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Pediatric Healthcare Utilization in a Large Cohort of Refugee Children Entering Western Europe During the Migrant Crisis

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  • Christine Happle

    (Department of Pediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany
    German Center for Lung Research, Biomedical Research in End Stage and Obstructive Lung Disease/BREATH, 30625 Hannover, Germany
    These authors contributed equally to this work.)

  • Christian Dopfer

    (Department of Pediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany
    German Center for Lung Research, Biomedical Research in End Stage and Obstructive Lung Disease/BREATH, 30625 Hannover, Germany
    These authors contributed equally to this work.)

  • Diana Ernst

    (Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany)

  • Evelyn Kleinert

    (Department of General Practice, University Medical Center Göttingen, 37073 Göttingen, Germany)

  • Annabelle Vakilzadeh

    (Hannover Medical School, 30625 Hannover, Germany)

  • Susanne Hellms

    (Institute for Diagnostic and Interventional Radiology, Hannover Medical School, 30625 Hannover, Germany)

  • Iro Evlampidou

    (MediPIET, 5 Madrid, Spain)

  • Nele Hillermann

    (Department of General Practice, University Medical Center Göttingen, 37073 Göttingen, Germany)

  • Reinhold E. Schmidt

    (Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany
    German Center for Infection Research (DZIF), partner site Hannover-Braunschweig, 30625 Hannover, Germany)

  • Georg M. N. Behrens

    (Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany
    German Center for Infection Research (DZIF), partner site Hannover-Braunschweig, 30625 Hannover, Germany)

  • Frank Müller

    (Department of General Practice, University Medical Center Göttingen, 37073 Göttingen, Germany
    These authors contributed equally to this work.)

  • Martin Wetzke

    (Department of Pediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany
    German Center for Infection Research (DZIF), partner site Hannover-Braunschweig, 30625 Hannover, Germany
    These authors contributed equally to this work.)

  • Alexandra Jablonka

    (Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany
    German Center for Infection Research (DZIF), partner site Hannover-Braunschweig, 30625 Hannover, Germany
    These authors contributed equally to this work.)

Abstract

Background: Currently, half of the population displaced worldwide is children and adolescents. Little is known on healthcare demand in underage migrants. Materials and Methods: We analyzed healthcare utilization in n = 1.411 children and adolescents living in a large German refugee reception in 2015-2016. Results: The mean age of all included refugees was 9 years (60.8% male). The majority came from the eastern Mediterranean region. During a mean camp inhabitance of 34 days, 57.6% needed primary healthcare, with a significant inverse correlation of healthcare seeking frequency with age and duration of camp inhabitance. Infants and unaccompanied minors displayed particular high demands for medical help. Discussion: Our analysis showed that pediatric primary healthcare in pediatric and adolescent refugees are most sought during the first period upon arrival with particular demand in infants, toddlers, and unaccompanied minors. Based on this data, future care taking strategies should be adapted accordingly.

Suggested Citation

  • Christine Happle & Christian Dopfer & Diana Ernst & Evelyn Kleinert & Annabelle Vakilzadeh & Susanne Hellms & Iro Evlampidou & Nele Hillermann & Reinhold E. Schmidt & Georg M. N. Behrens & Frank Mülle, 2019. "Pediatric Healthcare Utilization in a Large Cohort of Refugee Children Entering Western Europe During the Migrant Crisis," IJERPH, MDPI, vol. 16(22), pages 1-11, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:22:p:4415-:d:285868
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    References listed on IDEAS

    as
    1. Marija Jurković & Igor Tomašković & Mirna Tomašković & Branka Smital Zore & Ivan Pavić & Andrea Cvitković Roić, 2019. "Refugee Status as a Possible Risk Factor for Childhood Enuresis," IJERPH, MDPI, vol. 16(7), pages 1-8, April.
    2. Kohlenberger, Judith & Buber-Ennser, Isabella & Rengs, Bernhard & Leitner, Sebastian & Landesmann, Michael, 2019. "Barriers to health care access and service utilization of refugees in Austria: Evidence from a cross-sectional survey," Health Policy, Elsevier, vol. 123(9), pages 833-839.
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