Evidence map›Paper›PMID 39334300›Full record

ArticleBMC medicine2024

Parental migration, socioeconomic deprivation and hospital admissions in preschool children in England: national birth cohort study, 2008 to 2014.

Kate M Lewis, Rachel Burns, Mario Cortina-Borja, Anja Heilmann, Alison Macfarlane, Selina Nath, Sarah M Salway, Sonia Saxena, Nazmy Villarroel-Williams, Russell Viner and 1 more

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Article in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Kate M LewisGreat Ormond Street Institute of Child Health, University College London, London, UK. kate.lewis.14@ucl.ac.uk.ORCID 0000-0003-1148-1017
Rachel BurnsInstitute of Health Informatics, University College London, London, UK.
Mario Cortina-BorjaGreat Ormond Street Institute of Child Health, University College London, London, UK.
Anja HeilmannDepartment of Epidemiology and Public Health, University College London, London, UK.
Alison MacfarlaneCentre for Maternal and Child Health Research, City, University of London, London, UK.
Selina NathGreat Ormond Street Institute of Child Health, University College London, London, UK.
Sarah M SalwayDepartment of Sociological Studies, University of Sheffield, Sheffield, UK.
Sonia SaxenaSchool of Public Health, Imperial College London, London, UK.
Nazmy Villarroel-WilliamsDepartment of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, UK.
Russell VinerGreat Ormond Street Institute of Child Health, University College London, London, UK.
Pia HardelidGreat Ormond Street Institute of Child Health, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA third of children born in England have at least one parent born outside the United Kingdom (UK), yet family migration history is infrequently studied as a social determinant of child health. We describe rates of hospital admissions in children aged up to 5 years by parental migration and socioeconomic group.

methodsBirth registrations linked to Hospital Episode Statistics were used to derive a cohort of 4,174,596 children born in state-funded hospitals in England between 2008 and 2014, with follow-up until age 5 years. We looked at eight maternal regions of birth, maternal country of birth for the 6 most populous groups and parental migration status for the mother and second parent (UK-born/non-UK-born). We used Index of Multiple Deprivation (IMD) quintiles to indicate socioeconomic deprivation. We fitted negative binomial/Poisson regression models to model associations between parental migration groups and the risk of hospital admissions, including interactions with IMD group.

resultsOverall, children whose parents were both born abroad had lower emergency admission rates than children with parents both born in the UK. Children of UK-born (73.6% of the cohort) mothers had the highest rates of emergency admissions (171.6 per 1000 child-years, 95% confidence interval (CI) 171.4-171.9), followed by South Asia-born mothers (155.9 per 1000, 95% CI 155.1-156.7). The high rates estimated in the South Asia group were driven by children of women born in Pakistan (186.8 per 1000, 95% CI 185.4-188.2). A socioeconomic gradient in emergency admissions was present across all maternal regions of birth groups, but most pronounced among children of UK-born mothers (incidence rate ratio 1.43, 95% CI 1.42-1.44, high vs. low IMD group). Patterns of planned admissions followed a similar socioeconomic gradient and were highest among children with mothers born in Middle East and North Africa, and South Asia.

conclusionsOverall, we found the highest emergency admission rates among children of UK-born parents from the most deprived backgrounds. However, patterns differed when decomposing maternal place of birth and admission reason, highlighting the importance of a nuanced approach to research on migration and health.

Indexed as

HospitalizationBirth CohortChild, PreschoolCohort StudiesEmigration and ImmigrationEnglandFemaleHumansInfantInfant, NewbornMaleParentsSocial DeprivationSocioeconomic FactorsChild healthHealth servicesHospital admissionsMigrationUnited Kingdom

Identifiers

PMID39334300
PMCPMC11438240

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.