Mental health among children seeking asylum in Denmark – the effect of length of stay and number of relocations: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>The process of seeking asylum and the related organisational conditions in the host country may adversely affect the children's mental health. The objective of this study was to examine the mental health of children seeking asyl...

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Main Authors: Nielsen Signe S, Norredam Marie, Christiansen Karen L, Obel Carsten, Hilden Jørgen, Krasnik Allan
Format: Article
Language:English
Published: BMC 2008-08-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/8/293
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author Nielsen Signe S
Norredam Marie
Christiansen Karen L
Obel Carsten
Hilden Jørgen
Krasnik Allan
author_facet Nielsen Signe S
Norredam Marie
Christiansen Karen L
Obel Carsten
Hilden Jørgen
Krasnik Allan
author_sort Nielsen Signe S
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The process of seeking asylum and the related organisational conditions in the host country may adversely affect the children's mental health. The objective of this study was to examine the mental health of children seeking asylum in relation to organisational factors of the asylum system including length of stay and number of relocations.</p> <p>Methods</p> <p>The population included all 260 parent-accompanied asylum-seeking children aged 4–16 years living in the asylum centres managed by the Danish Red Cross in October–December 2006. Mental health was evaluated using the Strengths and Difficulties Questionnaire. School teachers evaluated children aged 4–16; and the 11–16-year-olds completed the self-report version. To assess the association between organisational factors and mental health, binary logistic regression analyses were done using backwards elimination. We received responses for 246 children equivalent to 95% of the study population.</p> <p>Results</p> <p>Using teachers' reports, we found that children who had been asylum-seeking for more than one year in Denmark had an increased risk of having mental difficulties (odds ratio 5.5, 95% CI 1.8–16.3); four or more relocations in the asylum system were also associated with a higher risk (3.0, 1.4–6.7). When the self-report data were included, the associations were even stronger.</p> <p>Conclusion</p> <p>Protracted stays at asylum centres and multiple relocations within the asylum system appear to have an adverse effect on asylum-seeking children's mental health. A limit to the duration of the children's stay in the asylum system should be ensured. Follow-up studies with inclusion of other conditions, such as parental mental health and the children's previous trauma, are needed to clarify the influence of the different factors and their interactions.</p>
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spelling doaj.art-7fcba6982ac34239bcd733d527f136472022-12-22T03:10:01ZengBMCBMC Public Health1471-24582008-08-018129310.1186/1471-2458-8-293Mental health among children seeking asylum in Denmark – the effect of length of stay and number of relocations: a cross-sectional studyNielsen Signe SNorredam MarieChristiansen Karen LObel CarstenHilden JørgenKrasnik Allan<p>Abstract</p> <p>Background</p> <p>The process of seeking asylum and the related organisational conditions in the host country may adversely affect the children's mental health. The objective of this study was to examine the mental health of children seeking asylum in relation to organisational factors of the asylum system including length of stay and number of relocations.</p> <p>Methods</p> <p>The population included all 260 parent-accompanied asylum-seeking children aged 4–16 years living in the asylum centres managed by the Danish Red Cross in October–December 2006. Mental health was evaluated using the Strengths and Difficulties Questionnaire. School teachers evaluated children aged 4–16; and the 11–16-year-olds completed the self-report version. To assess the association between organisational factors and mental health, binary logistic regression analyses were done using backwards elimination. We received responses for 246 children equivalent to 95% of the study population.</p> <p>Results</p> <p>Using teachers' reports, we found that children who had been asylum-seeking for more than one year in Denmark had an increased risk of having mental difficulties (odds ratio 5.5, 95% CI 1.8–16.3); four or more relocations in the asylum system were also associated with a higher risk (3.0, 1.4–6.7). When the self-report data were included, the associations were even stronger.</p> <p>Conclusion</p> <p>Protracted stays at asylum centres and multiple relocations within the asylum system appear to have an adverse effect on asylum-seeking children's mental health. A limit to the duration of the children's stay in the asylum system should be ensured. Follow-up studies with inclusion of other conditions, such as parental mental health and the children's previous trauma, are needed to clarify the influence of the different factors and their interactions.</p>http://www.biomedcentral.com/1471-2458/8/293
spellingShingle Nielsen Signe S
Norredam Marie
Christiansen Karen L
Obel Carsten
Hilden Jørgen
Krasnik Allan
Mental health among children seeking asylum in Denmark – the effect of length of stay and number of relocations: a cross-sectional study
BMC Public Health
title Mental health among children seeking asylum in Denmark – the effect of length of stay and number of relocations: a cross-sectional study
title_full Mental health among children seeking asylum in Denmark – the effect of length of stay and number of relocations: a cross-sectional study
title_fullStr Mental health among children seeking asylum in Denmark – the effect of length of stay and number of relocations: a cross-sectional study
title_full_unstemmed Mental health among children seeking asylum in Denmark – the effect of length of stay and number of relocations: a cross-sectional study
title_short Mental health among children seeking asylum in Denmark – the effect of length of stay and number of relocations: a cross-sectional study
title_sort mental health among children seeking asylum in denmark the effect of length of stay and number of relocations a cross sectional study
url http://www.biomedcentral.com/1471-2458/8/293
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