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Health-related quality of life in migrant preschool children
Jardena Puder1, Ana Margarida Pinto, Antoine Bonvin
1Service of Endocrinology, Diabetes and Metabolism, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland. Jardena.Puder@chuv.ch.
Insights
Children with migrant parents experience lower health-related quality of life (HRQOL) compared to their peers. These disparities persist despite accounting for various socioeconomic and lifestyle factors, highlighting a need for targeted support.
Area of Science:
- Pediatric Health
- Quality of Life Research
- Sociology of Health
Background:
- Minority groups often report lower health-related quality of life (HRQOL).
- Limited data exists on HRQOL disparities in children with migrant parents.
- This study investigates HRQOL differences in young children based on parental migrant status.
Purpose of the Study:
- To compare HRQOL between young children with and without migrant parents.
- To explore potential mediating factors influencing HRQOL in children of migrants.
- To identify potential areas for intervention to reduce health inequalities.
Main Methods:
- Cross-sectional study of two Swiss preschool populations (Ballabeina and Youp'là Bouge).
- Involved diverse children aged 2-6 years, with most born in Switzerland.
- Assessed HRQOL using the 23-item Pediatric Quality of Life Inventory, with parental migrant status as the primary exposure.
Main Results:
- Children with migrant parents exhibited significantly lower overall HRQOL scores in both study cohorts.
- Social, school, and physical functioning domains were significantly lower for children of migrant parents.
- Differences were partially mediated by factors like birthplace and parental education in one cohort, but not the other.
Conclusions:
- Preschoolers with migrant parents demonstrate reduced HRQOL compared to non-migrant children.
- Sociocultural and lifestyle factors only partially explain these HRQOL disparities.
- Intervention strategies are needed to support these families and mitigate health inequalities.
Background:
Minority groups have a lower health-related quality of life (HRQOL), but there is little information if this finding also applies to children. In this study, we compared HRQOL between young children with and without migrant parents.
Methods:
Two cross-sectional studies of culturally diverse preschool populations in Switzerland: Ballabeina (40 preschools, 258 girls and 232 boys aged 4 to 6 years) and Youp'là Bouge (58 child care centers, 453 girls and 522 boys aged 2 to 4 years). Most children were born in Switzerland (Ballabeina: 92.3%; Youp'là Bouge: 93.7%). Number of migrant parents was considered as the main exposure. HRQOL was measured using the 23-item Pediatric Quality of Life Inventory.
Results:
Children of migrant parents had a significantly lower HRQOL total score (mean ± SD, Ballabeina: 84.2 ± 9.1; 82.7 ± 9.6 and 81.7 ± 11.7 for children with none, one or two migrant parents, respectively; Youp'là Bouge: 83.8 ± 8.6; 82.9 ± 9.5; 80.7 ± 11.7, all p < 0.05). Similar results were found in Ballabeina and Youp'là Bouge for social, school and physical functioning (all p < 0.05), but not for emotional functioning. The differences in HRQOL measures were partly mediated by children's place of birth, parental education, paternal occupational level, children's BMI, screen time and physical activity in one study (Ballabeina), but not in the other (Youp'là Bouge).
Conclusion:
In preschoolers, children of migrant parents have lower HRQOL than children of non-migrant parents. These differences are only partly mediated by other sociocultural characteristics or lifestyle behavior. These families may need assistance to prevent further inequalities.
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