Okuyama Kenta, Lönn Sara Larsson, Khoshnood Ardavan M, Sundquist Jan, Sundquist Kristina
Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Department of Emergency Medicine, Skåne University Hospital Lund, Lund, Sweden.
J Migr Health. 2025 Mar 27;11:100329. doi: 10.1016/j.jmh.2025.100329. eCollection 2025.
Immigrant children are often challenged at school. School performance is an important predictor of future socioeconomic position and mental and physical health. While studies have investigated parental mental disorders as a potential factor for poor school performance, no studies have investigated this among children with foreign-born parents, i.e., second-generation immigrant children. We aimed to examine whether parental depressive, anxiety, and personality disorders, affect school performance among non-immigrant children and second-generation immigrant children in Sweden.
Multiple nationwide population register data in Sweden were used. Non-immigrant children, i.e., children born to two Swedish-born parents ( = 593,515), and second-generation immigrant children with two foreign-born parents from non-Western regions ( = 71,721) were included. School grades in the final compulsory school year were used as outcome. Parental mental disorders were measured in the inpatient and outpatient registers. While adjusting for potential confounders, the association between parental mental disorders and school grades was assessed by a linear mixed model. Interaction terms were included to examine whether the association between parental mental disorders and school grades differed by children's immigration status.
Parental mental disorder was associated with lower school grades for both non-immigrant and second-generation immigrant children and in both males and females. The school grades were lower among second-generation immigrant children but the effect of parental mental disorder was smaller among second-generation immigrant children than among non-immigrant children.
Parental mental disorders affected the school performance of all children negatively. Future studies could examine what type of support at school for both second-generation immigrant children and non-immigrant children of parents with mental disorders are most beneficial.
移民儿童在学校往往面临挑战。学业表现是未来社会经济地位以及身心健康的重要预测指标。虽然已有研究调查了父母的精神障碍作为学业成绩不佳的潜在因素,但尚无研究在父母为外国出生的儿童(即第二代移民儿童)中对此进行调查。我们旨在研究父母的抑郁、焦虑和人格障碍是否会影响瑞典非移民儿童和第二代移民儿童的学业表现。
使用了瑞典多个全国性人口登记数据。纳入了非移民儿童,即父母双方均为瑞典出生的儿童(n = 593,515),以及父母双方均为非西方地区外国出生的第二代移民儿童(n = 71,721)。将义务教育最后一年的学校成绩作为结果指标。通过住院和门诊登记来衡量父母的精神障碍。在调整潜在混杂因素的同时,采用线性混合模型评估父母精神障碍与学校成绩之间的关联。纳入交互项以检验父母精神障碍与学校成绩之间的关联是否因儿童的移民身份而异。
父母的精神障碍与非移民儿童和第二代移民儿童的较低学校成绩相关,且在男性和女性中均如此。第二代移民儿童的学校成绩较低,但父母精神障碍对第二代移民儿童的影响比对非移民儿童的影响小。
父母的精神障碍对所有儿童的学业表现均产生负面影响。未来的研究可以探讨对于第二代移民儿童以及父母患有精神障碍的非移民儿童,学校提供何种类型的支持最为有益。