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The health of migrant children in Switzerland

  • Review
  • Published:
International Journal of Public Health

Abstract

Objective

Over 22 % of children and adolescents living in Switzerland have a migrant background. The aim of this systematic literature review is to give an overview of health needs of paediatric migrants in Switzerland.

Methods

Three databases (Embase, Medline, Global health) were systematically searched for quantitative primary research on the health outcomes of migrant minors (<18-year old) in Switzerland, including articles published since 2000 in French, German, Italian or English. Citation chasing and search of non-indexed literature was also performed.

Results

Thirty publications were identified. Compared to their Swiss peers, migrant children had higher hospitalisation (+40 %) and intensive care admission rates, more dental cavities, twice the odds of being obese, and migrant adolescents seemed more frequently affected by psychological problems and twice as often requesting abortions. Certain infectious diseases (tuberculosis, intestinal parasites, H. pylori infection, Hepatitis A) were more prevalent. Increased neonatal and infant mortality rates were found in Turkish and African babies.

Conclusion

Children of migrants may have distinct health needs. They should benefit from migrant paediatric care and health promotion activities that recognise these.

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References

  • Bevölkerungsdienste und Mitgration ESAdKB-S (2010) Kinder im Alter von 0 bis und mit 16 Jahren wohnhaft im Kanton Basel-Stadt, nach Nationalität (31.12.2010)

  • Bilger V, Hollomey C (2011) Policies on health care for undocumented migrants in Switzerland Health Care in Nowhereland—improving services for undocumented migrants in the EU. Federal Office of Public Health & International Center for Migration Policy Development

  • Bissar AR, Schulte AG, Muhjazi G, Koch MJ (2007) Caries prevalence in 11- to 14-year old migrant children in Germany. Int J Public Health 52(2):103–108. doi:10.1007/s00038-007-5102-5

    Article  PubMed  Google Scholar 

  • Bollini P, Wanner P (2006) Santé reproductive des collectivité migrantes: Disparités de risques et possibilités d’intervention. Swiss Forum for Migration and Population Studies (SFM), Neuchâtel

  • Bradby H, Varyani M, Oglethorpe R, Raine W, White I, Helen M (2007) British Asian families and the use of child and adolescent mental health services: a qualitative study of a hard to reach group. Soc Sci Med 65(12):2413–2424

    Article  PubMed  Google Scholar 

  • Bundesamt für Migration (2011) Asylstatistik 2010, Bern

  • Bundesamt für Statistik (2008) Bevölkerung mit Migrationshintergrund. http://www.bfs.admin.ch/bfs/portal/de/index/themen/01/07/blank/key/04.html. Accessed 1 Aug 2011

  • Bundesamt für Statistik (2009). Neuchâtel. www.bfs.admin.ch

  • Bürgi F, Meyer U, Niederer I, Ebenegger V, Marques-Vidal PM, Granacher U, Kriemler S, Puder JJ (2010) Socio-cultural determinants of adiposity and physical activity in preschool children: a cross-sectional study. BMC Public Health 10:733

    Article  PubMed  Google Scholar 

  • Carlerby H, Viitasara E, Knutsson A, Gadin K (2011) Subjective health complaints among boys and girls in the Swedish HBSC study: focussing on parental foreign background. Int J Public Health 56:457–464

    Article  PubMed  Google Scholar 

  • Collet E, Krahenbuhl JD, Gehri M, Bisser A, Zellweger JP (2005) Risk factors for positive tuberculin skin tests among migrant and resident children in Lausanne, Switzerland. Swiss Med Wkly 135(47–48):703–709

    PubMed  CAS  Google Scholar 

  • Corigliano T, Renella R, Robbiani A, Riavis M, Bianchetti MG (2007) Isolated extraordinary daytime urinary frequency of childhood: a case series of 26 children in Switzerland. Acta Paediatr 96(9):1347–1349

    Article  PubMed  Google Scholar 

  • Depallens Villanueva S, Puelma M-J, Krahenbuhl J-D, Gehri M (2010) The health status of children without resident permit consulting the Children’s Hospital of Lausanne. Swiss Med Wkly 140:13048. doi:10.4414/smw.2010.13048

    Google Scholar 

  • Ebenegger V, Marques-Vidal PM, Nydegger A, Laimbacher J, Niederer I, Burgi F, Giusti V, Bodenmann P, Kriemler S, Puder JJ (2011) Independent contribution of parental migrant status and educational level to adiposity and eating habits in preschool children. Eur J Clin Nutr 65(2):210–218

    Article  PubMed  CAS  Google Scholar 

  • Ferrier P, Schaller M, Girardet I (1985) Abused children admitted to a pediatric inpatient service in Switzerland: a ten-year experience and follow-up evaluation. Child Abuse Negl 9(3):373–381

    Article  PubMed  CAS  Google Scholar 

  • Goodman A, Patel V, Leon D (2008) Child mental health differences amongst ethnic groups in Britain: a systematic review. BMC Public Health 8(1):258

    Article  PubMed  Google Scholar 

  • Guerreiro AIF, Simonelli F, de Vergara RGSL, Navarro AA, Curvo SD, Zappulla A, Hjern A, Stokes L, Boyle P (2006) Ensuring the right of migrant children to health care: the response of hospitals and health services. International Organisation for Migration (IOM) Regional Liaison and Co-ordination Office to the European Region, Brussels

  • Guggisberg J, Gardiol L, Graf I, Oesch T, Künzi K, Volken T, Rüesch P, Abel T, Ackermann S, Müller C (2011) Gesundheitsmonitoring der Migrationsbevölkerung (GMM) in der Schweiz Bundesamt für Gesundheit (BAG), Bundesamt für Migration (BFM) Bern

  • Heuberger F, Pantoflickova D, Gassner M, Oneta C, Grehn M, Blum AL, Dorta G (2003) Helicobacter pylori infection in Swiss adolescents: prevalence and risk factors. Eur J Gastroenterol Hepatol 15(2):179–183

    Article  PubMed  Google Scholar 

  • Holling H, Kurth B-M, Rothenberger A, Becker A, Schlack R (2008) Assessing psychopathological problems of children and adolescents from 3 to 17 years in a nationwide representative sample: results of the German health interview and examination survey for children and adolescents (KiGGS). Eur Child Adolesc Psychiatry 17(Suppl 1):34–41

    Article  PubMed  Google Scholar 

  • Huang ZJ, Yu SM, Ledsky R (2006) Health status and health service access and use among children in US immigrant families. Am J Public Health 2004(049791):v049791. doi:10.1080/17450120701459922

    Google Scholar 

  • Hüsler G, Plancherel B (2007) Social integration of adolescents at risk: results from a cohort study. Vulnerable Child Youth Stud 2(3):215–226. doi:10.1080/17450128.2010.487123

    Article  Google Scholar 

  • Jud A, Lips U, Landolt MA (2010) Characteristics associated with maltreatment types in children referred to a hospital protection team. Eur J Pediatr 169(2):173–180

    Article  PubMed  Google Scholar 

  • Labree LJW, van de Mheen H, Rutten FFH, Foets M (2011) Differences in overweight and obesity among children from migrant and native origin: a systematic review of the European literature. Obes Rev 12(5):e535–e547. doi:10.1111/j.1467-789X.2010.00839.x

    Article  PubMed  CAS  Google Scholar 

  • Lasserre AM, Chiolero A, Cachat F, Paccaud F, Bovet P (2007) Overweight in Swiss children and associations with children’s and parents’ characteristics. Obesity (Silver Spring) 15(12):2912–2919

    Article  Google Scholar 

  • Ledergerber M, Steffen T (2011) Prevalence of overweight and obesity in children and adolescents from 1977 to 2009—examination of the school medical data of more than 94,000 school-age children in the city of Basel (Switzerland). Gesundheitswesen 73:46–53 [German]

    Google Scholar 

  • Levenson R, Sharma A (1999) The health of refugee children—guidelines for paediatricians. Royal College of Paediatrics and Child Health, London ISBN 1 900954 43 5

    Google Scholar 

  • Longchamp C, Aebersold M, Rousselot B, Ratelband-Pally S (2005) Sans Papiers in der Schweiz: Arbeitsmarkt, nicht Asylpolitik ist entscheidend—Schlussbericht im Aufrag des Bundesamtes für Migration gfs,bern, Bern

  • MacPherson D, Zencovich M, Gushulak B (2006) Emerging pediatric HIV epidemic related to migration. http://www.cdc.gov/ncidod/EID/vol12no04/05-1025.htm

  • Manzano S, Suter S (2002) La santé des enfants requérants d’asile à Genève: pédiatrie. Medecine et Hygiene 60(2379):360–362

    Google Scholar 

  • Mayer L, Meuli M, Lips U, Frey B (2006) The silent epidemic of falls from buildings: analysis of risk factors. Pediatr Surg Int 22(9):743–748

    Article  PubMed  Google Scholar 

  • Menghini G, Steiner M, Leisebach T, Weber R (2003a) Kariesprävalenz von 5-Jährigen der Stadt Winterthur im Jahre 2001. Schweiz Monatsschr Zahnmed 113(5):519–523

    PubMed  Google Scholar 

  • Menghini G, Steiner M, Weber R, Marthaler T, Imfeld T (2003b) Kariesprävalenz von Schülern der Stadt Winterthur: Vergleiche mit der Stadt Zürich und 16 Zürcher Landgemeinden. Schweiz Monatsschr Zahnmed 113(10):1062–1069

    PubMed  Google Scholar 

  • Menghini G, Steiner M, Marthaler T, Helfenstein U, Brodowski D, Imfeld C, Weber R, Imfeld T (2003c) Kariesprävalenz von Schülern in 16 Zürcher Landgemeinden in den Jahren 1992 bis 2000. Schweiz Monatsschr Zahnmed 113(3):267–277

    PubMed  Google Scholar 

  • Menghini G, Steiner M, Imfeld T (2008a) Early childhood caries–facts and prevention. Ther Umsch 65(2):75–82

    Article  PubMed  Google Scholar 

  • Menghini G, Steiner M, Thomet E, Roos M, Imfeld T (2008b) Caries prevalence in 2-year-old children in the city of Zurich. Community Dent Health 25(3):154–160

    PubMed  CAS  Google Scholar 

  • Merten S, Wyss C, Ackermann-Liebrich U (2007) Caesarean sections and breastfeeding initiation among migrants in Switzerland. Int J Public Health 52(4):210–222

    Article  PubMed  Google Scholar 

  • Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097

    Article  PubMed  Google Scholar 

  • Moudgil A, Kosut J (2007) Urinary schistosomiasis: an uncommon cause of gross hematuria in the industrialized countries. Pediatr Nephrol 22(8):1225–1227

    Article  PubMed  Google Scholar 

  • Mutsch M, Spicher VM, Gut C, Steffen R (2006) Hepatitis A virus infections in travelers, 1988–2004. Clin Infect Dis 42(4):490–497

    Article  PubMed  Google Scholar 

  • Narring F, Roulet N, Addor V, Michaud PA (2002) Abortion requests among adolescents in comparison with young adults in a Swiss region (1990–1998). Acta Paediatr 91(8):965–970

    Article  PubMed  CAS  Google Scholar 

  • National Institute for Health and Clinical Excellence (2009) Methods for the development of NICE public health guidance (second edition)—Appendix G: Quality appraisal checklist National Institute for Health and Clinical Excellence London

  • Natterer J, Roessingh ADB, Reinberg O, Hohlfeld J (2009) Targeting burn prevention in the paediatric population: a prospective study of children’s burns in the Lausanne area. Swiss Med Wkly 139(37–38):535–539

    PubMed  Google Scholar 

  • Nozza JM, Rodda CP (2001) Vitamin D deficiency in mothers of infants with rickets. Med J Aust 175(5):253–255

    PubMed  CAS  Google Scholar 

  • Peters M, Fijnvandraat K, Van Den Tweel XW, Garre FG, Giordano PC, Van Wouwe JP, Pereira RR, Verkerk PH (2010) One-third of the new paediatric patients with sickle cell disease in The Netherlands are immigrants and do not benefit from neonatal screening. Arch Dis Child 95(10):822–825. doi:10.1136/adc.2009.165290

    Article  PubMed  CAS  Google Scholar 

  • Poretti A, Anheier T, Zimmermann R, Boltshauser E, Aebi C, Antonelli E, Bar W, Bernet V, Bianchetti M, Bittel M, Blumberg A, Bucher HU, Buetti L, Bussmann E, Carrel O, Cattin PO, Corboz A, Diebold P, Dolivo P, Farron F, Gehri M, Giannoni E, Haenggeli CA, Hodel M, Hohlfeld J, Huppi P, Imahorn P, Irion O, Kind C, Kistler W, Knopfli B, Lapaire O, Laubscher B, Leuthardt R, Lips U, Malzacher A, Mayr J, Mc Dougall J, Micheli JL, Monkhoff M, Neuhaus TJ, Pezzoli V, Reinhard L, Renevey F, Roten H, Rudin C, Schlumbom V, Schwobel M, Sizonenko S, Stocker S, Stussi C, Tabin R, Terrier P, Wildhaber B, Wildhaber J, Wisser J, Wopmann M, Zachariou Z, Zeilinger G, Zemmouri A, Zimmermann U, Zimmermann H, Beeli D (2008) Neural tube defects in Switzerland from 2001 to 2007: are periconceptual folic acid recommendations being followed? Swiss Med Wkly 138(41–42):608–613

    PubMed  Google Scholar 

  • Pravalenz von Ubergewicht und Adipositas bei Kindern und Jugendlichen von 1977 bis 2009—Untersuchung schularztlicher Daten von uber 94 000 Schulerinnen und Schulern in Basel-Stadt (Schweiz). Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) 73(1):46–53. doi:10.1055/s-0030-1268447

  • Rommel A, Weilandt C, Eckert J (2006) Gesundheitsmonitoring der schweizerischen Migrationsbevölkerung—Endbericht an das Bundesamt für Gesundheit und das Bundesamt für Migration. Wissenschaftliches Institut der Ärzte Deutschlands (WIAD), Bonn

  • Schoeni-Affolter F, Widmer M, Busato A (2008) Hospital use of young children in Switzerland: a nation-wide study based on a complete survey over 4 years. BMC Health Serv Res 8(1):267

    Article  PubMed  Google Scholar 

  • Smith Nielsen S, Krasnik A (2010) Poorer self-perceived health among migrants and ethnic minorities versus the majority population in Europe: a systematic review. Int J Public Health 55:357–371

    Article  Google Scholar 

  • Steinhausen HC, Metzke CW (2000) The General Depression Scale in diagnosis of adolescents. [German] Die Allgemeine Depressions-Skala (ADS) in der Diagnostik von Jugendlichen. Prax Kinderpsychol Kinderpsychiatr 49(6):419–434

    PubMed  CAS  Google Scholar 

  • Steinhausen H-C, Bearth-Carrari C, Winkler Metzke C (2009) Psychosocial adaptation of adolescent migrants in a Swiss community survey. Soc Psychiatry Psychiatr Epidemiol 44(4):308–316

    Article  PubMed  Google Scholar 

  • Stettler N, Signer TM, Suter PM (2004) Electronic games and environmental factors associated with childhood obesity in Switzerland. Obesity (Silver Spring) 12(6):896–903

    Article  Google Scholar 

  • Tabin R, Mazouni S, Neuhaus TJ, Desgrandchamp D (1996) Grenzsanitätsdienstliche Untersuchung bei Asylbewerberkindern—Empfehlungen der Schweizerischen Gesellschaft für Pädiatrie. Paediatrica 7:2

  • The Royal Children’s Hospital Melbourne (2011) Clinical practice guidelines—immigrant health—acute presentations. http://www.rch.org.au/clinicalguide/cpg.cfm?doc_id=11274. Accessed 24 Aug 2011

  • Tritschler T, Sennhauser FH, Frey B (2011) Are immigrant children admitted to intensive care at increased risk? Swiss Med Wkly 141 (APRIL). doi:10.4414/smw.2011.13190

  • Villadsen SF, Sievers E, Andersen AMN, Arntzen A, Audard-Mariller M, Martens G, Ascher H, Hjern A (2010) Cross-country variation in stillbirth and neonatal mortality in offspring of Turkish migrants in northern Europe. Eur J Public Health 20(5):530–535. doi:10.1093/eurpub/ckq004

    Article  PubMed  Google Scholar 

  • von Grunigen R, Perren S, Nagele C, Alsaker FD (2010) Immigrant children’s peer acceptance and victimization in kindergarten: the role of local language competence. Br J Dev Psychol 28(Pt 3):679–697

    Article  Google Scholar 

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Acknowledgments

We would like to thank FAG, Freiwillige Akademische Gesellschaft Basel, Switzerland, for supporting the study (FNJ).

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Authors and Affiliations

  1. London School of Hygiene and Tropical Medicine (LSHTM), c/o C. Zimmerman, Keppel street, London, WC1E 7HT, UK

    Fabienne N. Jaeger, Mazeda Hossain, Ligia Kiss & Cathy Zimmerman

  2. Benkenstrasse 46, 4104, Oberwil, Switzerland

    Fabienne N. Jaeger

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  1. Fabienne N. Jaeger
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  2. Mazeda Hossain
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  3. Ligia Kiss
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Correspondence to Fabienne N. Jaeger.

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Jaeger, F.N., Hossain, M., Kiss, L. et al. The health of migrant children in Switzerland. Int J Public Health 57, 659–671 (2012). https://doi.org/10.1007/s00038-012-0375-8

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