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Chen J, Mittendorfer-Rutz E, Berg L, et al. Associations between Multimorbidity Patterns and Subsequent Labor Market Marginalization among Refugees and Swedish-Born Young Adults-A Nationwide Registered-Based Cohort Study. J Pers Med. 2021;11(12)doi: 10.3390/jpm11121305.
Chen, J., Mittendorfer-Rutz, E., Berg, L., Norredam, M., Sijbrandij, M., & Klimek, P. (2021). Associations between Multimorbidity Patterns and Subsequent Labor Market Marginalization among Refugees and Swedish-Born Young Adults-A Nationwide Registered-Based Cohort Study. Journal of personalized medicine, 11(12), . https://doi.org/10.3390/jpm11121305
Chen, Jiaying, et al. "Associations between Multimorbidity Patterns and Subsequent Labor Market Marginalization among Refugees and Swedish-Born Young Adults-A Nationwide Registered-Based Cohort Study." Journal of personalized medicine vol. 11,12 (2021). doi: https://doi.org/10.3390/jpm11121305
Chen J, Mittendorfer-Rutz E, Berg L, Norredam M, Sijbrandij M, Klimek P. Associations between Multimorbidity Patterns and Subsequent Labor Market Marginalization among Refugees and Swedish-Born Young Adults-A Nationwide Registered-Based Cohort Study. J Pers Med. 2021 Dec 05;11(12). doi: 10.3390/jpm11121305. PMID: 34945776.
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J Pers Med. 2021 Dec 05;11(12). doi: 10.3390/jpm11121305.

Associations between Multimorbidity Patterns and Subsequent Labor Market Marginalization among Refugees and Swedish-Born Young Adults-A Nationwide Registered-Based Cohort Study.

Journal of personalized medicine

Jiaying Chen, Ellenor Mittendorfer-Rutz, Lisa Berg, Marie Norredam, Marit Sijbrandij, Peter Klimek

Affiliations

  1. Section for Science of Complex Systems, CeMSIIS Medical University of Vienna, 1090 Vienna, Austria.
  2. Complexity Science Hub Vienna, 1090 Vienna, Austria.
  3. Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden.
  4. Department of Public Health Sciences, Stockholm University, 10691 Stockholm, Sweden.
  5. Centre for Health Equity Studies, Stockholm University/Karolinska Institutet, 10691 Stockholm, Sweden.
  6. Danish Research Centre for Migration, Ethnicity, and Health (MESU), Section for Health Services Research, Department of Public Health, University of Copenhagen, 1014 Copenhagen, Denmark.
  7. Section of Immigrant Medicine, Department of Infectious Diseases, University Hospital Hvidovre, 2650 Hvidovre, Denmark.
  8. Department of Clinical, Neuro- and Developmental Psychology and WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.

PMID: 34945776 DOI: 10.3390/jpm11121305

Abstract

BACKGROUND: Young refugees are at increased risk of labor market marginalization (LMM). We sought to examine whether the association of multimorbidity patterns and LMM differs in refugee youth compared to Swedish-born youth and identify the diagnostic groups driving this association.

METHODOLOGY: We analyzed 249,245 individuals between 20-25 years, on 31 December 2011, from a combined Swedish registry. Refugees were matched 1:5 to Swedish-born youth. A multimorbidity score was computed from a network of disease co-occurrences in 2009-2011. LMM was defined as disability pension (DP) or >180 days of unemployment during 2012-2016. Relative risks (RR) of LMM were calculated for 114 diagnostic groups (2009-2011). The odds of LMM as a function of multimorbidity score were estimated using logistic regression.

RESULTS: 2841 (1.1%) individuals received DP and 16,323 (6.5%) experienced >180 annual days of unemployment during follow-up. Refugee youth had a marginally higher risk of DP (OR (95% CI): 1.59 (1.52, 1.67)) depending on their multimorbidity score compared to Swedish-born youth (OR (95% CI): 1.51 (1.48, 1.54)); no differences were found for unemployment (OR (95% CI): 1.15 (1.12, 1.17), 1.12 (1.10, 1.14), respectively). Diabetes mellitus and influenza/pneumonia elevated RR of DP in refugees (RRs (95% CI) 2.4 (1.02, 5.6) and 1.75 (0.88, 3.45), respectively); most diagnostic groups were associated with a higher risk for unemployment in refugees.

CONCLUSION: Multimorbidity related similarly to LMM in refugees and Swedish-born youth, but different diagnoses drove these associations. Targeted prevention, screening, and early intervention strategies towards specific diagnoses may effectively reduce LMM in young adult refugees.

Keywords: disability pensions; disease network; multimorbidity; refugees; unemployment; young adult

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