Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter?
Int J Environ Res Public Health
; 17(1)2019 12 27.
Article
in En
| MEDLINE
| ID: mdl-31892226
ABSTRACT
Background:
Migration background is known to be an important risk factor for a number of medical outcomes. Still, relatively little is known about the epidemiologic relevance of different definitions of migration status.Methods:
Data from 5250 school entry examinations spanning three consecutive years (2015-2017) were gathered from the Public Health Department in Halle, Germany. Data were stratified according to six different migration statuses and evaluated for differences in health service utilization and developmental outcomes.Results:
Compared to non-migrant children, migrant children have a lower utilization of preventative services, and higher frequencies of developmental delays. Children with first-generation migration background consistently show results worse than all others, while children with one-sided second-generation migration background show results similar to those of their non-migrant peers. These findings are not substantially altered by adjustment for social status.Conclusions:
Children with first-generation migration background should receive special attention in school entry examinations, since they constitute a group with consistently higher health risks compared to other groups of preschoolers.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Schools
/
Transients and Migrants
/
Health Status Disparities
Type of study:
Etiology_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
Int J Environ Res Public Health
Year:
2019
Document type:
Article
Affiliation country:
Germany