Journal of Immigrant and Minority Health
Volume 21, Issue 1, 2019, Pages 189-197

Using the Children with Special Health Care Needs Screener with Immigrant Families: An Analysis of the National Survey of Children’s Health (Article)

Warden C. , Yun K.* , Semere W.
  • a PolicyLab, Children’s Hospital of Philadelphia, 2716 South St, Philadelphia, PA 19146, United States
  • b PolicyLab, Children’s Hospital of Philadelphia, 2716 South St, Philadelphia, PA 19146, United States, Division of General Pediatrics, Children’s Hospital of Philadelphia & University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
  • c Department of General Medicine, Yale University School of Medicine, New Haven, CT, United States, Robert Wood Johnson Foundation Clinical Scholars Program, Veterans Affairs Connecticut Healthcare System, West Haven, CT, United States

Abstract

Children in immigrant families are less likely to screen positive with the Children with Special Health Care Needs Screener (CSHCN-S). This may indicate that children in immigrant families are healthier or require fewer health services than non-immigrant peers. Alternatively, the screener may under-identify special healthcare needs in this population. Using the 2011–2012 National Survey of Children’s Health, we examined the prevalence of a positive CSHCN-S among children from first, second, and third generation households with an equivalent number of currently diagnosed chronic conditions (0, 1, 2+). Multivariate analyses controlled for sociodemographic factors. Among children with an equivalent number of chronic conditions, fewer children from first and second generation households screened positive with the CSHCN-S relative to children from third generation households. This association remained after adjusting for covariates. The CSHCN Screener may under-identify children from immigrant households, allowing for missed opportunities to allocate health resources. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Disabled children/statistics and numerical data emigrants and immigrants Children with Special Health Care Needs National Survey of Children’s Health

Index Keywords

mass screening handicapped child Disabled Children human chronic disease procedures Surveys and Questionnaires United States Humans migrant Adolescent male Emigrants and Immigrants preschool child Socioeconomic Factors Infant Child, Preschool female reproducibility socioeconomics Reproducibility of Results questionnaire child health standards Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044573129&doi=10.1007%2fs10903-018-0719-4&partnerID=40&md5=ca555509a7ced56ec30bebc1a6a518a5
DOI: 10.1007/s10903-018-0719-4
ISSN: 15571912
Cited by: 1
Original Language: English