n = 442-687, Kurds n = 459-613), as some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS The three main outcomes were self-reported binge drinking, daily smoking and life-time cannabis use. PTEs and PD were self-reported in the interview. Socio-demographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS Among Kurds, PTEs were associated with binge drinking [adjusted odds ratio (aOR) = 2.65, 95% confidence interval (CI) = 1.30-5.42] and PD was associated with life-time cannabis use (aOR = 3.89, 95% CI = 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with life-time cannabis use adjusting for contextual factors (aOR = 2.17, 95% CI = 1.12-4.18). CONCLUSIONS In Finland, pre-migration traumatic experiences appear to be associated with life-time cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with life-time cannabis use among Kurdish Migrants.

  • the association between anthropometric measures and glycated haemoglobin hba1c is different in russian somali and kurdish origin Migrants compared with the general population in finland a cross sectional population based study
    BMC Public Health, 2019
    Co-Authors: Natalia Skogberg, Tommi Harkanen, Annamari Lundqvist, Tiina Laatikainen, Eero Lilja, P Koponen
    Abstract:

    Persons of African and Middle-Eastern origin living in European countries have a high prevalence of type 2 diabetes, accompanied by high prevalence of obesity among women but not always among men. The aim of this study was to examine whether there are differences in the association between anthropometric measures and glucose levels measured with glycated haemoglobin and fasting blood glucose among persons of Migrant origin in Finland. Cross-sectional population-based data of the 30–64 year-old participants in the Health examination of the Migrant Health and Wellbeing Study was used, selecting persons without diabetes (Russian origin n = 293, Somali origin n = 184, Kurdish origin n = 275). The reference group were non-diabetic participants in the Health 2011 Survey (n = 653), representative of the general Finnish population. Anthropometric measures included body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and waist-to-hip ratio (WHR, available for Maamu Study participants only). Depending on whether continuous or categorical anthropometric measures were used, age, sex and anthropometrics explained 13–18% of variation in HbA1c among persons of Russian origin, 5–10% among persons of Somali origin, 1–3% among persons of Kurdish origin and 11–13% among the general population. Also depending on whether continuous or categorical anthropometric measures were used, age, sex and anthropometrics explained 13–19% of variation in fasting blood glucose among persons of Russian origin, 15–20% among persons of Somali origin, 13–17% among persons of Kurdish origin and 16–17% among the general population. With exception for BMI, strength of the association between continuous anthropometric measures and HbA1c was significantly lower among persons of Kurdish origin compared with the general Finnish population (p = 0.044 for WC and p = 0.040 for WHtR). A low degree of association between anthropometric measures and HbA1c was observed among persons of Kurdish origin. Findings of this study suggest caution is warranted when using HbA1c as a screening tool for glucose impairment among persons without diabetes in populations of diverse origin.

  • overweight and abdominal obesity in women of childbearing age of russian somali and kurdish origin and the general finnish population
    Journal of Public Health, 2018
    Co-Authors: Tarja I Kinnunen, Natalia Skogberg, Tommi Harkanen, Annamari Lundqvist, Tiina Laatikainen, Paivikki Koponen
    Abstract:

    Background: Migrant background and higher parity may increase the risk of being overweight. We compared the prevalence of overweight (body mass index ≥25 kg/m2) and abdominal obesity (waist-to-height ratio ≥0.5) between non-pregnant Migrant and Finnish women aged 18-45 years. Methods: The participants were 165 Russian, 164 Somali and 179 Kurdish origin women from the cross-sectional Migrant Health and Wellbeing study. The reference group included 388 women from the general Finnish population. Body anthropometrics were measured. The main statistical methods were logistic regression adjusted for sociodemographic and reproductive variables. Results: The unadjusted prevalence of overweight and obesity, respectively, were higher among Somali (32.9%, 30.9%, P < 0.001) and Kurdish women (41.1%, 19.5%, P < 0.001) than among Finnish women (19.9%, 9.8%). The adjusted odds ratios (95% CI) for overweight (including obesity) were 0.54 (0.33; 0.89) for Russian, 2.89 (1.66; 5.03) for Somali and 2.56 (1.64; 4.00) for Kurdish women compared with Finnish women. Kurdish women had 2.96-fold (1.75; 5.00) adjusted odds ratio for abdominal obesity compared with Finnish women. Being parous was associated with overweight and abdominal obesity among Kurdish women. Conclusions: Overweight and obesity were very common among Somali and Kurdish origin women. Information on diet and physical activity in these groups is needed.

Anu E. Castaneda - One of the best experts on this subject based on the ideXlab platform.

  • substance use affective symptoms and suicidal ideation among russian somali and kurdish Migrants in finland
    Transcultural Psychiatry, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Solja Niemelä
    Abstract:

    : Comorbidity of substance use with affective symptoms and suicidality has been well documented in the general population. However, population-based Migrant studies about this association are scarce. We examined the association of affective symptoms and suicidal ideation with binge drinking, daily smoking, and lifetime cannabis use among Russian, Somali, and Kurdish Migrants in comparison with the Finnish general population. Cross-sectional data from the Finnish Migrant Health and Wellbeing Study (Maamu, n = 1307) and comparison group data of the general Finnish population (n = 860) from the Health 2011 Survey were used. Substance use included self-reported current binge drinking, daily smoking, and lifetime cannabis use. Affective symptoms and suicidal ideation were measured using the Hopkins Symptom Checklist-25 (HSCL-25). We performed multivariate logistic regression analyses, including age, gender, and additional socio-demographic and migration-related factors. Suicidal ideation (OR 2.4 95% CI 1.3-4.3) was associated with binge drinking among Kurds and lifetime cannabis use among Russians (OR 5.6, 95% CI 1.9-17.0) and Kurds (OR 5.5, 95% CI 1.9-15.6). Affective symptoms were associated with daily smoking (OR 1.6, 95% CI 1.02-2.6) and lifetime cannabis use (OR 6.1, 95% CI 2.6-14.5) among Kurdish Migrants. Our results draw attention to the co-occurrence of suicidal ideation, affective symptoms, and substance use, especially among Kurdish Migrants. These results highlight the variation of comorbidity of substance use and affective symptoms between the different populations. This implies that screening for substance use in mental Healthcare cannot be neglected based on presumed habits of substance use.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    Addiction, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS: The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN: Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n=1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING: Population-based data were collected from six cities in Finland during 2010-2012. PARTICIPANTS: The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n=442-687, Kurds n=459-613) since some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS: The three main outcomes were self-reported binge drinking, daily smoking and lifetime cannabis use. PTEs and PD were self-reported in the interview. Sociodemographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS: Among Kurds, PTEs were associated with binge drinking (adjusted OR (aOR) 2.65, 95%CI 1.30-5.42), and PD was associated with lifetime cannabis use (aOR 3.89, 95%CI 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with lifetime cannabis use adjusting for contextual factors (aOR 2.17, 95%CI 1.12-4.18). CONCLUSIONS: In Finland, pre-migration traumatic experiences appear to be associated with lifetime cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with lifetime cannabis use among Kurdish Migrants.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    WOS, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n = 1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING Population-based data were collected from six cities in Finland during 2010-12. PARTICIPANTS The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n = 442-687, Kurds n = 459-613), as some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS The three main outcomes were self-reported binge drinking, daily smoking and life-time cannabis use. PTEs and PD were self-reported in the interview. Socio-demographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS Among Kurds, PTEs were associated with binge drinking [adjusted odds ratio (aOR) = 2.65, 95% confidence interval (CI) = 1.30-5.42] and PD was associated with life-time cannabis use (aOR = 3.89, 95% CI = 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with life-time cannabis use adjusting for contextual factors (aOR = 2.17, 95% CI = 1.12-4.18). CONCLUSIONS In Finland, pre-migration traumatic experiences appear to be associated with life-time cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with life-time cannabis use among Kurdish Migrants.

  • enhancing survey participation among foreign born populations experiences from the finnish Migrant Health and wellbeing study maamu
    Finnish Yearbook of Population Research, 2019
    Co-Authors: Anu E. Castaneda, Natalia Skogberg, Tommi Harkanen, Shadia Rask, Teppo Juntunen, Mulki Molsa, Hanna Tolonen, Seppo Koskinen, Paivikki Koponen
    Abstract:

    The Finnish Migrant Health and Wellbeing Study (Maamu) is the first large-scale population-based Health examination survey among the foreign-born population in Finland, unique also at the European level. It provides information on wellbeing of three major foreign-born groups: Russian, Somali, and Kurdish. In data collection, extra effort was put into reaching the sampled persons (n=3,000), for example by recruiting bilingual personnel to carry out the data collection, reaching participation rates as high as 70%, 51%, and 63%, respectively. A comparison group of the general population was available from a general population survey. The main challenges in fieldwork included reaching sampled persons, supervision of the fieldwork personnel, and special linguistic or cultural needs. Our experiences show that participation rate can be improved by engaging the target groups in all stages of the survey process and using several recruitment strategies, ending up with succeeding in pointing out Health inequalities in the population.

  • the association between discrimination and Health findings on russian somali and kurdish origin populations in finland
    European Journal of Public Health, 2018
    Co-Authors: Shadia Rask, Paivikki Koponen, Seppo Koskinen, Eero Lilja, Anu E. Castaneda
    Abstract:

    Background: The Second European Union Minorities and Discrimination Survey recently demonstrated widespread discrimination across EU countries, with high discrimination rates observed in countries like Finland. Discrimination is known to negatively impact Health, but fewer studies have examined how different types of perceived discrimination are related to Health. Methods: This study examines (i) the prevalence of different types of perceived discrimination among Russian, Somali and Kurdish origin populations in Finland, and (ii) the association between different types of perceived discrimination (no experiences; subtle discrimination only; overt or subtle and overt discrimination) and Health (self-rated Health; limiting long-term illness (LLTI) or disability; mental Health symptoms). Data are from the Finnish Migrant Health and Wellbeing Study (n = 1795). Subtle discrimination implies reporting being treated with less courtesy and/or treated with less respect than others, and overt discrimination being called names or insulted and/or threatened or harassed. The prevalence of discrimination and the associations between discrimination and Health were calculated with predicted margins and logistic regression. Results: Experiences of subtle discrimination were more common than overt discrimination in all the studied groups. Subtle discrimination was reported by 29% of Somali origin persons and 35% Russian and Kurdish origin persons. The prevalence of overt discrimination ranged between 22% and 24%. Experiences of discrimination increased the odds for poor self-reported Health, LLTI and mental Health symptoms, particularly among those reporting subtle discrimination only. Conclusions: To promote the Health of diverse populations, actions against racism and discrimination are highly needed, including initiatives that promote shared belonging.

Solja Niemelä - One of the best experts on this subject based on the ideXlab platform.

  • substance use affective symptoms and suicidal ideation among russian somali and kurdish Migrants in finland
    Transcultural Psychiatry, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Solja Niemelä
    Abstract:

    : Comorbidity of substance use with affective symptoms and suicidality has been well documented in the general population. However, population-based Migrant studies about this association are scarce. We examined the association of affective symptoms and suicidal ideation with binge drinking, daily smoking, and lifetime cannabis use among Russian, Somali, and Kurdish Migrants in comparison with the Finnish general population. Cross-sectional data from the Finnish Migrant Health and Wellbeing Study (Maamu, n = 1307) and comparison group data of the general Finnish population (n = 860) from the Health 2011 Survey were used. Substance use included self-reported current binge drinking, daily smoking, and lifetime cannabis use. Affective symptoms and suicidal ideation were measured using the Hopkins Symptom Checklist-25 (HSCL-25). We performed multivariate logistic regression analyses, including age, gender, and additional socio-demographic and migration-related factors. Suicidal ideation (OR 2.4 95% CI 1.3-4.3) was associated with binge drinking among Kurds and lifetime cannabis use among Russians (OR 5.6, 95% CI 1.9-17.0) and Kurds (OR 5.5, 95% CI 1.9-15.6). Affective symptoms were associated with daily smoking (OR 1.6, 95% CI 1.02-2.6) and lifetime cannabis use (OR 6.1, 95% CI 2.6-14.5) among Kurdish Migrants. Our results draw attention to the co-occurrence of suicidal ideation, affective symptoms, and substance use, especially among Kurdish Migrants. These results highlight the variation of comorbidity of substance use and affective symptoms between the different populations. This implies that screening for substance use in mental Healthcare cannot be neglected based on presumed habits of substance use.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    Addiction, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS: The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN: Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n=1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING: Population-based data were collected from six cities in Finland during 2010-2012. PARTICIPANTS: The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n=442-687, Kurds n=459-613) since some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS: The three main outcomes were self-reported binge drinking, daily smoking and lifetime cannabis use. PTEs and PD were self-reported in the interview. Sociodemographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS: Among Kurds, PTEs were associated with binge drinking (adjusted OR (aOR) 2.65, 95%CI 1.30-5.42), and PD was associated with lifetime cannabis use (aOR 3.89, 95%CI 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with lifetime cannabis use adjusting for contextual factors (aOR 2.17, 95%CI 1.12-4.18). CONCLUSIONS: In Finland, pre-migration traumatic experiences appear to be associated with lifetime cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with lifetime cannabis use among Kurdish Migrants.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    WOS, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n = 1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING Population-based data were collected from six cities in Finland during 2010-12. PARTICIPANTS The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n = 442-687, Kurds n = 459-613), as some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS The three main outcomes were self-reported binge drinking, daily smoking and life-time cannabis use. PTEs and PD were self-reported in the interview. Socio-demographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS Among Kurds, PTEs were associated with binge drinking [adjusted odds ratio (aOR) = 2.65, 95% confidence interval (CI) = 1.30-5.42] and PD was associated with life-time cannabis use (aOR = 3.89, 95% CI = 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with life-time cannabis use adjusting for contextual factors (aOR = 2.17, 95% CI = 1.12-4.18). CONCLUSIONS In Finland, pre-migration traumatic experiences appear to be associated with life-time cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with life-time cannabis use among Kurdish Migrants.

Essi Salama - One of the best experts on this subject based on the ideXlab platform.

  • substance use affective symptoms and suicidal ideation among russian somali and kurdish Migrants in finland
    Transcultural Psychiatry, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Solja Niemelä
    Abstract:

    : Comorbidity of substance use with affective symptoms and suicidality has been well documented in the general population. However, population-based Migrant studies about this association are scarce. We examined the association of affective symptoms and suicidal ideation with binge drinking, daily smoking, and lifetime cannabis use among Russian, Somali, and Kurdish Migrants in comparison with the Finnish general population. Cross-sectional data from the Finnish Migrant Health and Wellbeing Study (Maamu, n = 1307) and comparison group data of the general Finnish population (n = 860) from the Health 2011 Survey were used. Substance use included self-reported current binge drinking, daily smoking, and lifetime cannabis use. Affective symptoms and suicidal ideation were measured using the Hopkins Symptom Checklist-25 (HSCL-25). We performed multivariate logistic regression analyses, including age, gender, and additional socio-demographic and migration-related factors. Suicidal ideation (OR 2.4 95% CI 1.3-4.3) was associated with binge drinking among Kurds and lifetime cannabis use among Russians (OR 5.6, 95% CI 1.9-17.0) and Kurds (OR 5.5, 95% CI 1.9-15.6). Affective symptoms were associated with daily smoking (OR 1.6, 95% CI 1.02-2.6) and lifetime cannabis use (OR 6.1, 95% CI 2.6-14.5) among Kurdish Migrants. Our results draw attention to the co-occurrence of suicidal ideation, affective symptoms, and substance use, especially among Kurdish Migrants. These results highlight the variation of comorbidity of substance use and affective symptoms between the different populations. This implies that screening for substance use in mental Healthcare cannot be neglected based on presumed habits of substance use.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    Addiction, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS: The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN: Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n=1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING: Population-based data were collected from six cities in Finland during 2010-2012. PARTICIPANTS: The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n=442-687, Kurds n=459-613) since some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS: The three main outcomes were self-reported binge drinking, daily smoking and lifetime cannabis use. PTEs and PD were self-reported in the interview. Sociodemographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS: Among Kurds, PTEs were associated with binge drinking (adjusted OR (aOR) 2.65, 95%CI 1.30-5.42), and PD was associated with lifetime cannabis use (aOR 3.89, 95%CI 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with lifetime cannabis use adjusting for contextual factors (aOR 2.17, 95%CI 1.12-4.18). CONCLUSIONS: In Finland, pre-migration traumatic experiences appear to be associated with lifetime cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with lifetime cannabis use among Kurdish Migrants.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    WOS, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n = 1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING Population-based data were collected from six cities in Finland during 2010-12. PARTICIPANTS The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n = 442-687, Kurds n = 459-613), as some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS The three main outcomes were self-reported binge drinking, daily smoking and life-time cannabis use. PTEs and PD were self-reported in the interview. Socio-demographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS Among Kurds, PTEs were associated with binge drinking [adjusted odds ratio (aOR) = 2.65, 95% confidence interval (CI) = 1.30-5.42] and PD was associated with life-time cannabis use (aOR = 3.89, 95% CI = 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with life-time cannabis use adjusting for contextual factors (aOR = 2.17, 95% CI = 1.12-4.18). CONCLUSIONS In Finland, pre-migration traumatic experiences appear to be associated with life-time cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with life-time cannabis use among Kurdish Migrants.

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  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    Addiction, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS: The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN: Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n=1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING: Population-based data were collected from six cities in Finland during 2010-2012. PARTICIPANTS: The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n=442-687, Kurds n=459-613) since some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS: The three main outcomes were self-reported binge drinking, daily smoking and lifetime cannabis use. PTEs and PD were self-reported in the interview. Sociodemographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS: Among Kurds, PTEs were associated with binge drinking (adjusted OR (aOR) 2.65, 95%CI 1.30-5.42), and PD was associated with lifetime cannabis use (aOR 3.89, 95%CI 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with lifetime cannabis use adjusting for contextual factors (aOR 2.17, 95%CI 1.12-4.18). CONCLUSIONS: In Finland, pre-migration traumatic experiences appear to be associated with lifetime cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with lifetime cannabis use among Kurdish Migrants.

  • pre migration traumatic experiences post migration perceived discrimination and substance use among russian and kurdish Migrants a population based study
    WOS, 2020
    Co-Authors: Tiina Laatikainen, Essi Salama, Anu E. Castaneda, Jaana Suvisaari, Shadia Rask, Eero Lilja, Solja Niemelä
    Abstract:

    BACKGROUND AND AIMS The associations between traumatic events, substance use and perceived discrimination have been rarely studied among Migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among Migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. DESIGN Cross-sectional interview and Health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n = 1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language. SETTING Population-based data were collected from six cities in Finland during 2010-12. PARTICIPANTS The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n = 442-687, Kurds n = 459-613), as some participants completed only interview, Health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%). MEASUREMENTS The three main outcomes were self-reported binge drinking, daily smoking and life-time cannabis use. PTEs and PD were self-reported in the interview. Socio-demographic background, migration-related factors and current affective symptoms were adjusted for. FINDINGS Among Kurds, PTEs were associated with binge drinking [adjusted odds ratio (aOR) = 2.65, 95% confidence interval (CI) = 1.30-5.42] and PD was associated with life-time cannabis use (aOR = 3.89, 95% CI = 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with life-time cannabis use adjusting for contextual factors (aOR = 2.17, 95% CI = 1.12-4.18). CONCLUSIONS In Finland, pre-migration traumatic experiences appear to be associated with life-time cannabis use among the Russian Migrant population (voluntary migration) and binge drinking among the Kurdish Migrant population (forced migration). Perceived discrimination in Finland appears to be associated with life-time cannabis use among Kurdish Migrants.

  • the association between anthropometric measures and glycated haemoglobin hba1c is different in russian somali and kurdish origin Migrants compared with the general population in finland a cross sectional population based study
    BMC Public Health, 2019
    Co-Authors: Natalia Skogberg, Tommi Harkanen, Annamari Lundqvist, Tiina Laatikainen, Eero Lilja, P Koponen
    Abstract:

    Persons of African and Middle-Eastern origin living in European countries have a high prevalence of type 2 diabetes, accompanied by high prevalence of obesity among women but not always among men. The aim of this study was to examine whether there are differences in the association between anthropometric measures and glucose levels measured with glycated haemoglobin and fasting blood glucose among persons of Migrant origin in Finland. Cross-sectional population-based data of the 30–64 year-old participants in the Health examination of the Migrant Health and Wellbeing Study was used, selecting persons without diabetes (Russian origin n = 293, Somali origin n = 184, Kurdish origin n = 275). The reference group were non-diabetic participants in the Health 2011 Survey (n = 653), representative of the general Finnish population. Anthropometric measures included body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and waist-to-hip ratio (WHR, available for Maamu Study participants only). Depending on whether continuous or categorical anthropometric measures were used, age, sex and anthropometrics explained 13–18% of variation in HbA1c among persons of Russian origin, 5–10% among persons of Somali origin, 1–3% among persons of Kurdish origin and 11–13% among the general population. Also depending on whether continuous or categorical anthropometric measures were used, age, sex and anthropometrics explained 13–19% of variation in fasting blood glucose among persons of Russian origin, 15–20% among persons of Somali origin, 13–17% among persons of Kurdish origin and 16–17% among the general population. With exception for BMI, strength of the association between continuous anthropometric measures and HbA1c was significantly lower among persons of Kurdish origin compared with the general Finnish population (p = 0.044 for WC and p = 0.040 for WHtR). A low degree of association between anthropometric measures and HbA1c was observed among persons of Kurdish origin. Findings of this study suggest caution is warranted when using HbA1c as a screening tool for glucose impairment among persons without diabetes in populations of diverse origin.

  • the association between discrimination and Health findings on russian somali and kurdish origin populations in finland
    European Journal of Public Health, 2018
    Co-Authors: Shadia Rask, Paivikki Koponen, Seppo Koskinen, Eero Lilja, Anu E. Castaneda
    Abstract:

    Background: The Second European Union Minorities and Discrimination Survey recently demonstrated widespread discrimination across EU countries, with high discrimination rates observed in countries like Finland. Discrimination is known to negatively impact Health, but fewer studies have examined how different types of perceived discrimination are related to Health. Methods: This study examines (i) the prevalence of different types of perceived discrimination among Russian, Somali and Kurdish origin populations in Finland, and (ii) the association between different types of perceived discrimination (no experiences; subtle discrimination only; overt or subtle and overt discrimination) and Health (self-rated Health; limiting long-term illness (LLTI) or disability; mental Health symptoms). Data are from the Finnish Migrant Health and Wellbeing Study (n = 1795). Subtle discrimination implies reporting being treated with less courtesy and/or treated with less respect than others, and overt discrimination being called names or insulted and/or threatened or harassed. The prevalence of discrimination and the associations between discrimination and Health were calculated with predicted margins and logistic regression. Results: Experiences of subtle discrimination were more common than overt discrimination in all the studied groups. Subtle discrimination was reported by 29% of Somali origin persons and 35% Russian and Kurdish origin persons. The prevalence of overt discrimination ranged between 22% and 24%. Experiences of discrimination increased the odds for poor self-reported Health, LLTI and mental Health symptoms, particularly among those reporting subtle discrimination only. Conclusions: To promote the Health of diverse populations, actions against racism and discrimination are highly needed, including initiatives that promote shared belonging.

  • births and induced abortions among women of russian somali and kurdish origin and the general population in finland comparison of self reported and register data
    BMC Pregnancy and Childbirth, 2018
    Co-Authors: Satu Jokela, Tarja I Kinnunen, Anu E. Castaneda, Eero Lilja, Mika Gissler, Paivikki Koponen
    Abstract:

    Since reproductive Health is often considered a highly sensitive topic, underreporting in surveys and under coverage of register data occurs frequently. This may lead to inaccurate information about the reproductive Health. This study compares the proportion of women having births and induced abortions among Migrant women of Russian, Somali and Kurdish origin in Finland to women in the general Finnish population and examines the agreement between survey- and register-based data. The survey data from the Migrant Health and Wellbeing Study conducted in 2010–2012 and data from the Health 2011 Survey with corresponding information on women in the general population were used in this study. The respondents were women aged 18–64: 341 Russian, 176 Somali and 228 Kurdish origin women and 630 women in the general population. The survey data were linked to the Finnish Medical Birth Register and the Register of Induced Abortions. In the combined (survey and register) data, Migrant groups aged 30–64 had a higher proportion (89–96%) compared to the general population (69%) of women with at least one birth. Under-coverage of registered births was observed in all study groups. Among women aged 18–64, 36% of the Russian group and 24% of the Kurdish group reported more births in the survey than in the register data. In the combined data, the proportions of Russian origin (69%) and Kurdish origin (38%) women who have had at least one induced abortion in their lifetime are higher than in the general population (21%). Under-reporting of induced abortions in survey was observed among Somali origin women aged 18–29 (1% vs. 18%). The level of agreement between survey and register data was the lowest for induced abortions among the Somali and Russian groups (− 0.01 and 0.27). Both survey- and register-based information are needed in studies on reproductive Health, especially when comparing women with foreign origin with women in the general population. Culturally sensitive survey protocols need to be developed to reduce reporting bias.