ArticleBMJ open2016
Primary healthcare usage and morbidity among immigrant children compared with non-immigrant children: a population-based study in Norway.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- Diagnoses given in specialist health care to Norwegian-born children with one immigrant parent. A register-based study.Scandinavian journal of public health · 2026Article
- Risk of Somatic Diagnoses in Specialist Health Care Among Norwegian-Born Youth and Young Adults with Immigrant Parents.Journal of immigrant and minority health · 2025Article
- Variation in disease in children according to immigrant background.Scandinavian journal of public health · 2023Article
- Diagnoses of infectious diseases among Norwegian-born children to immigrant parents - the role of parental socioeconomic position.Scandinavian journal of public health · 2023Article
- Influence of social characteristics on use of paediatric emergency care in Sweden - a questionnaire based study.BMC emergency medicine · 2018Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesHealth status, disease spectrum and use of healthcare have been reported to vary across groups of migrants and according to the different phases of migration. However, most studies are conducted among adults. This study assesses usage of primary healthcare (PHC) by children with immigrant background compared with non-immigrant children in Norway and describes their relative morbidity burden.
designPopulation-based retrospective cohort study.
settingThis study used 3 linked population-based registers in Norway for children under 18 years of age in 2008. MAIN EXPOSURE AND OUTCOME MEASURES: Immigrants were defined as children with both parents born abroad, and further classified into first and second generation, and according to the World Bank income categories of their parents' country of origin. Usage and morbidity were assessed with negative binomial regression and logistic regression analyses, respectively. Further, population-attributable fraction analyses on PHC visits were conducted to estimate the impact on the primary health system.
participants1 168 365 children including 119 251 with immigrant background.
resultsThe mean number of visits to PHC for non-immigrant children was 1.40 compared with 1.19 for immigrants from high-income countries (HIC) and 1.76 for immigrants from low-income countries (LIC). Compared with non-immigrants, first generation immigrants used PHC significantly less after adjusting for age and sex (incidence risk ratio (IRR) 0.70 (HIC) to 0.93 (LIC)) while second generation immigrant children generally used PHC more (IRR 1.03 (HIC) to 1.43 (LIC)); however, the median number of visits were similar between all groups. The morbidity spectrum also varied between the groups.
conclusionsCompared with non-immigrants, the excess number of consultations attributable to immigrant groups corresponds to around 1.3% of PHC visits among children.
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