Mental health, health and healthcare utilization of asylum seeking and refugee children in Germany

Costa D, Biddle L, Bozorgmehr K (2020)
European Journal of Public Health 30(Supplement_5): ckaa165.343.

Kurzbeitrag Konferenz / Poster | Veröffentlicht | Englisch
 
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Abstract / Bemerkung
**Background**
The mental health condition and healthcare needs of asylum seeking and refugee (ASR) children are essential aspects of health services organization. We describe the relation between psychosocial functioning, health status and healthcare use of ASR children in Germany using a cross-sectional population-based survey.
**Methods**
560 ASR adults in 58 collective accommodations in Germany's 3rd largest federal state were randomly sampled and assessed in 2018 (response rate: 42%). 126 participants answered the Strengths and Difficulties Questionnaire (SDQ) to assess children' psychosocial functioning with higher scores suggesting poorer functioning. SDQ dimensions (Emotional; Conduct; Peer; Hyperactivity; ProSocial; Total) were compared by demographics, health (long-lasting illness, physical limitation, pain) and healthcare use (unmet need for a pediatrician/specialist, hospital/emergency department visits). Age and sex-adjusted odds ratios (AOR, 95%CI, Confidence Intervals) for presenting borderline/abnormal scores for each SDQ dimension were computed using logistic regression models depending on children' health and healthcare use.
**Results**
Valid data of 90 ASR children was analyzed: 57% girls; 40% 10-17 years; 58% from East/West Asia; 56% in Germany for more than a year. A borderline/abnormal SDQ Total score was associated with pain (compared to no pain, AOR, 95%CI=3.14, 1.21-8.10) and with an unmet need for a specialist (4.57, 1.09-19.16). High scores (borderline/abnormal) in the SDQ Emotional dimension were positively associated with a long-lasting illness (5.25, 1.57-17.55), physical limitation (4.28, 2.48-12.27) and pain (3.00, 1.10-8.22), and negatively associated with visiting a pediatrician (0.23, 0.07-0.78), a specialist (0.16, 0.04-0.69) and the emergency department (0.27, 0.08-0.96).
**Conclusions**
Somatic clinical encounters with ASR children should include the assessment of mental health symptomatology, especially in those with worst physical health conditions.
**Key messages**
- Among asylum seeking and refugee children, a poor physical condition and unmet medical needs are linked with poorer mental health. - Provision of care to this vulnerable group must include mental health.
Stichworte
Public Health; Environmental and Occupational Health
Erscheinungsjahr
2020
Band
30
Ausgabe
Supplement_5
Art.-Nr.
ckaa165.343
ISSN
1101-1262
eISSN
1464-360X
Page URI
https://pub.uni-bielefeld.de/record/2946527

Zitieren

Costa D, Biddle L, Bozorgmehr K. Mental health, health and healthcare utilization of asylum seeking and refugee children in Germany. European Journal of Public Health. 2020;30(Supplement_5): ckaa165.343.
Costa, D., Biddle, L., & Bozorgmehr, K. (2020). Mental health, health and healthcare utilization of asylum seeking and refugee children in Germany. European Journal of Public Health, 30(Supplement_5), ckaa165.343. doi:10.1093/eurpub/ckaa165.343
Costa, D., Biddle, L., and Bozorgmehr, K. (2020). Mental health, health and healthcare utilization of asylum seeking and refugee children in Germany. European Journal of Public Health 30:ckaa165.343.
Costa, D., Biddle, L., & Bozorgmehr, K., 2020. Mental health, health and healthcare utilization of asylum seeking and refugee children in Germany. European Journal of Public Health, 30(Supplement_5): ckaa165.343.
D. Costa, L. Biddle, and K. Bozorgmehr, “Mental health, health and healthcare utilization of asylum seeking and refugee children in Germany”, European Journal of Public Health, vol. 30, 2020, : ckaa165.343.
Costa, D., Biddle, L., Bozorgmehr, K.: Mental health, health and healthcare utilization of asylum seeking and refugee children in Germany. European Journal of Public Health. 30, : ckaa165.343 (2020).
Costa, Diogo, Biddle, L, and Bozorgmehr, Kayvan. “Mental health, health and healthcare utilization of asylum seeking and refugee children in Germany”. European Journal of Public Health 30.Supplement_5 (2020): ckaa165.343.

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