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Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children: a cohort study
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS). Karolinska Institutet, Sweden.
2016 (English)In: European Journal of Pediatrics, ISSN 0340-6199, E-ISSN 1432-1076, Vol. 175, no 4, 539-549 p.Article in journal (Refereed) Published
Abstract [en]

Refugee children and their families constitute a vulnerable group regarding health and access to care. In a register-based cohort design, we examined differences in uptake of immunisations and child health examinations between refugee children and Danish-born children, including predictors of uptake among refugee children. Refugee children (n = 16,701) who, between January 1993 and December 2010, obtained residency permits in Denmark were included and matched in a 1:6 ratio on age and sex with Danish-born children (n = 100,206). Personal identification numbers were cross-linked to the National Danish Health Service Register, identifying all contacts for immunisation and child health examinations. We estimated hazard ratios (HR) of uptake. Refugee children had a lower uptake of all immunisations compared to Danish-born children. The lowest uptake was found for immunisation against diphtheria, tetanus, pertussis and polio (HR = 0.50; 95 % confidence interval (CI) 0.48–0.51). Participation in child health examinations was also lower among refugee children with the lowest at the last child health examination at age 5 (HR = 0.48; 95 % CI 0.47–0.50). Adjusting the analysis for parental income increased the HRs by 10–20 %.

Conclusion: This Danish register-based study using nationwide data revealed a lower uptake of routine immunisations and child health examinations among refugee children compared to Danish-born children.

Place, publisher, year, edition, pages
2016. Vol. 175, no 4, 539-549 p.
Keyword [en]
Access, Child healthcare, Immunisations, Refugee, Children, Register-based, Migration
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:su:diva-124074DOI: 10.1007/s00431-015-2663-9ISI: 000372911400011OAI: oai:DiVA.org:su-124074DiVA: diva2:881801
Available from: 2015-12-11 Created: 2015-12-11 Last updated: 2016-04-25Bibliographically approved

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Hjern, Anders
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