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Pediatric Healthcare Utilization in a Large Cohort of Refugee Children Entering Western Europe During the Migrant Crisis.

GND
138544867
Affiliation
Department of Pediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany.
Happle, Christine;
Affiliation
Department of Pediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany.
Dopfer, Christian;
Affiliation
Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany.
Ernst, Diana;
ORCID
0000-0002-8951-9874
Affiliation
Department of General Practice, University Medical Center Göttingen, 37073 Göttingen, Germany.
Kleinert, Evelyn;
GND
1232538701
Affiliation
Hannover Medical School, 30625 Hannover, Germany.
Vakilzadeh, Annabelle;
Affiliation
Institute for Diagnostic and Interventional Radiology, Hannover Medical School, 30625 Hannover, Germany.
Hellms, Susanne;
Affiliation
MediPIET, 5 Madrid, Spain.
Evlampidou, Iro;
Affiliation
Department of General Practice, University Medical Center Göttingen, 37073 Göttingen, Germany.
Hillermann, Nele;
Affiliation
Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany.
Schmidt, Reinhold;
GND
114897107
Affiliation
Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany.
Behrens, Georg Martin Norbert;
Affiliation
Department of General Practice, University Medical Center Göttingen, 37073 Göttingen, Germany.
Müller, Frank;
GND
132972484
Affiliation
Department of Pediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany.
Wetzke, Martin;
Affiliation
Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany.
Jablonka, Alexandra

: Background: Currently, half of the population displaced worldwide is children and adolescents. Little is known on healthcare demand in underage migrants. MATERIALS AND METHODS:We analyzed healthcare utilization in n = 1.411 children and adolescents living in a large German refugee reception in 2015-2016. RESULTS:The mean age of all included refugees was 9 years (60.8% male). The majority came from the eastern Mediterranean region. During a mean camp inhabitance of 34 days, 57.6% needed primary healthcare, with a significant inverse correlation of healthcare seeking frequency with age and duration of camp inhabitance. Infants and unaccompanied minors displayed particular high demands for medical help. DISCUSSION:Our analysis showed that pediatric primary healthcare in pediatric and adolescent refugees are most sought during the first period upon arrival with particular demand in infants, toddlers, and unaccompanied minors. Based on this data, future care taking strategies should be adapted accordingly.

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