Disparities in the mental health of migrant children and youth: an analysis of determinants and unmet need
Notice bibliographique
Résumé
Background: Global migration has significantly increased in recent decades, emphasizing the need to understand and address the mental health needs of migrant populations, particularly children and youth who face unique challenges pre-, during-, and post-migration. Despite these challenges, evidence suggests conflicting mental health patterns. Some studies suggest migrant children and youth experience fewer mental health difficulties compared to their non-migrant peers – a pattern often referred to as the “healthy migrant paradox,” while other studies challenge the phenomenon. This thesis examines differences in mental health problems and access to care between migrant and non-migrant children and youth, and identifies social and contextual factors that may mitigate or attenuate group differences. Methods: Three manuscripts address key objectives: (1) a systematic review and meta-analysis of 59 studies quantifying differences in mental health outcomes among migrant and non-migrant children and youth in high-income countries; (2) an analysis of differences in mental health-related service contacts between migrant and non-migrant children and youth, and social and economic factors that account for between group differences using a large, representative sample of children and youth in Ontario, and (3) an investigation into the moderating effect of migrant concentration in schools and the mediating role of school processes (loneliness and belonging at school) in the association between migrant background and mental health symptoms, using advanced epidemiologic methods including structural equation modelling and multilevel moderated mediation models. Results: Overall, the fundamental findings of this body of work are: 1) substantial heterogeneity exists in current evidence, influenced by substantive and study methodological factors; 2) after accounting for mental health symptoms and perceptions of need, migrant children and youth, compared to their non-migrant peers, were significantly less likely to have mental health-related service contacts; 3) adjusting for social and economic factors did not fully account for between group differences in mental health-related service contacts; 4) the concentration of migrants in schools is associated with lower levels of externalizing symptoms for migrant youth when migrant concentration is high, and this effect is mediated by youth feelings of loneliness at school. Conclusions: Together, these papers provide a comprehensive understanding of migrant mental health among children and youth. They underscore evident heterogeneity in mental health outcomes among migrant and non-migrant children and youth, influenced by a number of socio-contextual and economic factors. The findings highlight consistent evidence of mental health service shortfalls for migrant children and youth.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,012 | 0,022 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,008 |
| Bibliométrie | 0,007 | 0,008 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».