Infants born to first-time mothers with a refugee background faced an increased risk of regulatory problems
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Infants born to first-time mothers with a refugee background faced an increased risk of regulatory problems. / Marti-Castaner, Maria; Hvidtfeldt, Camila; Fredsted Villadsen, Sarah; Pagh Pedersen, Trine; Elsenburg, Leonie K.; Norredam, Marie.
I: Acta Paediatrica, International Journal of Paediatrics, Bind 112, Nr. 12, 2023, s. 2541-2550.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Infants born to first-time mothers with a refugee background faced an increased risk of regulatory problems
AU - Marti-Castaner, Maria
AU - Hvidtfeldt, Camila
AU - Fredsted Villadsen, Sarah
AU - Pagh Pedersen, Trine
AU - Elsenburg, Leonie K.
AU - Norredam, Marie
N1 - Publisher Copyright: © 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
PY - 2023
Y1 - 2023
N2 - Aim: This study investigated the association between mothers' migration background and infant regulatory problems and analysed the mediating role of maternal mental health. We also explored whether the child's sex, parity and length of residence moderated the effect of a maternal migrant background. Methods: Child health surveillance data from the Danish home visiting programme were used. Community health nurses followed infants from birth to 12 months of age. The source population comprised 103 813 infants born between 1 January 2008 and 31 December 2018. The final sample comprised 62 964 infants, including 3.4% with a refugee background. A maternal migrant background was the primary exposure. The results are presented as risk ratios (RR) and 95% confidence intervals (CI). Results: A maternal refugee background increased the risk of regulatory problems in offspring (RR 1.34, 95% CI: 1.18–1.51). The effect was partially mediated by maternal postpartum mental health concerns. The association between maternal refugee background and infant regulatory problems was more pronounced in first-time mothers (RR 1.80, 95% CI: 1.51–2.15). Conclusion: The risk of infant regulatory problems was higher in the first-born children of refugee mothers. First-time refugee parents may need tailored support to identify mental health needs and infants with regulatory problems.
AB - Aim: This study investigated the association between mothers' migration background and infant regulatory problems and analysed the mediating role of maternal mental health. We also explored whether the child's sex, parity and length of residence moderated the effect of a maternal migrant background. Methods: Child health surveillance data from the Danish home visiting programme were used. Community health nurses followed infants from birth to 12 months of age. The source population comprised 103 813 infants born between 1 January 2008 and 31 December 2018. The final sample comprised 62 964 infants, including 3.4% with a refugee background. A maternal migrant background was the primary exposure. The results are presented as risk ratios (RR) and 95% confidence intervals (CI). Results: A maternal refugee background increased the risk of regulatory problems in offspring (RR 1.34, 95% CI: 1.18–1.51). The effect was partially mediated by maternal postpartum mental health concerns. The association between maternal refugee background and infant regulatory problems was more pronounced in first-time mothers (RR 1.80, 95% CI: 1.51–2.15). Conclusion: The risk of infant regulatory problems was higher in the first-born children of refugee mothers. First-time refugee parents may need tailored support to identify mental health needs and infants with regulatory problems.
KW - child health surveillance
KW - immigrant women
KW - infant regulatory problems
KW - maternal mental health
KW - refugees
U2 - 10.1111/apa.16938
DO - 10.1111/apa.16938
M3 - Journal article
C2 - 37548569
AN - SCOPUS:85168361281
VL - 112
SP - 2541
EP - 2550
JO - Acta Paediatrica
JF - Acta Paediatrica
SN - 0803-5253
IS - 12
ER -
ID: 363259020