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  1. Article ; Online: Er vi parat til at håndtere kulturel diversitet i det danske sundhedsvæsen?

    Nørredam, Marie

    Ugeskrift for laeger

    2016  Volume 178, Issue 4, Page(s) V67698

    Title translation Are we prepared to handle cultural diversity in the Danish healthcare system?.
    MeSH term(s) Cultural Competency ; Cultural Diversity ; Delivery of Health Care ; Denmark ; Humans
    Language Danish
    Publishing date 2016-01-15
    Publishing country Denmark
    Document type Editorial
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
    ISSN (online) 1603-6824
    ISSN 0041-5782
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  2. Article ; Online: [Kronisk syge og udsatte gruppers situation under COVID-19-pandemien].

    Nørredam, Marie / Benfiels, Thomas

    Ugeskrift for laeger

    2020  Volume 182, Issue 18

    MeSH term(s) Betacoronavirus ; COVID-19 ; Chronic Disease ; Comorbidity ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Vulnerable Populations
    Keywords covid19
    Language Danish
    Publishing date 2020-05-11
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
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  3. Article ; Online: Migration and health: exploring the role of migrant status through register-based studies.

    Nørredam, Marie

    Danish medical journal

    2015  Volume 62, Issue 4, Page(s) B5068

    Abstract: This thesis aims to explore migrant status as a determinant in register-based studies on migrant health. It is based on eight studies that investigate the following three main issues: 1) What is the importance of migrant status for morbidity patterns ... ...

    Abstract This thesis aims to explore migrant status as a determinant in register-based studies on migrant health. It is based on eight studies that investigate the following three main issues: 1) What is the importance of migrant status for morbidity patterns among migrants compared with Native Danes? 2) Do migrant status and ethnicity affect clinical indicators of access among migrants compared with native Danes? 3) What is the importance of migrant status for mortality patterns among migrants compared with Native Danes? The thesis builds on a register-based historical prospective cohort design. Through Statistics Denmark, all refugees (n = 29,174) and family reunification immigrants (n = 33,287) who received residence permits in Denmark from 1 January 1993 to 31 December 1999 were included and matched 4:1 on age and sex with Native Danes. Register linkage was obtained twice during follow-ups in 2004 and 2008 respectively. Personal identification numbers were cross-linked to the Danish Psychiatric Central Register, the National Patient Registry, the Registry of Coercive Measures in Psychiatric Treatment, the Register of Causes of Death, and the Danish Cancer Registry. Migrant status defined by legal grounds for obtaining a residence permit was dichotomised into refugees and family reunification immigrants and used as the determinant in most studies. Analyses involved both Poisson and Cox regression analysis. Most analyses were stratified by ethnicity and adjusted for age and sex. Some were also stratified for individual income. Three sub-themes were investigated: morbidity, clinical indicators of access, and mortality. The first sub-theme (Papers I-III) showed that refugees had a consistently higher morbidity from several mental health disorders in contrast to family reunification immigrants, whose morbidity from mental disorders was lower than or similar to native Danes. The cancer incidence study did not find an effect of migrant status but found, rather, that migrants from the Middle East and North Africa had a lower cancer risk and that Eastern European migrants had a similar cancer risk compared with native Danes. The second sub-theme (Papers IV-VI) focused on different proxy measures of clinical indicators of access. Use of coercion was generally higher among migrants – especially refugee men and immigrant women – compared with native Danes. For cancer stage at diagnosis, migrants in general showed an unfavourable tendency towards more non-local versus local stages and more unknown versus known stages. No consistent patterns were found according to migrant status.The third sub-theme on mortality (Papers VI-VIII) found that refugees – especially family reunification immigrants – had lower all-cause mortality and lower mortality from cancer, cardiovascular disease, and injuries. In contrast, refugees in particular and migrants in general had a higher mortality from infectious disease. The thesis demonstrates the unique opportunities for performing register-based research in Denmark, particularly in relation to migrants. It also demonstrates the role of migrant status as a useful variable in migrant studies in addition to ethnicity. Across all three sub-themes, inequalities in morbidity patterns were sometimes in favour of migrants and sometimes in favour of native Danes. Finally, inequalities in health were more pronounced for the refugee group, which was consistently more at risk compared with native Danes or which apparently benefited less from the protective factors of being a migrant compared with family reunification immigrants.
    MeSH term(s) Cohort Studies ; Denmark ; Emigrants and Immigrants/statistics & numerical data ; Female ; Health Status ; Health Status Disparities ; Humans ; Male ; Needs Assessment ; Prospective Studies ; Refugees/statistics & numerical data ; Registries ; Risk Assessment ; Socioeconomic Factors ; Transients and Migrants/statistics & numerical data
    Language English
    Publishing date 2015-04
    Publishing country Denmark
    Document type Journal Article ; Review
    ZDB-ID 2648771-8
    ISSN 2245-1919 ; 2245-1919
    ISSN (online) 2245-1919
    ISSN 2245-1919
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  4. Article ; Online: Association of common mental disorders and related multimorbidity with subsequent labor market marginalization among refugee and Swedish-born young adults.

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

    Frontiers in public health

    2023  Volume 11, Page(s) 1054261

    Abstract: Background: Common mental disorders (CMDs), multimorbidity, and refugee status are associated with poor labor market outcome. Little is known about how these factors interact in young adults.: Objective: We aimed to i) investigate whether the ... ...

    Abstract Background: Common mental disorders (CMDs), multimorbidity, and refugee status are associated with poor labor market outcome. Little is known about how these factors interact in young adults.
    Objective: We aimed to i) investigate whether the association of CMDs and multimorbidity with labor market marginalization (LMM) differs between refugee and Swedish-born young adults and ii) identify diagnostic groups with particularly high risk for LMM.
    Methods: This longitudinal registry-based study included individuals aged 20-25 years followed from 2012 to 2016 in Sweden (41,516 refugees and 207,729 age and sex-matched Swedish-born individuals). LMM was defined as granted disability pension (DP) or > 180 days of unemployment (UE). A disease co-occurrence network was constructed for all diagnostic groups from 2009 to 2011 to derive a personalized multimorbidity score for LMM. Multivariate logistic regression was used to estimate odds ratios of LMM in refugee and Swedish-born youth as a function of their multimorbidity score. The relative risk (RR, 95% CI) of LMM for refugees with CMDs compared to Swedish-born with CMDs was computed in each diagnostic group.
    Results: In total, 5.5% of refugees and 7.2% of Swedish-born with CMDs were granted DP; 22.2 and 9.4%, respectively received UE benefit during follow-up. While both CMDs and multimorbidity independently elevated the risk of DP considerably in Swedish-born, CMDs but not multimorbidity elevated the risk of UE. Regarding UE in refugees, multimorbidity with the presence of CMDs showed stronger estimates. Multimorbidity interacted with refugee status toward UE (
    Conclusion: To combat LMM, public health measures and intervention strategies need to be tailored to young adults based on their CMDs, multimorbidity, and refugee status.
    MeSH term(s) Adolescent ; Humans ; Young Adult ; Sweden/epidemiology ; Refugees ; Mental Disorders/epidemiology ; Pensions ; Longitudinal Studies
    Language English
    Publishing date 2023-03-16
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1054261
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  5. Article ; Online: Psychosocial Responses to Healthcare: A Study on Asylum-Seeking Families' Experiences in Denmark.

    Barghadouch, Amina / Norredam, Marie

    Journal of immigrant and minority health

    2021  Volume 24, Issue 2, Page(s) 551–555

    Abstract: Much work has gone into unpacking the range of individual, interpersonal and structural barriers that prevent asylum-seekers from accessing healthcare. In this Brief Communication, we disentangle asylum-seeking families' psychosocial responses when ... ...

    Abstract Much work has gone into unpacking the range of individual, interpersonal and structural barriers that prevent asylum-seekers from accessing healthcare. In this Brief Communication, we disentangle asylum-seeking families' psychosocial responses when accessing healthcare as crucial dimensions of the access experience. Drawing on semi-structured interviews with 11 asylum-seeking families in Denmark, we present examples from three specific healthcare encounters between families and healthcare professionals in the Danish asylum system. We demonstrate how unfamiliarity with the healthcare system, interpersonal miscommunication and cultural insensitivity among professionals evoke specific emotions that undermine participants' trust in the healthcare system and affect their future motivation for healthcare seeking and ultimately also their healthcare seeking behavior. We argue for an urgent need to recognize the pivotal role of such psychosocial responses in shaping healthcare access for asylum-seeking families. Focusing on these responses is an important next step in overcoming barriers in access to healthcare, which have been described in literature for years.
    MeSH term(s) Denmark ; Health Personnel ; Health Services Accessibility ; Humans ; Qualitative Research ; Refugees/psychology
    Language English
    Publishing date 2021-03-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2220162-2
    ISSN 1557-1920 ; 1557-1912
    ISSN (online) 1557-1920
    ISSN 1557-1912
    DOI 10.1007/s10903-021-01183-x
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  6. Article ; Online: [No title information]

    Nørredam, Marie / Sodemann, Morten / Wejse, Christian / Kruse, Alexandra / Hvass, Anne Mette Fløe

    Ugeskrift for laeger

    2022  Volume 184, Issue 18

    Title translation Somatiske lidelser hos ukrainske flygtninge.
    MeSH term(s) Ethnicity ; Humans ; Refugees ; Risk Factors
    Language Danish
    Publishing date 2022-05-04
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
    ISSN (online) 1603-6824
    ISSN 0041-5782
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  8. Article ; Online: Neighborhood Environment Has a Profound Association With Refugees' Health.

    Agyemang, Charles / Norredam, Marie

    JAMA network open

    2020  Volume 3, Issue 8, Page(s) e2014355

    MeSH term(s) Cardiovascular Diseases ; Denmark ; Heart Disease Risk Factors ; Humans ; Refugees ; Risk Factors
    Language English
    Publishing date 2020-08-03
    Publishing country United States
    Document type Journal Article ; Comment
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2020.14355
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  9. Article ; Online: COVID-19 mortality and use of intensive care among ethnic minorities - a national register-based Danish population study.

    Norredam, Marie / Islamoska, Sabrina / Petersen, Jørgen Holm / Benfield, Thomas

    European journal of epidemiology

    2023  Volume 38, Issue 8, Page(s) 891–899

    Abstract: Migrants and ethnic minorities are disproportionately affected by the Coronavirus Disease 2019 (COVID-19) pandemic compared to the majority population. Therefore, we studied mortality and use of mechanical ventilation (MV) by country of birth and migrant ...

    Abstract Migrants and ethnic minorities are disproportionately affected by the Coronavirus Disease 2019 (COVID-19) pandemic compared to the majority population. Therefore, we studied mortality and use of mechanical ventilation (MV) by country of birth and migrant status in a nationwide cohort in Denmark. Nationwide register data on all cases hospitalized for > 24-hours with COVID-19 between February 2020 and March 2021. Main outcome measures were mortality and MV within 30 days of hospitalization for COVID-19. Odds ratios (OR) and 95% confidence intervals (95% CI) were estimated by region of origin and migrant status using logistic regression analyses, adjusting for age, sex, comorbidity and sociodemographic factors. Of 6,406 patients, 977 (15%) died and 342 (5%) were treated with mechanical ventilation. Immigrants (OR:0.55;95%CI: 0.44-0.70) and individuals of non-Western origin had a lower odds (OR: 0.49; 95% CI: 0.37-0.65) of death upon admission with COVID-19 compared to Danish born individuals. Immigrants and descendants (OR: 1.62; 95% CI: 1.22-2.15) as well as individuals of non-Western origin (OR: 1.83; 95% CI: 1.35-2.47) had a significantly higher odds of MV compared to Danish born individuals. Outcomes of individuals with Western origin did not differ. Immigrants and individuals of non-Western origin had a significantly lower COVID-19 associated mortality compared to individuals of Danish origin after adjustment for sociodemographic factors and comorbidity. In contrast, the odds of MV was higher for immigrants and individuals of non-Western origin compared to individuals of Danish origin.
    MeSH term(s) Humans ; COVID-19/mortality ; Critical Care/statistics & numerical data ; Denmark/epidemiology ; Emigrants and Immigrants ; Ethnic and Racial Minorities ; Intensive Care Units
    Language English
    Publishing date 2023-05-16
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 632614-6
    ISSN 1573-7284 ; 0393-2990
    ISSN (online) 1573-7284
    ISSN 0393-2990
    DOI 10.1007/s10654-023-00991-9
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  10. Article ; Online: [Newly arrived refugees suffer from infectious diseases, deficiencies and poor mental health].

    Hvass, Anne Mette Fløe / Andersen, Mathilde Horn / Kruse, Alexandra / Nørredam, Marie / Wejse, Christian

    Ugeskrift for laeger

    2022  Volume 184, Issue 18

    Abstract: Refugees arrive in Denmark by different paths and canals. In some municipalities all refugees are offered a systematic health assessment when they receive a residence permit. The conducted assessments in Copenhagen and Aarhus have resulted in five ... ...

    Abstract Refugees arrive in Denmark by different paths and canals. In some municipalities all refugees are offered a systematic health assessment when they receive a residence permit. The conducted assessments in Copenhagen and Aarhus have resulted in five studies and this review sums up some of the important results. Vitamin-D deficiencies, anaemia, latent tuberculosis, and symptoms of PTSD are just some of the most frequent conditions seen in newly arrived refugees. A health assessment upon resettlement has several important purposes and should be offered to all newly arrived refugees in Denmark.
    MeSH term(s) Communicable Diseases ; Humans ; Latent Tuberculosis ; Mental Health ; Refugees ; Vitamin D Deficiency
    Language Danish
    Publishing date 2022-05-04
    Publishing country Denmark
    Document type Journal Article ; Review
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
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    ISSN 0041-5782
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