Associations of Language Barriers with Very Preterm Children's Behavioural and Socio-emotional Problems Across Europe

Overview

Journal Pediatr Res

Specialties Biology
Pediatrics

Date 2024 Nov 24

PMID 39582061

Authors

Julia Jaekel

Adrien M Aubert

Nils Jaekel

Raquel Costa

Samantha Johnson

Jennifer Zeitlin

Affiliations

Soon will be listed here.

Abstract

Background: Very preterm birth (<32 weeks gestation, VP), immigrant background, and language barriers are all independently associated with a high risk for mental health problems in childhood, but research has neglected the long-term development of immigrant children born VP. We assessed whether behavioural and socio-emotional problems of 5-year-old children born VP growing up across different language contexts in the European Union are associated with an immigrant background and linguistic distance of families' mother tongue (L1) to the host countries' official languages.

Methods: Data are from a population-based cohort including all VP births in 2011/12 in 11 European countries; a total of 3,067 children were followed up at 2 and 5 years of age. Behavioural and socio-emotional difficulties were assessed using the parent-reported Strengths and Difficulties Questionnaire (SDQ).

Results: Mixed-effects models showed that a larger linguistic distance of children's L1 to the host countries' official language was associated with higher SDQ total scores (0.02 [0.01, 0.03]), after adjusting for a wide range of social risks, biological, and perinatal clinical factors.

Conclusion: Language barriers in the form of linguistic distance between VP children's L1 and countries' official languages play a critically important role for the behavioural and socio-emotional development of immigrant children born VP.

Impact: Immigrant children born very preterm across Europe face systemic inequalities such as language barriers. Language barriers can be operationalised as a continuous linguistic distance score between children's mother tongues and countries' official languages. Linguistic distance plays an important role for the behavioural and socio-emotional development of immigrant children born VP. Research, policy, and practice need to better account for language barriers to increase equity in health and education.

References

Chawanpaiboon S, Vogel J, Moller A, Lumbiganon P, Petzold M, Hogan D . Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. Lancet Glob Health. 2018; 7(1):e37-e46. PMC: 6293055. DOI: 10.1016/S2214-109X(18)30451-0. View

Lawn J, Ohuma E, Bradley E, Suarez Idueta L, Hazel E, Okwaraji Y . Small babies, big risks: global estimates of prevalence and mortality for vulnerable newborns to accelerate change and improve counting. Lancet. 2023; 401(10389):1707-1719. DOI: 10.1016/S0140-6736(23)00522-6. View

Farooqi A, Hagglof B, Sedin G, Gothefors L, Serenius F . Mental health and social competencies of 10- to 12-year-old children born at 23 to 25 weeks of gestation in the 1990s: a Swedish national prospective follow-up study. Pediatrics. 2007; 120(1):118-33. DOI: 10.1542/peds.2006-2988. View

Madzwamuse S, Baumann N, Jaekel J, Bartmann P, Wolke D . Neuro-cognitive performance of very preterm or very low birth weight adults at 26 years. J Child Psychol Psychiatry. 2014; 56(8):857-64. DOI: 10.1111/jcpp.12358. View

Jaekel J, Anderson P, Bartmann P, Cheong J, Doyle L, Hack M . Mathematical performance in childhood and early adult outcomes after very preterm birth: an individual participant data meta-analysis. Dev Med Child Neurol. 2021; 64(4):421-428. DOI: 10.1111/dmcn.15132. View

Janevic T, Zeitlin J, Egorova N, Hebert P, Balbierz A, Stroustrup A . Racial and Economic Neighborhood Segregation, Site of Delivery, and Morbidity and Mortality in Neonates Born Very Preterm. J Pediatr. 2021; 235:116-123. PMC: 9582630. DOI: 10.1016/j.jpeds.2021.03.049. View

Eslier M, Deneux-Tharaux C, Schmitz T, Luton D, Mandelbrot L, Estellat C . Association between language barrier and inadequate prenatal care utilization among migrant women in the PreCARE prospective cohort study. Eur J Public Health. 2023; 33(3):403-410. PMC: 10234658. DOI: 10.1093/eurpub/ckad078. View

Hamwi S, Lorthe E, Barros H . Host-country language proficiency and migrant-native disparities in prenatal care utilization: A nationwide study in Portugal. Birth. 2022; 49(3):474-485. DOI: 10.1111/birt.12618. View

DeWalt D, Berkman N, Sheridan S, Lohr K, Pignone M . Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med. 2004; 19(12):1228-39. PMC: 1492599. DOI: 10.1111/j.1525-1497.2004.40153.x. View

10.

Abubakar I, Aldridge R, Devakumar D, Orcutt M, Burns R, Barreto M . The UCL-Lancet Commission on Migration and Health: the health of a world on the move. Lancet. 2018; 392(10164):2606-2654. PMC: 7612863. DOI: 10.1016/S0140-6736(18)32114-7. View

11.

Stevens G, Vollebergh W . Mental health in migrant children. J Child Psychol Psychiatry. 2007; 49(3):276-94. DOI: 10.1111/j.1469-7610.2007.01848.x. View

12.

Zwirs B, Burger H, Schulpen T, Wiznitzer M, Fedder H, Buitelaar J . Prevalence of psychiatric disorders among children of different ethnic origin. J Abnorm Child Psychol. 2007; 35(4):556-66. DOI: 10.1007/s10802-007-9112-9. View

13.

Jaekel N, Jaekel J, Willard J, Leyendecker B . No evidence for effects of Turkish immigrant children's bilingualism on executive functions. PLoS One. 2019; 14(1):e0209981. PMC: 6336237. DOI: 10.1371/journal.pone.0209981. View

14.

Mock-Munoz de Luna C, Vitus K, Torslev M, Krasnik A, Jervelund S . Ethnic inequalities in child and adolescent health in the Scandinavian welfare states: The role of parental socioeconomic status - a systematic review. Scand J Public Health. 2018; 47(7):679-689. DOI: 10.1177/1403494818779853. View

15.

Clarke A, Isphording I . Language Barriers and Immigrant Health. Health Econ. 2016; 26(6):765-778. DOI: 10.1002/hec.3358. View

16.

Schepens J, van Hout R, Jaeger T . Big data suggest strong constraints of linguistic similarity on adult language learning. Cognition. 2019; 194:104056. DOI: 10.1016/j.cognition.2019.104056. View

17.

Goodman A, Joyce R, Smith J . The long shadow cast by childhood physical and mental problems on adult life. Proc Natl Acad Sci U S A. 2011; 108(15):6032-7. PMC: 3076863. DOI: 10.1073/pnas.1016970108. View

18.

Ceccarelli C, Prina E, Muneghina O, Jordans M, Barker E, Miller K . Adverse childhood experiences and global mental health: avenues to reduce the burden of child and adolescent mental disorders. Epidemiol Psychiatr Sci. 2022; 31:e75. PMC: 9583628. DOI: 10.1017/S2045796022000580. View

19.

Huning B, Jaekel J, Jaekel N, Gopel W, Herting E, Felderhoff-Muser U . Perinatal Outcomes of Immigrant Mothers and Their Infants Born Very Preterm across Germany. Healthcare (Basel). 2024; 12(12). PMC: 11204027. DOI: 10.3390/healthcare12121211. View

20.

Zeitlin J, Szamotulska K, Drewniak N, Mohangoo A, Chalmers J, Sakkeus L . Preterm birth time trends in Europe: a study of 19 countries. BJOG. 2013; 120(11):1356-65. PMC: 4285908. DOI: 10.1111/1471-0528.12281. View