Ethnic differences in problem perception and perceived need as determinants of referral in young children with problem behaviour.
An underrepresentation of ethnic minority children in mental health care settings is consistently reported. Parents of ethnic minority children are, however, less likely to perceive problem behaviour in their children. Our hypothesis was that, as a result of ethnic differences in problem perception,...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 23; no. 5; pp. 273 - 282 |
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| Autores principales: | , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103943701&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103943701 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: May2014 vid: 23 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 103943701 95964438 10.1007/s00787-013-0453-3 NLM23892547 103943701 ppf: 273 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Ethnic differences in problem perception and perceived need as determinants of referral in young children with problem behaviour. aug: au: Bevaart, Floor Mieloo, Cathelijne Donker, Marianne Jansen, Wilma Raat, Hein Verhulst, Frank Oort, Floor affil: Department of Public Health, Erasmus MC-University Medical Centre Rotterdam, Rotterdam The Netherlands sug: subj: Child Behavior Disorders Diagnosis Ethnic Groups Referral and Consultation Minority Groups Health Services Accessibility Record Review Netherlands Questionnaires Analysis of Variance Multiple Logistic Regression Sensitivity and Specificity Data Analysis Software Human Male Female Child Chi Square Test Odds Ratio Confidence Intervals Child: 6-12 years Male Female ab: An underrepresentation of ethnic minority children in mental health care settings is consistently reported. Parents of ethnic minority children are, however, less likely to perceive problem behaviour in their children. Our hypothesis was that, as a result of ethnic differences in problem perception, referral to care by a child health professional (CHP) would be lower for 5- to 6-year-old (high-risk) children from ethnic minority backgrounds than for their peers from the ethnic majority (Dutch origin). For 10,951 children in grade two of elementary school, parents and/or teachers completed the Strengths and Difficulties Questionnaire (SDQ) as well as questions on problem perception (PP) and perceived need for professional care (PN). Referral information was obtained from the Electronic Child Records (ECR) for 1,034 of these children. These children had a high (>90th percentile) SDQ score, and were not receiving mental health care. CHP's referred 144 children (14 %) during the routine health assessments. A lower problem perception was reported by parents of ethnic minority children (40-72 %) than by parents of the ethnic majority group (80 %; p < 0.001), but there were no ethnic differences in referral (OR range 0.9-1.9- p > 0.05). No ethnic differences were found for parental PN, nor for teacher's PP or PN. Despite a lower problem perception in ethnic minority parents when compared to ethnic majority parents, no ethnic differences were found in referral of children with problem behaviour in a preventive health care setting. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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