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Original article

Vol. 140 No. 2728 (2010)

The health status of children without a resident permit consulting the Children’s Hospital of Lausanne

  • M Gehri
  • S Depallens
  • M Puelma
  • J Krähenbühl
DOI
https://doi.org/10.4414/smw.2010.13048
Cite this as:
Swiss Med Wkly. 2010;140:w13048
Published
05.07.2010

Abstract

Objective: To assess social, economic and medical data concerning children without a resident permit taken into care by the Children’s Hospital of Lausanne (HEL) in order to evaluate their specific needs.

Methods: Prospective exploratory study by a questionnaire including the socio-demographic, medical and education data of 103 children without a resident permit, who consulted the HEL for the first time between August 2003 and March 2006. These children were then recalled for a second check-up one year later in order to allow a regular monitoring.

Results: Eighty-seven percent of the children were native of Latin America, 36% being less than two years old. This population of children lived in precarious conditions with a family income lower than the poverty level (89% of the families with less than 3100 CHF/month). Forty-five percent of the children had a health insurance. The main reasons for consultation were infectious diseases, a check-up requested by the school or a check-up concerning newborn children. Most of them were in good health and the others were affected by illnesses similar to those found in other children of the same age. At least 13% of the children were obese and 27% were overweight. All children who were of educational age went to school during the year after the first check-up and 48% were affiliated to a health insurance.

Conclusions: The majority of the children from Latin America lived in very precarious conditions. Their general health status was good and most of them could benefit from regular check-ups. Prevention, focused on a healthier life style, was particularly important among this population characterised by a high incidence of overweight and obesity.

References

  1. Des flux migratoires mondialisés. Atlas du Monde Diplomatique, hors série de Manière de voir, janvier 2003; p. 54–5.
  2. Gafner M. Autorisation de séjour en Suisse. Un guide juridique. Service d’aide juridique aux exilés. Editions La Passerelle du Centre social protestant Vaud, 2003.
  3. Valli M. Les migrants sans permis de séjour à Lausanne. Rapport rédigé à la demande de la municipalité de Lausanne, mars 2003, p. 43.
  4. Gehri M, Hunziker B, Géraud F, et al. Les populations migrantes à l’Hôpital de l’Enfance de Lausanne (HEL): état des lieux, prise en charge et apports des traducteurs-médiateurs culturels. Soz-Präventivmed. 1999;44:264–71.
  5. Manzano S, Suter S. La santé des enfants requérants d’asile à Genève. Med Hyg. 2002;60:360–2.
  6. Hayes EB, Talbot SB, Matheson ES, et al. Health status of pediatric refugees in Portland. Med Arch Pediatr Adoles Med. 1998;152:564–8.
  7. Castiglia PT. Health needs of migrant children. J Pediatr Health Care. 1997;11:280–2.
  8. Marier AE. A health education program for migrant children. Am J Public Health. 1996;86:590–1.
  9. Michael RJ, Salend SJ. Health problem of migrant children. J School Health. 1995;55:411–2.
  10. Kromeyer-Hauschild K, Wabitsch M, Kunze D, et al. Perzentile für den Body-mass-Index für das Kindes und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilk. Monatsschr Kinderheilkd. 2001;149:807–18.
  11. Farpour-Lambert N, l’Allemand Dagmar, Laimbacher J. Définition, diagnostic et indications thérapeutiques de la surcharge pondérale de l’enfant et de l’adolescent. Paediatrica. 2006; vol. 17, no 6.
  12. Bodenmann P, personal communication, CHUV, Lausanne.
  13. Howell E, Trenholm C. The effect of new insurance coverage on the health status of low-income children in Santa Clara County. Health Serv Res. 2007;42(2):867–89.
  14. Premiers résultats de l’étude sur le poids et la pression artérielle chez les enfants du canton de Vaud 2005/06. Info CardioJeunes n°1, avril 2007. http://www.iumsp.ch.
  15. Markowitz DL, Cominsky S. Overweight and stunting in migrant Hispanic children in the USA. Economics and Human Biology. 2005;3:215–40.
  16. Dubois L, Farmer A, Girard M, Porcherie M. Family food insufficiency is related to overweight among preschoolers. Soc Sci Med. 2006. http://www.sciencedirect.com.
  17. Jimenez-Cruz A, Bacardi Gascon M. Prevalence of overweight and hunger among Mexican children from migrant parents. Nutr Hops. 2007;22(1):85–8.
  18. Renzaho AM, Gibbons C, Swinburn B, Jolley D, Burn C. Obesity and undernutrition in sub-Saharan African immigrant and refugee children in Victoria, Australia. Asia Pac J Clin Nutr. 2006;15(4):482–90.
  19. Lasserre AM, Chiolero A, Cachat F, Paccaud F, Bovet P. Overweight in Swiss children and association with children’s and parents’ characteristics. Obesity. 2007;15:2912–9.
  20. Zahner L, Muehlbauer T, Schmid M, Meyer U, Puder JJ, Kriemler S. Association of Sports Club Participation with Fitness and Fatness in Children. Med. Sci. Sports Exerc. 2009;vol. 41, no. 2, pp. 344–50.
  21. Wolff H, Stalder H, Epiney M, Walder A, Irion O, Morabia A. Health care and illegality: a survey of undocumented pregnant immigrants in Geneva. Soc Sci Med. 2005;60:2149–54.
  22. Guendelman S, Angulo V, Wier M, Oman D. Overcoming the odds: access to care for immigrant children in working poor families in California. Matern Child Health J. 2005;9(4):351–62.