This study examines the influence of perceived discrimination on the health and behaviour of ethnic minority immigrant children in British Columbia, Canada. Using data from the New Canadian Children and Youth Study, we examine perceived discrimination experienced by the parent, family, and cultural group in Canada to test the influence of micro-, meso-, and macrolevels of discrimination on children. Families from 6 ethnic backgrounds participated in the study. Parents’ perceptions of the child’s health and six behavioral scales (hyperactivity, prosocial behaviour, emotional problems, aggression, indirect aggression, and a general combined behaviour scale) were examined as outcome variables. After controlling for ethnicity and background variables, our findings suggest that perceived micro-  and macrodiscrimination has the greatest influence on the health and behaviour of our immigrant child sample. Variation among ethnic groups provided the largest explanation of health and behavioural discrepancies in our study.

M. Anne George

Cherylynn Bassani

Robert W. Armstrong

Influence of Perceived Racial Discrimination on Health and Behaviour of Immigrant Children in British Columbia

Young people from refugee backgrounds face a number of challenges in adjusting to life in a new country. Recently, there have been more studies documenting some of these challenges and experiences, and offering recommendations for the health and education sector to appropriately respond to their needs. This study sought to investigate some of the experiences and challenges faced by female Afghan Hazara refugee adolescents as a precursor to program development occurring within a community health service in the outer southeastern suburbs of Melbourne, Australia. This paper reports on a cross-sectional participatory qualitative research study undertaken with young Afghan female adolescents aged 14&#8211;17 years of Hazara ethnicity. The results document some of the key contested gender and cultural challenges facing these young women, their aspirations for their lives in Australia, and how this research has informed community health practice.

Nida Iqbal

Andrew Joyce

Alana Russo

Jaya Earnest

Resettlement Experiences of Afghan Hazara Female Adolescents: A Case Study from Melbourne, Australia

This paper uses a method for estimating age-specific event rates for adults (15&#8211;49 years) in Malawi between 1977 and 1998. This method, which is based on the development of unstable populations, is similar to the &#x201C;variable-r&#x201D; methods. Data from Malawi demonstrate mortality reduction nearly for all age groups between 1977 and 1987 for males whereas for females the reduction was observed for age groups 15&#8211;19 and 40&#8211;44. Contrary to this finding, the 1987&#8211;1998 intercensal period shows that mortality increased at a higher rate in the ages 20 and above for males than females. However, the increase for the females is much higher in the 1987&#8211;1998 intercensal period than in the 1977&#8211;1987 intercensal period. These findings may be related to the onset and effect of the AIDS epidemic. Implications for future research are discussed.

Henry V. Doctor

Estimates of Age-Specific Mortality Rates from  Sequential Cross-Sectional Data in Malawi

The limited research into Vietnamese immigrants suggests that this group may have different perceptions relating to parenting roles, child development, child health, illness, and disability, and differing patterns of health service utilisation. The author conducted a pilot study exploring how Vietnamese immigrants differ from Anglo-Australian in relation to these issues. The pilot, utilising a mixed quantitative and qualitative method, was conducted in Brisbane, Australia, with subjects being existing clients of a health centre. Two focus group discussions were conducted and a structured questionnaire developed from the discussions. Vietnamese immigrants in contrast to Australian-born Caucasians regard the general practitioner as the main health care provider and were less satisfied with English-speaking health services. This study highlights potentially important health-related issues for children of Vietnamese immigrants living in Brisbane, the importance of further research in this area, and the methodological challenges faced when conducting research into Vietnamese immigrants.

Uyen N. T. L. Tran

Vietnamese Immigrants in Brisbane, Australia: Perception of Parenting Roles, Child Development, Child Health, Illness, and Disability, and Health Service Utilisation

Purpose. To describe a &#x201c;medical home&#x201d; for pediatric refugees and its ability to provide culturally competent care, to partner with and train medical interpreters, and to improve health screening and follow-up adherence rates of pediatric refugees immigrating to Rhode Island. Methods. A retrospective chart review of refugees was performed. Background information, initial laboratory data, whether patients completed the recommended follow-ups scheduled at 1, 3, 6, and 12 months, and completion of tuberculosis treatment were recorded. Results. Since its initiation, 104 refugee children have attended the clinic ranging in age from 5 months to 18 years. Since the initiation of the medical home for refugee children in 2007, initial screening rates have gone up to 99-100&#x25; compared to a low of 41&#x25; in 2003&#x2013;2006 prior to the establishment of the medical home. There was a 43&#x25; reduction in missed appointments in 15-month follow-up. Conclusion. The refugee &#x201c;medical home&#x201d; allows refugees to benefit from a comprehensive system for disease detection and ongoing primary health care.

Tecla Mtui Temu

Lisa Ratanaprasatporn

Linda Ratanaprasatporn

Delma-Jean Watts

Carol Lewis

The Patient-Centered Medical Home for Refugee Children in Rhode Island

The number of Latino immigrant children is expanding rapidly, and the factors that affect their health are multiple and interlinked. We therefore propose to describe the sociodemographic characteristics of a mostly Dominican immigrant population, to examine to what extent immigrant status and other factors play a role in determining measures of their children's health and well-being, and finally to investigate whether a home visiting intervention modified any of these factors. The data were collected as part of an evaluation of a primary prevention home visitation program for high-risk mothers and their children. Bivariate and multivariate models were constructed to investigate the factors that affected the outcome variables. We found that numerous factors, especially a composite for overall stress, affected the health and well-being of participant children. We also demonstrated that the visitation program had a positive effect on many of these outcomes. Future program planners will need to understand the strengths and weaknesses of the specific population they serve.

John C. Rausch

Mary McCord

Milagros Batista

Elizabeth Anisfeld

Latino Immigrant Children's Health: Effects of Sociodemographic Variables and of a Preventive Intervention Program

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International Journal of Population Research - Table of contents 2012

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International Journal of Population Research