Division of Health Services, Norwegian Institute of Public Health, Norway.
Department of Public Health Science, Faculty of Landscape and Society, Norwegian University of Lifesciences, Norway.
Scand J Public Health. 2023 May;51(3):412-421. doi: 10.1177/14034948221082455. Epub 2022 Apr 1.
Children of immigrants have a higher incidence of infectious disease than native children. Our aim was to assess the role of parental socioeconomic position for diagnoses of infectious disease among children of immigrants.
Data from the Norwegian Patient Registry (on diagnoses from secondary/tertiary care), Medical Birth Registry of Norway, and Statistics Norway were linked by the national personal identification number. Seven diagnostic infection categories were included from 2008 onwards. The study population included children born in Norway aged 0-10 years between 2008 and 2018 ( = 988,647). Hazards of infection diagnoses by parental region of origin (adjusted for sex, birth year, parental education, household income and mother's parity) and by parental education and household income were assessed by Cox regression.
High parental education was associated with lower hazard of infection diagnoses among children of Norwegian-born parents, but associations were less consistent among children with immigrant parents. Lower household income was related to hazard of most infectious diagnoses among children with both Norwegian-born and immigrant parents. Assessed by region diagnoses of viral and bacterial infections and infections of the musculoskeletal system and soft tissue were not associated with household income. Parental education and household income did not explain differences in hazard of infection diagnoses between children born to immigrant versus Norwegian-born parents.
移民子女的传染病发病率高于本地儿童。我们的目的是评估父母的社会经济地位对移民子女传染病诊断的影响。
通过国家个人身份号码将挪威患者登记处(二级/三级护理的诊断数据)、挪威医学出生登记处和挪威统计局的数据进行了关联。自 2008 年起纳入了七个诊断性感染类别。研究人群包括 2008 年至 2018 年期间在挪威出生、年龄在 0-10 岁的儿童(=988647 人)。通过 Cox 回归评估了父母原籍地区(按性别、出生年份、父母教育程度、家庭收入和母亲生育次数调整)和父母教育程度及家庭收入对感染诊断的危害比。
高父母教育程度与挪威出生父母子女的感染诊断风险降低相关,但在移民父母子女中关联不太一致。较低的家庭收入与大多数有挪威出生和移民父母子女的传染病诊断风险相关。按地区评估,病毒和细菌感染以及肌肉骨骼系统和软组织感染与家庭收入无关。父母教育程度和家庭收入并不能解释移民子女和挪威出生子女感染诊断风险的差异。