Psychosocial problems among immigrant and non-immigrant children--ethnicity plays a role in their occurrence and

S A Reijneveld1, P Harland, E Brugman

  • 1University Medical Center Groningen, University of Groningen, Department of Health Sciences, P.O. Box 196, 9700 AD Groningen, The Netherlands. S.A.Reijneveld@med.rug.nl

Insights

Psychosocial problems are more common in some immigrant children. Child health professionals

Area of Science:

  • Child health
  • Psychosocial health
  • Immigration studies

Background:

  • Investigating psychosocial problems in children is crucial for early intervention.
  • Disparities in healthcare access and outcomes exist among immigrant populations.
  • Preventive child health care settings offer opportunities to identify child health issues.

Purpose of the Study:

  • To determine the prevalence of psychosocial problems in immigrant and non-immigrant children.
  • To assess the association between parent-reported problems and identification by child health professionals (CHPs).

Main Methods:

  • A cross-sectional study involving 4,098 children aged 5-15 years in the Netherlands.
  • Data collected through routine health assessments, parent interviews, and the Child Behavior Checklist (CBCL).
  • Comparison of five ethnic groups: indigenous Dutch, economic immigrants, immigrants from former Dutch colonies, and from other industrialised/non-industrialised countries.

Main Results:

  • Parent-reported psychosocial problems, particularly internalizing issues, were more prevalent in children from former Dutch colonies and economic immigrant children.
  • CHPs identified more problems in economic immigrant children compared to indigenous children.
  • The association between parent-reported problems and CHP identification was weaker for economic immigrant children than for indigenous children.

Conclusions:

  • Certain immigrant groups exhibit a higher frequency of psychosocial problems.
  • The current identification of psychosocial problems by CHPs is not well-aligned with parent reports for economic immigrant children.
  • Improving CHP identification is essential for equitable and effective child healthcare delivery.
Abstract

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