title: Epidemiology of psychiatric morbidity among migrants compared to native born population in Spain: a controlled study.
abstract: OBJECTIVE
  The aim of this paper is to explore the prevalence of psychiatric morbidity in different immigrant groups in Spain. In keeping with prior studies carried out in Europe, it is expected that the immigrant population will have elevated levels of psychopathology, with some variation across immigrant groups.
  
  
  METHODS
  
  
  
  METHODS
  Multicenter, observational, cross-sectional study.
  
  
  METHODS
  Primary care settings of two Spanish regions.
  
  
  METHODS
  N=1.503 immigrants paired with the same number of Spanish controls, adjusted by gender and age.
  
  
  METHODS
  Demographic variables, MINI International Neuropsychiatric Interview and Standardized Polyvalent Psychiatric Interview, somatic symptoms section. Student's t tests, ORs and logistic regressions were used to analyze the data.
  
  
  RESULTS
  No differences in psychiatric morbidity were found (native born 30.9%, population vs. immigrants 29.6%, OR=.942, CI=.806-1.100) when comparing immigrants to native born Spaniards. Relative to Spaniards (30.9%), Latin American immigrants had significantly higher levels of psychopathology (36.8%), Sub-Saharan Africans (24.4%) and Asians (16%) had significantly lower levels, and Eastern Europeans (31.4%) and North Africans (26.8%) showed no significant difference.
  
  
  CONCLUSIONS
  The hypotheses were only partially supported. Although overall immigrants did not differ from the native born population, when analyzed by geographic origin, only Latin Americans had higher levels of psychopathology. It is concluded that multiple factors need to be taken into consideration when studying the mental health of immigrants given that different immigrant groups have different levels of psychopathology.
authors.affiliation: Department of Psychiatry, Hospital Universitari Vall d'Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Barcelona. aqureshi@vhebron.net
authors.forename: Adil
authors.initials: A
authors.lastname: Qureshi
authors.forename: Francisco
authors.initials: F
authors.lastname: Collazos
authors.forename: Natalia
authors.initials: N
authors.lastname: Sobradiel
authors.forename: Francisco Jose
authors.initials: FJ
authors.lastname: Eiroa-Orosa
authors.forename: Mercedes
authors.initials: M
authors.lastname: Febrel
authors.forename: Hilda Wara
authors.initials: HW
authors.lastname: Revollo-Escudero
authors.forename: Eva
authors.initials: E
authors.lastname: Andrés
authors.forename: María
authors.initials: M
authors.lastname: del Mar Ramos
authors.forename: Miquel
authors.initials: M
authors.lastname: Roca
authors.forename: Miguel
authors.initials: M
authors.lastname: Casas
authors.forename: Antoni
authors.initials: A
authors.lastname: Serrano-Blanco
authors.forename: Javier I
authors.initials: JI
authors.lastname: Escobar
authors.forename: Javier
authors.initials: J
authors.lastname: García-Campayo
mesh_terms: D000328:Adult; D017954:Africa South of the Sahara / Q000208:ethnology; D000352:Africa, Northern / Q000208:ethnology; D001208:Asia / Q000208:ethnology; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000523:psychology*; D005061:Europe, Eastern / Q000208:ethnology; D005260:Female; D006801:Humans; D007843:Latin America / Q000208:ethnology; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000208:ethnology*; D011320:Primary Health Care; D013030:Spain / Q000453:epidemiology; D055815:Young Adult