Reijneveld S A, Harland P, Brugman E, Verhulst F C, Verloove-Vanhorick S P
University Medical Center Groningen, University of Groningen, Department of Health Sciences, P.O. Box 196, 9700 AD Groningen, The Netherlands.
Eur Child Adolesc Psychiatry. 2005 May;14(3):145-52. doi: 10.1007/s00787-005-0454-y.
This study aims to examine a) the prevalence of psychosocial problems and b) the association between parent-reported problems and the identification by doctors and nurses (child health professionals, CHP) working in preventive child health care, among immigrant and non-immigrant children.
CHPs examined 4,098 children aged 5 through 15 years (response: 90.1%) and interviewed parents and children during their routine health assessments in 19 Child Healthcare Services across the Netherlands, serving nearly all school-aged children routinely. The Child Behavior Checklist (CBCL) was completed by the parents. We compared five ethnic groups: indigenous Dutch, economic immigrants, immigrants from (former) Dutch colonies, from other non-industrialised, and from other industrialised countries.
The prevalence of parent-reported problems on the CBCL is higher among children from former Dutch colonies and economic immigrant children than among indigenous children, especially regarding internalizing problems (odds ratios (OR); 95% confidence interval: 1.84; 1.03 to 3.29, and 2.52; 1.46 to 4.34). CHPs identified more problems among economic immigrant children (OR: 1.62; 1.01 to 2.60). Regarding associations, rates of CHP-identified problems were higher among indigenous children with clinical compared with normal CBCL Total Problems scores (OR: 6.90; 5.27 to 9.03), but not among economic immigrant children (OR: 0.73; 0.16 to 3.21).
Psychosocial problems occur more frequently among some immigrant groups. CHP identification of psychosocial problems is poorly associated with parent report regarding economic immigrant children. This needs to be improved in order to provide better care.
本研究旨在调查：a）心理社会问题的患病率；b）在预防性儿童保健工作的医生和护士（儿童健康专业人员，CHP）所识别出的问题与移民和非移民儿童家长报告的问题之间的关联。
儿童健康专业人员检查了4098名5至15岁的儿童（应答率：90.1%），并在荷兰19个儿童保健服务机构对家长和儿童进行了常规健康评估期间进行了访谈，这些机构为几乎所有学龄儿童提供常规服务。家长完成了儿童行为量表（CBCL）。我们比较了五个种族群体：荷兰本土人、经济移民、来自（前）荷兰殖民地的移民、来自其他非工业化国家的移民以及来自其他工业化国家的移民。
CBCL上家长报告的问题患病率在前荷兰殖民地儿童和经济移民儿童中高于本土儿童，尤其是在内化问题方面（优势比（OR）；95%置信区间：1.84；1.03至3.29，以及2.52；1.46至4.34）。儿童健康专业人员在经济移民儿童中识别出更多问题（OR：1.62；1.01至2.60）。关于关联性，与CBCL总问题得分正常的本土儿童相比，CBCL总问题得分临床异常的本土儿童中儿童健康专业人员识别出问题的比例更高（OR：6.90；5.27至9.03），但在经济移民儿童中并非如此（OR：0.73；0.16至3.21）。
心理社会问题在一些移民群体中更频繁出现。儿童健康专业人员对心理社会问题的识别与经济移民儿童家长的报告关联性较差。为了提供更好的护理，这一点需要改进。
