@article{ref1,
title="Health-related disparities among migrant children at school entry in Germany. How does the definition of migration status matter?",
journal="International journal of environmental research and public health",
year="2020",
author="Führer, Amand and Tiller, Daniel and Brzoska, Patrick and Korn, Marie and Gröger, Christine and Wienke, Andreas",
volume="17",
number="1",
pages="e17010212-e17010212",
abstract="<i>Background</i>: 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. <i>Methods</i>: 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. <i>Results</i>: 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. <i>Conclusions</i>: 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.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph17010212",
url="http://dx.doi.org/10.3390/ijerph17010212"
}