Adolescent; Adolescent Health Services/utilization; Emigration and Immigration; Health Promotion; Health Status; Preventive Medicine; Quality of Life; School Health Services/utilization
Abstract :
[en] OBJECTIVES: Little is known so far about the health of newly immigrant adolescents. The present study aimed to evaluate their health and quality of life (QoL) and to reinforce prevention and health promotion in school medicine. METHODS: One hundred and fifty-eight adolescents (mean age: 15,4 years) from 37 nationalities were included in the study in two health centers in Brussels. This study was carried out by medical records analysis and administration of a questionnaire about health and QoL (VSP-A) in several languages. RESULTS: The results showed adolescents in good physical health. Nevertheless their quality of life deteriorated over time in Belgium. The QoL was significantly lower for adolescents without social support: 48,0 (SD=13,5) vs 60,6 (SD=11,1) compared with adolescents with social support - i.e. with one resource person - on a scale from 0 to 100. Adolescents had many subjective health problems, like "the future" cited by half of them. CONCLUSION: This study shows the importance of developping a specific approach to newly immigrant adolescents health and the contribution of school medicine in the identification of biological, psychological and social needs and hightlights the preventive answers carried out by school medicine.
Disciplines :
Public health, health care sciences & services Pediatrics
Author, co-author :
Noirhomme-Renard, Florence ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique : aspects généraux
Martin, Emmanuelle
Cueva, Carmen
Deccache, Alain
Language :
French
Title :
Sante et qualite de vie des adolescents recemment immigres en Belgique: depistage et prevention en medecine scolaire.
Alternative titles :
[en] Newly immigrant adolescents health and quality of life in Belgium: screening and prevention in school medicine
K. Harker Immigrant generation, assimilation and adolescent psychological well-being Soc. Forces 79 2001 969 1004
P. Gordon-Larsen, K.M. Harris, and D.S. Ward Acculturation and overweight-related behaviors among Hispanic immigrants to the US: the national longitudinal study of adolescent health Soc. Sci. Med. 57 2003 2023 2034
V.J. Ebin, C.D. Sneed, and D.E. Morisky Acculturation and interrelationships between problem and health-promoting behaviors among latino adolescents J. Adolesc. Health 28 2001 62 72
S.M. Blake, R. Ledsky, and C. Goodenow Recency of immigration, substance use, and sexual behavior among Massachusetts adolescents Am. J. Public Health 91 2001 794 798
E. Virta, D.L. Sam, and C. Westin Adolescents with Turkish background in Norway and Sweden: a comparative study of their psychological adaptation Scand. J. Psychol. 45 2004 15 25
B. Oppedal, and E. Roysamb Mental health, life stress and social support among young Norwegian adolescents with immigrant and host national background Scand. J. Psychol. 45 2004 131 144
C. Rousseau, A. Drapeau, and S. Rahimi The complexity of trauma response: a 4-year follow-up of adolescent Cambodian refugees Child. Abuse Negl. 27 2003 1277 1290
Hyman I. Immigration and Health. Health Policy Working Paper Series. Working paper 01-05. Ottawa, ON: Health Canada, September 2001. Online at http://www.hc-sc.gc.ca/iacb-dgiac/arad-draa/english/rmdd/wpapers/wpapers1.html.
R. Alati, J.M. Najman, and G.J. Schuttlewood Changes in mental health status amongst children of migrants to Australia: a longitudinal study Sociol. Health Illn. 25 2003 866 888
K.M. Harris The health status and risk behaviour of adolescents in immigrant families D. Hernandez Children of immigrants: health, adjustment and public assistance 1999 National Academy Press Washington, DC 286 347
Décret visant l'insertion des élèves primoarrivants dans l'enseignement organisé ou subventionné par la communauté française, 14 juin 2001.
V.A. Hedberg, J.D. Klein, and E. Andresen Health counseling in adolescent preventive visits: effectiveness, current practices, and quality measurement J. Adolesc. Health 23 1998 344 353
P.F. Cowan, and S.J. Morewitz Encouraging discussion of psychosocial issues at student health visits J. Am. Coll. Health 43 1995 197 200
F. Renard, S. Delpire, and A. Deccache Évaluer la sant́ des adolescents en ḿdecine scolaire: la qualit́ de vie comme compĺment aux indicateurs cliniques Arch. Pediatr. 11 2004 1438 1444
E.S. Huebner, R.F. Valois, and S.M. Suldo Perceived quality of life: a neglected component of adolescent health assessment and intervention J. Adolesc. Health 34 2004 270 278
M.C. Simeoni, C. Sapin, and S. Antoniotti Health-related quality of life reported by French adolescents: a predictive approach of health? J. Adolesc. Health 28 2001 288 294
T.J. Cole, M.C. Bellizi, and K.M. Flegal Establishing a standard definition for child overweight and obesity worldwide : international survey BMJ 320 2000 1240 1243
M. De Spiegelaere, M. Dramaix, and P. Hennart D́pistage et prise en charge des troubles visuels chez l'adolescent: impact sur les ińgalit́s sociales Sant́ Publique (Bucur) 11 1999 41 47
M. De Spiegelaere, I. Wauters, and E. Haelterman Le suicide en ŕgion de Bruxelles-Capitale: situation 1998-2000. Les dossiers de l'Observatoire de la Sant́ et du Social 2003-2004 (62 p)
Z. Walker, J. Townsend, and L. Oakley Health promotion for adolescents in primary care: randomised controlled trial BMJ 325 2002 524
P.A. Harrison, T.J. Beebe, and E. Park The Adolescent Health Review: a brief, multidimensional screening instrument J. Adolesc. Health 29 2001 131 139
S.A. Reijneveld, A.G. Vogels, and E. Brugman Early detection of psychosocial problems in adolescents: how useful is the Dutch short indicative questionnaire (KIPVA)? Eur. J. Public Health 13 2003 152 159
B. Falissard Mesurer la subjectivit́ en sant́. Perspective ḿthodologique et statistique 2001 Ed. Masson (207 p)
T. Lobstein, and M.L. Frelut Prevalence of overweight among children in Europe Obes. Rev. 4 2003 195 200
M. De Spiegelaere, M. Dramaix, and P. Hennart The influence of socioeconomic status on the incidence and evolution of obesity during early adolescence Int. J. Obes. Relat. Metab. Disord. 22 1998 268 274
OMS - Bureau ŕgional de l'Europe C. Currie C. Roberts A. Morgan R. Smith Health Behaviour in School-aged Children (the HBSC 2001/2002 Survey International Report), Copenhague 2004
C. Schiff Les adolescents primoarrivants au coll̀ge: les contradictions de l'int́gration dans un univers en tension Ville-École-Int́gration Enjeux no:125 2001
C. Schiff Les jeunes primomigrants: un rapport à la socít́ distinct de celui des minorit́s ethniques Ville-École-Int́gration Enjeux no:131 2002
R. Masś Culture et sant́ publique 1995 Ed. Gaëtan Morin Montŕal (499p)
J.W. Barry Immigration, acculturation and adaptation Appl. Psychol. 46 1997 5 34
J.W. Barry Constructing and expanding a framework: opportunities for developing acculturation research Appl. Psychol. 46 1997 62 67
M. Tousignant, E. Habimana, and C. Biron The Quebec adolescent refugee project: psychopathology and family variables in a sample from 35 nations J. Am. Acad. Child Adolesc. Psychiatr. 38 1999 1426 1432