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Internationally Adopted and Migrant Children Had Important Health Issues Requiring Systematic Initial Screening at
Céline Lafay1,2, Laurie Miller3, Juliette Goutines1
1Pediatric Internal Medicine, Rheumatology and Infectious Diseases, Department of General Pediatrics, Robert-Debré University Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Acta Paediatrica (Oslo, Norway : 1992)
|June 4, 2025
Summary
Internationally adopted children and migrant children show significant health issues upon arrival. Adoptees experienced more stunting and chronic viral infections, highlighting the need for systematic health screenings for both groups.
Area of Science:
- Pediatrics
- Global Health
- Public Health
Background:
- Internationally adopted and migrant children may face adversities before arrival.
- These children share similar profiles due to pre-migration experiences.
- Focus on health status at arrival is crucial for early intervention.
Purpose of the Study:
- Compare nutritional status, infection, and vaccination in internationally adopted and migrant children.
- Identify health disparities between these vulnerable populations.
- Inform public health strategies for newly arrived children.
Main Methods:
- Retrospective review of medical records (2017-2021) at Necker Hospital, France.
- Included children under 12 years old, categorizing them as adoptees or migrants (refugees, asylum seekers).
- Analyzed nutritional status (stunting), infection prevalence, and vaccination coverage.
Main Results:
- 404 children included: 272 adoptees (mainly from Asia) and 132 migrants (mainly from Africa).
- Adoptees showed higher rates of stunting (16% vs. 7%) and worse Z-scores for height and weight.
- Adoptees had more chronic viral infections (4% vs. 0%), while measles immunity was low in both groups.
Conclusions:
- Both internationally adopted and migrant children present significant health concerns upon arrival.
- Systematic initial health screenings are recommended for these populations.
- Close medical follow-up is essential to address identified health issues.
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