Health Considerations for Immigrant and Refugee Children

Kroening, Abigail L H; Dawson-Hahn, Elizabeth

doi:10.1016/j.yapd.2019.04.003

Cited by 41 publications

(45 citation statements)

References 60 publications

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“…However, refugees face some distinct challenges, and pediatricians caring for this population should be familiar with their specific health needs, the refugee resettlement process, and the importance of trauma-informed care. 8,10,15,16 Special attention also should be paid to 2 groups of immigrating children who share risk factors with children in refugee families: those who are a part of asylum-seeking families who did not obtain legal designation as a refugee before entry to the US and unaccompanied minors.…”

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

View full text Add to dashboard Cite

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“…Recently arrived immigrants may face xenophobia and racism pre-migration, during migration, and post-migration. 49 Both engender fear, leading to concern over the consequences of accessing benefits, mistrust of the healthcare system, and decreased utilization of medical care for CIF. 13 Local immigration raids and deportations have also led to decreased participation in public programs, including Medicaid and Women, Infants and Children (WIC).…”

Section: Presenting To the Emergency Departmentmentioning

confidence: 99%

Children in Immigrant Families: Advocacy Within and Beyond the Pediatric Emergency Department

Russell

Tsai

Linton

2020

Clinical Pediatric Emergency Medicine

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In the United States, 1 in 4 children lives in an immigrant family. State and national policies have historically precluded equitable access to healthcare among children in immigrant families. More recently, increasingly restrictive policies, political rhetoric, and xenophobic stances have made immigrant families less able to access healthcare and less comfortable in attempting to do so, thus increasing the likelihood that patients will present to the emergency department (ED). Once in the ED, language, cultural and health literacy barriers make providing high quality care potentially challenging for some families. Emergency care professionals can therefore glean critical insight regarding inequities from clinical work to inform advocacy and policy changes at institutional, community, regional, and national levels.

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“…19 A recent pediatric publication offers clinical pearls as compared to our workshop format designed for active learning through synthesis and reflection. 20 Additionally, there is often insufficient clinician knowledge of system-level factors that determine health care resource allocation for refugee patients. 21 Indeed, the literature notes that insufficient clinician training contributes to barriers for refugees to access care and reduces the quality of care provided to this population.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Refugee Health Care Delivery in the Community Setting: An Educational Workshop for Multidisciplinary Family-Centered Care During Resettlement

Nehal

Kanahara²,

Tanabe

et al. 2020

MedEdPORTAL

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Introduction: With 70.8 million people displaced worldwide, there is an increasing need for medical professionals to provide medical care to refugees. Insufficient training on refugee health poses a barrier to effective care delivery. Methods: This workshop addressed common challenges in providing family-centered pediatric refugee care in community settings as well as barriers related to policy changes. Presentations covered prearrival experiences, medical screening, and trauma-based care. In small groups, participants discussed cases that featured medical, behavioral health, social, and cultural factors impacting the provision of family-centered pediatric care that was culturally respectful and included shared decision-making. After the breakout session, each small group informed the larger group of topics discussed. Facilitators identified themes and reinforced key learning points. At the workshop's conclusion, participants were guided to create their own personalized action plan. Results: This workshop was presented at two international conferences to more than 47 participants, including clinicians, nurse practitioners, pediatric residents, and medical students. Evaluations were completed by 34 individuals. Participants' overall comfort level with taking care of refugee patients increased from 3.3 to 4.0 (on a 5-point scale, p = .24) during the 3-hour version of the workshop and from 3.8 to 4.0 (p = .43) in the 1-hour version of the workshop. Mean overall ratings of the 3-and 1-hour workshop versions on conference-administered evaluations were 4.8 and 4.2, respectively, on a 5-point scale. Discussions: This workshop was well received and equipped participants with knowledge, tools, and strategies regarding pediatric refugee health in a community setting.

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Health Considerations for Immigrant and Refugee Children

Cited by 41 publications

References 60 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 in Immigrant Families: Advocacy Within and Beyond the Pediatric Emergency Department

Pediatric Refugee Health Care Delivery in the Community Setting: An Educational Workshop for Multidisciplinary Family-Centered Care During Resettlement

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