{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T09:05:31Z","timestamp":1775552731894,"version":"3.50.1"},"reference-count":68,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"unspecified","delay-in-days":96,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol Psychiatr Sci"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S2045796026100638_sec1a\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Significant sex disparities in mental health have been observed amongst resettled refugees, yet how these disparities and their determinants evolve over time remains unclear. This study sought to quantitatively unravel determinants and changes in mental health disparities by sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796026100638_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were drawn from Waves 1 (2013\u20132014), 5 (2017\u20132018) and 6 (2023) of the 10-year\n                      <jats:italic>Building a New Life in Australia<\/jats:italic>\n                      (BNLA) cohort. Post-traumatic stress disorder (PTSD) and high risk of severe mental illness (HR-SMI) were measured using the PTSD-8 and Kessler-6 scales. Fairlie method was used to quantify the disparity (total predicted probability difference by sex) and the contribution proportion of individual determinants (explained difference\/total predicted probability difference\u00a0\u00d7\u00a0100%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796026100638_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 2261 refugees were included at Wave 1, with 1833 (81.1%) and 905 (40.0%) followed up at Waves 5 and 6. Female refugees consistently experienced poor mental health, with the total predicted probability difference decreasing from the initial (Wave 1, 8.3%) to middle stage (Wave 5, 4.6%), then increasing in the long term (Wave 6, 6.3%). Determinants of disparities varied across waves, but poor status of physical health was a persistent contributor of disparities in PTSD (contribution proportion: 57.2%, 71.5% and 63.0% at each wave). Family conflict contributed at the initial (HR-SMI: 4.5%) and long-term stages (PTSD: 8.7%), while financial hardships (PTSD: 13.2%; HR-SMI: 23.2%), marital status (HR-SMI: 24.8%) and family concerns (PTSD: 8.0%) were key determinants at the middle stage. Unmet support or help during COVID-19 was a major contributor at Wave 6 (PTSD: 22.7%; HR-SMI: 8.0%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796026100638_sec4d\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sex disparities exist in refugees\u2019 mental health and require sustained attention and tailored strategies. To promote mental health equity, there is a long-term need to provide essential physical healthcare and financial assistance and address family-related stressors. Additionally, it is important to identify and address the specific psychosocial needs of women in times of crisis such as the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s2045796026100638","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T08:25:03Z","timestamp":1775550303000},"source":"Crossref","is-referenced-by-count":0,"title":["Mental health disparities by sex: unravelling determinants and changes in the refugee resettlement process over a decade"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9418-7092","authenticated-orcid":false,"given":"Xinyan","family":"Bu","sequence":"first","affiliation":[{"name":"Sun Yat-sen University"},{"name":"Sun Yat-sen University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7705-7553","authenticated-orcid":false,"given":"Meng","family":"Zheng","sequence":"additional","affiliation":[{"name":"Sun Yat-sen University"},{"name":"Sun Yat-sen University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre M.N.","family":"Renzaho","sequence":"additional","affiliation":[{"name":"Western Sydney University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas P.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Western Sydney University"},{"name":"University of Melbourne"},{"name":"Murdoch Children's Research Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shameran","family":"Slewa-Younan","sequence":"additional","affiliation":[{"name":"Western Sydney University"},{"name":"Western Sydney University"},{"name":"University of Melbourne"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiyu","family":"Feng","sequence":"additional","affiliation":[{"name":"Sun Yat-sen University"},{"name":"Sun Yat-sen 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