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Psychiatric morbidity and substance use in migrant workers: A population based study
B S Chavan1, Ajeet Sidana1, Priti Arun1
1Department of Psychiatry, Government Medical College & Hospital (GMCH), Chandigarh, India.
Mental health problems and substance abuse are more common in migrant workers, especially those who have returned home. Reverse migration is linked to higher rates of depressive disorders and substance use compared to those who stayed.
Area of Science:
- Public Health
- Mental Health Research
- Sociology
Background:
- Migrant populations exhibit higher rates of mental health challenges and substance abuse compared to the general population.
- Understanding these disparities is crucial for targeted public health interventions.
Purpose of the Study:
- To determine the prevalence and patterns of mental health issues and substance use among migrant workers.
- To investigate the association between reverse migration and these health concerns.
Main Methods:
- A study was conducted in Northern India involving 275 reverse migrants and 276 undisplaced individuals.
- Participants completed socio-demographic questionnaires, the Patient Health Questionnaire (PHQ-9) for mental health, and substance abuse screening tools.
- Data collection adhered to social distancing and mask-wearing protocols.
Main Results:
- Substance use (alcohol, tobacco, cannabis) was prevalent, with 44.4% of reverse migrants reporting ever use.
- 19.3% of reverse migrants met criteria for at least one mental health diagnosis on the PHQ-9, compared to 7.6% of undisplaced individuals.
- The prevalence of other depressive disorders was significantly higher in reverse migrants (17.1%) than undisplaced individuals (4.0%).
Conclusions:
- Mental health issues and substance abuse are significantly more prevalent in the migrant population.
- Reverse migration is associated with a higher incidence of mental health diagnoses, particularly depressive disorders, and substance use.
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