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Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter?
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 ye...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6981556/ https://www.ncbi.nlm.nih.gov/pubmed/31892226 http://dx.doi.org/10.3390/ijerph17010212 |
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author | Führer, Amand Tiller, Daniel Brzoska, Patrick Korn, Marie Gröger, Christine Wienke, Andreas |
author_facet | Führer, Amand Tiller, Daniel Brzoska, Patrick Korn, Marie Gröger, Christine Wienke, Andreas |
author_sort | Führer, Amand |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6981556 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-69815562020-02-03 Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter? Führer, Amand Tiller, Daniel Brzoska, Patrick Korn, Marie Gröger, Christine Wienke, Andreas Int J Environ Res Public Health Article 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. MDPI 2019-12-27 2020-01 /pmc/articles/PMC6981556/ /pubmed/31892226 http://dx.doi.org/10.3390/ijerph17010212 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Führer, Amand Tiller, Daniel Brzoska, Patrick Korn, Marie Gröger, Christine Wienke, Andreas Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter? |
title | Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter? |
title_full | Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter? |
title_fullStr | Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter? |
title_full_unstemmed | Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter? |
title_short | Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter? |
title_sort | health-related disparities among migrant children at school entry in germany. how does the definition of migration status matter? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6981556/ https://www.ncbi.nlm.nih.gov/pubmed/31892226 http://dx.doi.org/10.3390/ijerph17010212 |
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