The present study focuses on the associations between self-rated long-standing psychiatric illness, ethnicity, all-cause mortality and violent death (accidents and suicide), in a sample of 39,155 Swedish-born and foreign-born individuals.
The study was designed as a longitudinal follow-up study, covering the period between 1 January 1979 and 31 December 1996.
The data were analysed by a proportional hazard model and the results are given as hazard ratios (HR) with 95% confidence intervals (CI).
Self-reported long-standing psychiatric illness was a strong risk factor for total mortality ; women had an HR of 2.13 (CI=1.78-2.54) and men an HR of 1.84 (CI=1.53-2.21), when adjusted for background factors such as country of birth, civil status and socio-economic factors.
Finnish men had an increased risk of all-cause mortality compared to Swedes in the final model, when adjusted for socio-economic factors.
Long-standing psychiatric illness was also a strong risk factor for violent death, with an HR of 3.51 (Cl=2.32-5.32).
The risk of violent death was 2.4 times higher for men than for women.
The conclusions of the present study are that self-reported long-standing psychiatric illness is a strong predictor of an increased all-cause mortality and increased mortality from violent death.
The increased age-adjusted mortality risk for foreign-born men could be explained by disadvantaged social and economic conditions. (...)
Mots-clés Pascal : Trouble psychiatrique, Long terme, Prédiction, Mortalité, Ethnie, Immigrant, Etude longitudinale, Santé mentale, Homme
Mots-clés Pascal anglais : Mental disorder, Long term, Prediction, Mortality, Ethnic group, Immigrant, Follow up study, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0427002
Code Inist : 002B18C14. Création : 25/01/1999.