Professional Identification of Psychosocial Problems among Children from Ethnic Minority Groups: Room for Improvement - 07/03/14
, Nienke Bekkema, MSc b, Carin H. Wiefferink, MSc c, Sijmen A. Reijneveld, MD, PhD d
Reprint requests: M.R. Crone, Leiden University Medical Center (LUMC), Department of Public Health and Primary Care, PO Box 9600, 2300 RC Leiden, The Netherlands.Abstract |
Objective |
To assess the effectiveness of child health care professionals (CHP) in identifying psychosocial problems among children originating from industrialized and nonindustrialized countries and to assess whether parental concerns enhance CHP problem-identification.
Study design |
During routine well-child visits data were collected from a sample of children aged 5 to 12 years of Dutch, Moroccan, Turkish, Surinam, and Antillean origin (response: 82%). CHP reported on psychosocial problems that they identified in children. Parents completed the Child Behavior Checklist (CBCL) and a questionnaire on concerns regarding their child’s psychosocial development. Interpreter services were used to support parents in filling out questionnaires.
Results |
Elevated CBCL total and internalizing problem scores were more prevalent among children from nonindustrialized countries (10% and 17%, respectively) than among children from industrialized countries (3% and 5%, respectively). About 30% of the Turkish and Moroccan children with an elevated CBCL score were identified by CHPs compared with 60% of the children from industrialized countries. Parental concerns on their child’s psychosocial well-being were related to elevated CBCL scores. Concerns were not related to CHP problem-identification.
Conclusions |
Better methods to support parents in disclosure of their concerns regarding the psychosocial development of their children may enhance CHP-identification of problems, especially among groups from nonindustrialized countries.
Le texte complet de cet article est disponible en PDF.Mots-clés : CBCL, CHP, ISCED, ROC
Plan
| Financially supported by the Social and Cultural Planning Office of the Netherlands. The authors declare no conflicts of interest. |
Vol 156 - N° 2
P. 277 - février 2010 Retour au numéro
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