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Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter?

Author

Listed:
  • Amand Führer

    (Martin-Luther-University Halle-Wittenberg, Institute of Medical Epidemiology, Biometrics and Informatics, 06112 Halle (Saale), Germany)

  • Daniel Tiller

    (Martin-Luther-University Halle-Wittenberg, Institute of Medical Epidemiology, Biometrics and Informatics, 06112 Halle (Saale), Germany)

  • Patrick Brzoska

    (Health Services Research Unit, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Marie Korn

    (Martin-Luther-University Halle-Wittenberg, Institute of Medical Epidemiology, Biometrics and Informatics, 06112 Halle (Saale), Germany)

  • Christine Gröger

    (Public Health Department, City of Halle (Saale), 06112 Halle, Germany)

  • Andreas Wienke

    (Martin-Luther-University Halle-Wittenberg, Institute of Medical Epidemiology, Biometrics and Informatics, 06112 Halle (Saale), Germany)

Abstract

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.

Suggested Citation

  • Amand Führer & Daniel Tiller & Patrick Brzoska & Marie Korn & Christine Gröger & Andreas Wienke, 2019. "Health-Related Disparities among Migrant Children at School Entry in Germany. How does the Definition of Migration Status Matter?," IJERPH, MDPI, vol. 17(1), pages 1-16, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:212-:d:302635
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    References listed on IDEAS

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    1. Valentin Amrhein & Sander Greenland & Blake McShane, 2019. "Scientists rise up against statistical significance," Nature, Nature, vol. 567(7748), pages 305-307, March.
    2. Thomas Kemper, 2016. "Zur landesspezifischen Erfassung des Migrationshintergrunds in der Schulstatistik – (k)ein gemeinsamer Nenner in Sicht?," Schumpeter Discussion Papers SDP16001, Universitätsbibliothek Wuppertal, University Library.
    3. Patrick Brzoska, 2018. "Disparities in health care outcomes between immigrants and the majority population in Germany: A trend analysis, 2006–2014," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-14, January.
    4. Aïda Solé-Auró & Eileen M.Crimmins, 2008. "Health of Immigrants in European countries," IREA Working Papers 200809, University of Barcelona, Research Institute of Applied Economics, revised Jun 2008.
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    Cited by:

    1. Thomas Grochtdreis & Hans-Helmut König & Judith Dams, 2021. "Health-Related Quality of Life of Persons with Direct, Indirect and No Migration Background in Germany: A Cross-Sectional Study Based on the German Socio-Economic Panel (SOEP)," IJERPH, MDPI, vol. 18(7), pages 1-12, April.

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