Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children: a cohort study

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children : a cohort study. / Moller, Sanne Pagh; Hjern, Anders; Andersen, Anne-Marie Nybo; Norredam, Marie.

In: European Journal of Pediatrics, Vol. 175, No. 4, 04.2016, p. 539-549.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Moller, SP, Hjern, A, Andersen, A-MN & Norredam, M 2016, 'Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children: a cohort study', European Journal of Pediatrics, vol. 175, no. 4, pp. 539-549. https://doi.org/10.1007/s00431-015-2663-9

APA

Moller, S. P., Hjern, A., Andersen, A-M. N., & Norredam, M. (2016). Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children: a cohort study. European Journal of Pediatrics, 175(4), 539-549. https://doi.org/10.1007/s00431-015-2663-9

Vancouver

Moller SP, Hjern A, Andersen A-MN, Norredam M. Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children: a cohort study. European Journal of Pediatrics. 2016 Apr;175(4):539-549. https://doi.org/10.1007/s00431-015-2663-9

Author

Moller, Sanne Pagh ; Hjern, Anders ; Andersen, Anne-Marie Nybo ; Norredam, Marie. / Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children : a cohort study. In: European Journal of Pediatrics. 2016 ; Vol. 175, No. 4. pp. 539-549.

Bibtex

@article{7ecf7ab57a52413a8ff76e19eae6fc46,
title = "Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children: a cohort study",
abstract = "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.",
keywords = "Access, Child healthcare, Immunisations, Refugee, Children, Register-based, Migration",
author = "Moller, {Sanne Pagh} and Anders Hjern and Andersen, {Anne-Marie Nybo} and Marie Norredam",
year = "2016",
month = "4",
doi = "10.1007/s00431-015-2663-9",
language = "English",
volume = "175",
pages = "539--549",
journal = "European Journal of Pediatrics",
issn = "0340-6199",
publisher = "Springer",
number = "4",

}

RIS

TY - JOUR

T1 - Differences in uptake of immunisations and health examinations among refugee children compared to Danish-born children

T2 - a cohort study

AU - Moller, Sanne Pagh

AU - Hjern, Anders

AU - Andersen, Anne-Marie Nybo

AU - Norredam, Marie

PY - 2016/4

Y1 - 2016/4

N2 - 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.

AB - 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.

KW - Access

KW - Child healthcare

KW - Immunisations

KW - Refugee

KW - Children

KW - Register-based

KW - Migration

U2 - 10.1007/s00431-015-2663-9

DO - 10.1007/s00431-015-2663-9

M3 - Journal article

VL - 175

SP - 539

EP - 549

JO - European Journal of Pediatrics

JF - European Journal of Pediatrics

SN - 0340-6199

IS - 4

ER -

ID: 160973020