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EV0777

Associations between mental disorders and socioeconomic determinants among migrants in Eastern Europe: a systematic review

ASSOCIATIONS BETWEEN MENTAL DISORDERS AND SOCIO-ECONOMIC DETERMINANTS AMONG MIGRANTS IN EASTERN EUROPE: A SYSTEMATIC REVIEW

The factors most consistently associated with mental disorders among migrants in Eastern Europe are female sex, discrimination, economic disadvantage, and insecure legal status.

The study aims to systematically review the evidence on associations between socioeconomic determinants and mental disorders among adult migrants in Eastern Europe and to identify implications for research, clinical practice, and public health policy. Guided by PRISMA, PubMed, PsycNet, IOM, and UNHCR resources were searched for studies published in English over the past 10 years; eligible studies were defined as quantitative observational studies examining determinants such as income, employment, legal status, discrimination, housing, and access to healthcare. The search identified 456 records from PubMed, 58 from PsycNet, and 1 from the Ukraine Regional Refugee Response resource. After 2 duplicate records were removed, 513 articles were assessed and 464 were excluded. Of the 49 articles assessed for eligibility, 12 were included, along with 1 identified through reference lists, yielding a total of 13 studies (n=5,970) in the review. Study quality was assessed using the CASP checklist, and findings were synthesized narratively in accordance with SWiM recommendations; the studies were conducted in Türkiye, Greece, Poland, and Czechia, and most participants were refugees and asylum seekers from Syria, Afghanistan, and Ukraine. For depression, female sex, insecure legal status, socioeconomic stressors, unemployment, and limited access to healthcare were associated with more severe symptoms; for anxiety, discrimination, female sex, unemployment, low income, and legal insecurity were the most frequently reported correlates; for post-traumatic stress disorder (PTSD), these were discrimination, female sex, socioeconomic stressors, and low income. Better environmental quality of life was associated with fewer symptoms of depression and anxiety. The cross-sectional design of all included studies precludes causal inference, while heterogeneity in populations, measurement, and quality, together with the predominance of refugees and asylum seekers, particularly in studies conducted in Türkiye, limits generalizability. The author states that screening and targeted interventions should prioritize women, unemployed or low-income migrants, asylum seekers, and those experiencing discrimination or legal insecurity, and that longitudinal research is needed to clarify causal pathways.

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