The Role of Maternal Citizenship on Pediatric Avoidable Hospitalization: A Birth Cohort Study in North-East Italy

Bardin, Andrea; Zuanna, Teresa Dalla; Favarato, S.; Simonato, Lorenzo; Zanier, Loris; Comoretto, Rosanna Irene; Canova, Cristina

doi:10.1007/s12098-018-2826-6

Cited by 7 publications

(5 citation statements)

References 30 publications

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“…A similar observation was shown in a German register-based study, suggesting that AS were more likely to be admitted for conditions that could have been managed in primary care, so-called avoidable hospitalizations [19]. The same was found among children 1-4 years of age born to mothers from high migratory pressure countries compared to children born to Italian mothers [20].…”

Section: Discussionsupporting

confidence: 79%

Acute infection as cause of hospitalization of asylum-seeking children and adolescents in Stockholm, Sweden 2015–2016

et al. 2020

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We aimed to identify hospitalizations due to infectious diseases among asylum seekers and compare them to those of the resident population 1.6.2015–31.10.2016. Administrative numbers assigned to hospitalized non-resident children made them identifiable in the discharge register. The examined populations, expressed as person-years, were 334,573 residents and 7565 asylum seekers. There were 2500 episodes of infectious disease in 2240 resident children and 139 episodes in 121 asylum seekers. Among prevalent infections contracted before or during migration, there were 33 cases of tuberculosis, four of malaria, and one of louse-borne relapsing fever, all of which occurred in 13–17-year-old unaccompanied minors. Among younger asylum seekers, there were no significant differences in the spectrum of infectious discharge diagnoses compared to residents, but across all incident infections, 0–6-year-old asylum seekers had 3.2-fold and 7–12-year-old a 4.7-fold greater risk of being admitted. Screening for multidrug-resistant bacteria showed that 45/160 (28%) of the asylum seekers were colonized, but clinical infections caused by these species were rare. Conclusion: There was a high rate of hospitalizations for acute infectious diseases in asylum-seeking children, but the spectrum and severity of infections were similar to that in resident children. What is known:• Mental and physical health problems are common in immigrant children and adolescents.What is new:• Hospitalizations due to acute infections in asylum-seeking children and adolescents are common. In the context of this study, the severity and spectrum of infectious diseases seemed to be the same in the two groups; the increased hospitalization rate in asylum seekers may be due to social factors and perceived need for more support.

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Section: Discussionsupporting

confidence: 79%

Acute infection as cause of hospitalization of asylum-seeking children and adolescents in Stockholm, Sweden 2015–2016

et al. 2020

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“…Our data pertain to diagnoses given in secondary or tertiary care only and not primary care. However, diagnoses given in secondary/tertiary care may be related to use of primary care and referrals from primary to secondary care [8]. Diagnoses from secondary/tertiary care are likely to represent more serious infections and data on diagnoses given in primary care could have nuanced the picture in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, parental proficiency in the host language, health literacy and knowledge about the host country’s healthcare system will influence the health of these children. An Italian study found higher rates of avoidable hospitalizations due to gastroenteritis, bacterial pneumonia and upper respiratory tract infections among children of parents from high-migration-pressure countries compared to children with an Italian background, suggesting barriers to access to using primary healthcare for such conditions [8]. In Europe, children with immigrant parents are overrepresented in families with low income and with low parental education.…”

Section: Introductionmentioning

confidence: 99%

Diagnoses of infectious diseases among Norwegian-born children to immigrant parents – the role of parental socioeconomic position

Kjøllesdal

Labberton

Reneflot

et al. 2022

Scand J Public Health

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Aims: 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. Methods: 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 ( N = 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. Results: 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. Conclusions: Socioeconomic disadvantage did not explain differences in hazard of being diagnosed with infectious disease in secondary/tertiary care between children with immigrant versus Norwegian-born parents.

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“…The immigrants had a higher utilization rate of emergency services during off-peak hours (3,90,148,149) and underuse of primary healthcare services (3,147) and preventive services (147). As a result, immigrants had a higher risk of avoidable hospitalization (150). Referring to the site of healthcare, immigrants were found to be more likely to use healthcare services from public health facilities, while the general population also used private healthcare (151).…”

Section: Choice Of Types/sitesmentioning

confidence: 99%

Health service behaviors of migrants: A conceptual framework

Peng

2023

Front. Public Health

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Universal health coverage is vital to the World Health Organization’s (WHO’s) efforts to ensure access to health as a human right. However, it has been reported that migrants, including both international immigrants and internal migrants, underuse health services. Establishing a conceptual framework to facilitate research on the health service behaviors (HSB) of migrants is particularly important. Many theoretical frameworks explaining the general population’s HSB have been published; however, most theoretical frameworks on migrants’ HSB only focus on international immigrants without the inclusion of internal migrants. Of note, internal migrants are much more abundant than immigrants, and this group faces similar barriers to HSB as immigrants do. Based on theoretical frameworks of immigrants’ HSB and Anderson’s behavior model, the author proposes a new conceptual framework of migrants’ HSB that includes both immigrants and internal migrants. The new conceptual framework divides the determinants into macro-structural or contextual factors, health delivery system characteristics, and characteristics of the population at risk and describes subgroup-specific factors. The author added some variables and reclassified variables in some dimensions, including characteristics of health delivery systems and access to healthcare. The characteristics of health delivery systems comprise the volume, organization, quality, and cost of the health delivery system, while the characteristics of access to healthcare include time accessibility, geographic accessibility, and information accessibility. The outcomes of HSB have been expanded, and relationships between them have been reported. The mediating effects of some variables have also been described. This conceptual framework can facilitate a deep and comprehensive understanding of the HSB determination process for migrants, including internal migrants.

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The Role of Maternal Citizenship on Pediatric Avoidable Hospitalization: A Birth Cohort Study in North-East Italy

Cited by 7 publications

References 30 publications

Acute infection as cause of hospitalization of asylum-seeking children and adolescents in Stockholm, Sweden 2015–2016

Acute infection as cause of hospitalization of asylum-seeking children and adolescents in Stockholm, Sweden 2015–2016

Diagnoses of infectious diseases among Norwegian-born children to immigrant parents – the role of parental socioeconomic position

Health service behaviors of migrants: A conceptual framework

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