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Cross-cultural equivalence of HSCL-25 and WHO (ten) Wellbeing index: findings from a population-based survey of immigrants and non-immigrants in Sweden.
Department of Medicine and Health Sciences, Division of Health and Society, Linköping University.ORCID iD: 0000-0001-6138-6427
Department of Medicine and Health Sciences, Division of Health and Society, Linköping University.
2010 (English)In: Community mental health journal, ISSN 0010-3853, E-ISSN 1573-2789, Vol. 46, no 1, 65-76 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate whether the Hopkins Symptom Checklist (HSCL-25) and the WHO (ten) Wellbeing Index are cross-culturally equivalent by comparing Scandinavians with Middle Eastern immigrants in Sweden. The study population consisted of a stratified random sample of native-born Swedes and immigrants from Finland, Iraq and Iran. Both instruments loaded on a single factor in the respective populations. A few of the items did however not discriminate or predict equally well in the groups, nonetheless it was found to have marginally influenced the instruments' total scores in both groups. The analyses also revealed that the groups had similar intercept and slope when the exogenous factor traumatic episodes was used to predict the measurement scores, supporting scalar equivalency. In conclusion, the results support the use of these instruments in population-based surveys within multicultural Western societies.

Place, publisher, year, edition, pages
2010. Vol. 46, no 1, 65-76 p.
Keyword [en]
Cross-cultural equivalence, Immigrants, Hopkins Symptom Checklist (HSCL-25), WHO Wellbeing Index, Population-based
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:rkh:diva-1588DOI: 10.1007/s10597-009-9227-2PubMedID: 19636706OAI: oai:DiVA.org:rkh-1588DiVA: diva2:801480
Note

As submitted in dissertation

Available from: 2015-04-09 Created: 2015-03-17 Last updated: 2017-12-04Bibliographically approved
In thesis
1. Migration, Stress and Mental Ill Health: Post-migration Factors and Experiences in the Swedish Context
Open this publication in new window or tab >>Migration, Stress and Mental Ill Health: Post-migration Factors and Experiences in the Swedish Context
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This predominantly empirical dissertation deals with how socio-economic living conditions and immigrant-specific factors can be linked to immigrants’ mental ill health. It is also explored how cultural representations can affect stress and whether mental ill health is expressed differently among immigrants from Iraq and Iran than among individuals of Nordic origin. Moreover, a conceptual analysis is conducted, where a phenomenological conceptualisation of stress is outlined with a special focus on how this stress approach can be related to culture and migration.

The empirical material consists of eleven in-depth interviews with Iraqi and Iranian immigrant women and two population-based surveys.

The main findings of this thesis suggest as follows: 1) Mental ill health is more common among foreign-born than among native-born Swedes and can to a great extent be attributed to their poorer socio-economic living conditions. 2) Immigrants’ mental health is independently associated with different types of factors, such as traumatic episodes, socio-cultural adaptation level and socioeconomic living conditions. 3) The self-reporting mental health instruments, HSCL-25 and WHO (ten) Wellbeing Index, produce scores that are comparable between Scandinavians and immigrants of Middle Eastern descent. 4) Nonuniversal representations that can be found in Iraq and Iran can amplify, or even be necessary ingredients in certain types of stressful experiences among immigrant women from these countries. 5) The distinctions between universal and non-universal stress, and between immigrant/minority and non-immigrant/nonminority stress appear to be crucial for an adequate comprehension of immigrants’ stressful experiences.

Abstract [sv]

Denna huvudsakligen empiriska avhandling behandlar hur socioekonomiska levnadsvillkor och invandrarspecifika faktorer kan kopplas till invandrares mentala hälsa. I avhandlingen undersöks även hur kulturella representationer kan påverka stressfulla upplevelser och huruvida mental ohälsa uttrycks annorlunda bland invandrare från Irak och Iran än bland nordbor. Vidare genomförs en begreppsanalys av stress skisserad utifrån ett fenomenologiskt perspektiv. Fokus ligger här på hur ett sådant perspektiv på stress kan relateras till kultur och migration.

Det empiriska materialet består av elva djupintervjuer med invandrarkvinnor från Irak och Iran, samt två populationsbaserade enkätundersökningar.

De huvudsakliga fynden i denna avhandling är följande: 1) Mental ohälsa bland utrikesfödda är vanligare än bland svenskfödda och detta kan till stor del ”förklaras” av ogynnsammare socioekonomiska levnadsvillkor. 2) Invandrares mentala ohälsa har ett direkt samband med olika typer av faktorer som traumatiska episoder, sociokulturell anpassningsnivå och socioekonomiska levnadsvillkor. 3) Självskattningsinstrumenten för mental hälsa, HSCL-25 och WHO (ten) Wellbeing Index, producerar värden som är jämförbara mellan nordbor och invandrare från Mellanöstern. 4) Icke-universella representationer som kan påvisas i Irak och Iran kan förstärka, eller till och med vara nödvändiga komponenter för vissa typer av stressfulla upplevelser bland invandrarkvinnor från dessa länder. 5) Distinktionerna mellan universell och icke-universell stress, och mellan invandrar/minoritets och icke-invandrar/icke-minoritets stress, tycks vara centrala för en adekvat förståelse av invandrares stressfulla upplevelser.

Place, publisher, year, edition, pages
Linköping University Electronic Press, 2009. 81 p.
Series
Linköping Studies in Arts and Science, ISSN ISSN 0282-9800 ; 480
Keyword
Cross-cultural equivalence, foreign-born, Hopkins Symptom Checklist (HSCL-25), Living conditions, mental ill health, migration, phenomenology, population-based, Risk factors, Stress, WHO Wellbeing Index
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:rkh:diva-2149 (URN)978-91-7393-627-9 (ISBN)
Public defence
2009-05-29, Aulan, Hus 240, Campus US, Linköping, Linköping, 10:00 (Swedish)
Opponent
Supervisors
Note

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 2: In press (title: Immigrantand non-immigrant-specific factors’ association with mental ill health among immigrants in Sweden). Paper 3: Submitted (title: Cross-cultural equivalence of HSCL- 25 and WHO (ten) Wellbeing Index: findings from a population-based survey of immigrants and non-immigrants in Sweden). Paper 4: Manuscript (title: A phenomenological approach to the study of stress among immigrants – the case of Iraqi and Iranian women in Sweden).

Serie: Linköping Dissertations on Health and Society, ISSN 1651-1646 ; 16

Available from: 2016-02-09 Created: 2016-02-09 Last updated: 2016-02-10Bibliographically approved

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