International Journal of Environmental Research and Public Health
Volume 16, Issue 21, 2019

Health care needs in school-age refugee children (Article) (Open Access)

Hjern A.* , Kling S.
  • a Centre for Health Equity Studies (CHESS), Karolinska Institutet/Stockholm University, Stockholm, 106 91, Sweden, Clinical Epidemiology, Department of Medicine, Karolinska Institutet/Stockholm University, Stockholm, 106 91, Sweden, Sachsska children’s hospital, Stockholm, 116 31, Sweden
  • b Department of Child and Adolescent Psychiatry, Lund University Hospital, Lund, 221 85, Sweden

Abstract

Most European countries have systematic health assessments of refugees with a main focus on infectious diseases. The aim of this study was to describe the broader health care needs identified in newly settled refugee children in a school health setting. The study population consisted of all 609 recently settled Non-European refugee and asylum-seeking children in the age range 6–15 years who were enrolled in the schools of Malmö, Sweden during the autumn semester of 2015, of which 265 had arrived in Sweden unaccompanied. The data were collected in a structured routine intake interview by an experienced school nurse. Almost half of the children had obvious untreated caries. For the unaccompanied children, prominent mental health needs were present in almost one in three. Previously unidentified vision and/or hearing problems were identified in one in ten and around 5% had a daily medication, and 4.5% of the unaccompanied children and 1.2% of the accompanied children were judged to be in need of immediate care and were referred accordingly. Newly settled refugee children in northern Europe have considerable health care needs apart from communicable diseases. School health services have a unique platform to identify and initiate this care. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Primary care Migration Asylum seekers Children Health examination Convention on the rights of the child health care Health assessment Refugee

Index Keywords

Afghanistan refugee Iraqi psychoeducation Europe infectious disease human Ethiopian controlled study health status Somali (citizen) migrants experience Palestine asylum seeker Sweden school child sleep disorder Adolescent male female visual disorder dental caries hearing disorder health services child health Article health care Eritrean Syrian migration posttraumatic stress disorder primary health care health care need child care Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074469344&doi=10.3390%2fijerph16214255&partnerID=40&md5=86db556b77f3dc5e79eb255554b4638c

DOI: 10.3390/ijerph16214255
ISSN: 16617827
Original Language: English