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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.
Background:
This study aims to examine a) the prevalence of psychosocial problems and b) the association between parent-reported problems and the identification by doctors and nurses (child health professionals, CHP) working in preventive child health care, among immigrant and non-immigrant children.
Methods:
CHPs examined 4,098 children aged 5 through 15 years (response: 90.1%) and interviewed parents and children during their routine health assessments in 19 Child Healthcare Services across the Netherlands, serving nearly all school-aged children routinely. The Child Behavior Checklist (CBCL) was completed by the parents. We compared five ethnic groups: indigenous Dutch, economic immigrants, immigrants from (former) Dutch colonies, from other non-industrialised, and from other industrialised countries.
Results:
The prevalence of parent-reported problems on the CBCL is higher among children from former Dutch colonies and economic immigrant children than among indigenous children, especially regarding internalizing problems (odds ratios (OR); 95% confidence interval: 1.84; 1.03 to 3.29, and 2.52; 1.46 to 4.34). CHPs identified more problems among economic immigrant children (OR: 1.62; 1.01 to 2.60). Regarding associations, rates of CHP-identified problems were higher among indigenous children with clinical compared with normal CBCL Total Problems scores (OR: 6.90; 5.27 to 9.03), but not among economic immigrant children (OR: 0.73; 0.16 to 3.21).
Conclusions:
Psychosocial problems occur more frequently among some immigrant groups. CHP identification of psychosocial problems is poorly associated with parent report regarding economic immigrant children. This needs to be improved in order to provide better care.
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