Kroening Abigail L H, Dawson-Hahn Elizabeth
Division of Developmental and Behavioral Pediatrics, Golisano Children's Hospital, University of Rochester, 601 Elmwood Avenue Box #671, Rochester, NY 14623, USA.
Division of General Pediatrics, University of Washington, 6200 Northeast 74th Street Suite 110, Seattle, WA 98115-81860, USA.
Adv Pediatr. 2019 Aug;66:87-110. doi: 10.1016/j.yapd.2019.04.003. Epub 2019 May 18.
Immigrant and refugee children are at increased risk for physical, developmental, and behavioral health challenges. This article provides an overview of physical, developmental, and behavioral health considerations for immigrant and refugee children within an ecological framework that highlights family, community, and sociocultural influences. Experiences and exposures relevant to immigrant and refugee children are discussed. Clinical pearls are provided for topics of chronic disease, nutrition, infectious disease, developmental screening, and mental health assessment. Interdisciplinary and community partnerships are emphasized as a means to decrease barriers to care and facilitate family navigation of complex social, educational, and health care systems.
移民和难民儿童面临身体、发育及行为健康挑战的风险更高。本文在一个强调家庭、社区和社会文化影响的生态框架内,概述了移民和难民儿童在身体、发育及行为健康方面的考量因素。讨论了与移民和难民儿童相关的经历和接触情况。针对慢性病、营养、传染病、发育筛查和心理健康评估等主题提供了临床要点。强调跨学科和社区伙伴关系是减少就医障碍、帮助家庭在复杂的社会、教育和医疗系统中顺利就医的一种方式。