ArticleEuropean journal of pediatrics2012
The influence of migratory background and parental education on health care utilisation of children.
Article in European journal of pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social inequities in vaccination coverage among infants and pre-school children in Europe and Australia - a systematic review.BMC public health · 2019Pooled it
- Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review.International journal for equity in health · 2018Pooled it
- Changes in the prevalence of intellectual disability among 10-year-old children in Sweden during 2011 through 2021: a total population study.Journal of neurodevelopmental disorders · 2024Article
- The role of sociodemographic, psychosocial, and behavioral factors in the use of preventive healthcare services in children and adolescents: results of the KiGGS Wave 2 study.BMC pediatrics · 2024Article
- Determinants for participation in a prevention and early detection programme for children and adolescents in Germany: does social background play a role?Archives of public health = Archives belges de sante publique · 2023Article
- Segregated by Wealth, Health, and Development: An Analysis of Pre-School Child Health in a Medium-Sized German City.Children (Basel, Switzerland) · 2023Article
- Determinants of ethnic differences in the uptake of child healthcare services in New Zealand: a decomposition analysis.International journal for equity in health · 2023Article
- Reminder system for health screening in early childhood - an analysis regarding different social circumstances.BMC pediatrics · 2021Article
- Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter?International journal of environmental research and public health · 2019Article
- Risk-based approach to school entry examinations in Germany - a validation study.BMC pediatrics · 2019Article
- Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children: a cohort study.European journal of pediatrics · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledSchool-entry screening data from North Rhine-Westphalia (NRW), Germany from 2007 were used to investigate child health care utilisation. We focussed on the influence of migratory background and parental education on children's (1) participation in regularly scheduled early recognition examinations, (2) immunisation uptake and (3) referrals due to a school-entry screen-detected complaint. The study sample consisted of 52,171 children out of 17 NRW districts. Bivariable, stratified and multivariable analyses were performed to identify relevant associations between social determinants and health care utilisation outcome parameters. Multivariable logistic regression showed that children belonging to families with a migratory background or low parental education were more likely to have an incomplete documentation of early recognition examinations and to be referred due to a new diagnosis. Children with migratory background were more likely to be sufficiently immunised than children with parents of German ethnicity. For all studied health care utilisation outcomes, kindergarten visit had a supportive effect.
conclusionIn general, the results of our regional study were in line with the results from national population-based studies. Additionally, a larger likelihood of referrals due to school-screen-detected deficits in children with migratory background or low parental education was detected.
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