Advocating for Immigration Policies that Promote Children’s Health

Linton, Julie M.; Nagda, Jennifer; Falusi, Olanrewaju

doi:10.1016/j.pcl.2019.02.009

Cited by 15 publications

(10 citation statements)

References 27 publications

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“…9 Given the recent treatment of children at the US border and the mental health 10 impact of immigration policies, 11 pediatric organizations like the AAP have advocated for policies that promote the health and well-being of immigrant children. 4,12,13 In addition to policies that support the well-being of immigrant children, addressing the gap between practice and comfort in caring for immigrant children is important, as pediatricians may be initial points of contact with the healthcare system for a large number of immigrant children.…”

Section: Discussionmentioning

confidence: 99%

International Experience of US Pediatricians and Level of Comfort Caring for Immigrant Children and Children Traveling Internationally

Butteris

Leyenaar

Leslie

et al. 2020

The Journal of Pediatrics

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on behalf of the Global Health Task Force of the American Board of Pediatrics* Objective To determine whether international experience is associated with greater comfort in providing care to US children who are immigrants, refugees, and traveling internationally. Study design Following enrollment into the 2018 American Board of Pediatrics Maintenance of Certification program, general pediatricians and subspecialists received a voluntary, online survey with questions about their experience and self-reported comfort caring for immigrant, refugee, and internationally traveling children and previous international experiences. Using multivariable logistic regression, we examined how previous international experiences, and other personal characteristics, were associated with self-reported comfort. Results A total of 5461 eligible participants completed the survey; 76.3%, (n = 4168) reported caring for immigrant children, 35.8% (n = 1957) cared for refugee children, and 79.8% (n = 4358) cared for children traveling internationally. High levels of comfort caring for immigrant children were reported by 68.5% (n = 3739), for refugee children by 50.1% (n = 2738), and for children traveling internationally by 72.7% (n = 3968). One-third of respondents (34.1%, n = 1866) reported past international experiences. In multivariable analysis, respondents with previous international experience and of Hispanic origin were significantly more likely to report high levels of comfort caring for all 3 populations. Conclusions The majority of pediatricians report caring for children in the US who are immigrants, refugees, and traveling internationally, and previous international experience was associated with greater comfort with care. Training programs and professional organizations should consider ways to encourage a more diverse workforce and to support all pediatricians in achieving the skills and confidence required to care for children in our highly mobilized society.

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Section: Discussionmentioning

confidence: 99%

International Experience of US Pediatricians and Level of Comfort Caring for Immigrant Children and Children Traveling Internationally

Butteris

Leyenaar

Leslie

et al. 2020

The Journal of Pediatrics

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show abstract

“…Strong advocacy efforts and policy statements by the American Academy of Pediatrics provide recommendations for the care of immigrant children following release from detention facilities to address medical and legal needs, education, and interpretation services. [135,136]. Increased funding in conjunction with multi-sector collaboration between governments, nongovernmental organizations, and local community agencies are needed to address the complex social, health, and economic needs of refugee and immigrant children and youth [137,138].…”

Section: Knowledge Gaps Research Agenda and Future Directionsmentioning

confidence: 99%

Children on the Move

Oberg¹

2020

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Section: Knowledge Gaps Research Agenda and Future Directionsmentioning

confidence: 99%

Infectious Diseases among Refugee Children

Shetty

2019

Children

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In recent years, there has been a substantial increase in refugee and asylum-seeking adults, adolescents and children to high-income countries. Infectious diseases remain the most frequently identified medical diagnosis among U.S.-bound refugee children. Medical screening and immunization are key strategies to reduce the risk of infectious diseases in refugee, internationally adopted, and immigrant children. Notable infectious diseases affecting refugee and other newly arriving migrants include latent or active tuberculosis, human immunodeficiency virus type 1 (HIV), hepatitis B, hepatitis C, vaccine-preventable diseases, malaria, and other parasitic infections. The U.S. Centers for Disease Control and Prevention and the American Academy of Pediatrics have published guidelines for health assessment of newly arriving immigrant, refugee, and internationally adopted children. Although, data on the health risks and needs of refugee exists in some high-income countries, there is an urgent need to develop robust evidence-informed guidance on screening for infectious diseases and vaccination strategies on a broader scale to inform national policies. Innovative approaches to reach migrant communities in the host nations, address health and other complex barriers to improve access to high-quality integrated health services, and strong advocacy to mobilize resources to improve health, safety, and wellbeing for refugee children and their families are urgent priorities.

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Advocating for Immigration Policies that Promote Children’s Health

Cited by 15 publications

References 27 publications

International Experience of US Pediatricians and Level of Comfort Caring for Immigrant Children and Children Traveling Internationally

International Experience of US Pediatricians and Level of Comfort Caring for Immigrant Children and Children Traveling Internationally

Children on the Move

Infectious Diseases among Refugee Children

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