School performance of children whose parents suffered torture and war-a register-based study in Denmark.


Journal

European journal of public health
ISSN: 1464-360X
Titre abrégé: Eur J Public Health
Pays: England
ID NLM: 9204966

Informations de publication

Date de publication:
11 10 2021
Historique:
pubmed: 31 8 2021
medline: 11 11 2021
entrez: 30 8 2021
Statut: ppublish

Résumé

Young refugees and descendants of refugees have different preconditions for learning than their peers without refugee background. Children growing up in families where parents have suffered torture and war trauma may represent a particularly vulnerable group. This study investigates whether children of torture survivors living in Denmark achieved different test scores throughout primary and secondary school compared to children of non-traumatized parents. Using data from a national school test programme, tests from Grades 2-8 were compared for children whose parents had been treated for torture and war trauma as to their peers. Referral to specialized rehabilitation clinics was used to identify the traumatized parent group. The mean score difference was estimated using multilevel linear regression, and outcomes were measured within groups of parental region of origin to allow for region-specific effects. The odds of missing a test were also estimated with multilevel logistic regression. The study included 854 467 children [median age (interquartile range) =12 (3.3)] of which 7809 were children of the trauma-exposed parents. The analysis revealed that children of torture survivors achieved test scores between -6% (95% CI: -0.13, 0.00) and -38% (95% CI: -0.44, -0.32) of a standard deviation compared to children of non-traumatized parents, adjusted for the main effect of region of origin. They were also more likely to miss a test [OR=4.95 (95% CI: 4.30, 5.71)]. The findings indicate that risk factors for poorer school performance cluster in children of traumatized refugee parents, and reveal the possible adverse educational effects of trauma across generations.

Sections du résumé

BACKGROUND
Young refugees and descendants of refugees have different preconditions for learning than their peers without refugee background. Children growing up in families where parents have suffered torture and war trauma may represent a particularly vulnerable group. This study investigates whether children of torture survivors living in Denmark achieved different test scores throughout primary and secondary school compared to children of non-traumatized parents.
METHODS
Using data from a national school test programme, tests from Grades 2-8 were compared for children whose parents had been treated for torture and war trauma as to their peers. Referral to specialized rehabilitation clinics was used to identify the traumatized parent group. The mean score difference was estimated using multilevel linear regression, and outcomes were measured within groups of parental region of origin to allow for region-specific effects. The odds of missing a test were also estimated with multilevel logistic regression.
RESULTS
The study included 854 467 children [median age (interquartile range) =12 (3.3)] of which 7809 were children of the trauma-exposed parents. The analysis revealed that children of torture survivors achieved test scores between -6% (95% CI: -0.13, 0.00) and -38% (95% CI: -0.44, -0.32) of a standard deviation compared to children of non-traumatized parents, adjusted for the main effect of region of origin. They were also more likely to miss a test [OR=4.95 (95% CI: 4.30, 5.71)].
CONCLUSIONS
The findings indicate that risk factors for poorer school performance cluster in children of traumatized refugee parents, and reveal the possible adverse educational effects of trauma across generations.

Identifiants

pubmed: 34458911
pii: 6359509
doi: 10.1093/eurpub/ckab108
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

749-755

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Auteurs

Line Bager (L)

Department of Economics and Business Economics, NCRR, National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark.

Thomas Munk Laursen (T)

Department of Economics and Business Economics, NCRR, National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark.
Department of Economics and Business Economics, iPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Department of Economics and Business Economics, CIRRAU, Centre for Integrated Register-based Research, Aarhus University, Aarhus, Denmark.

Niels Skipper (N)

Department of Economics and Business Economics, Aarhus University, Aarhus, Denmark.

Esben Agerbo (E)

Department of Economics and Business Economics, NCRR, National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark.
Department of Economics and Business Economics, iPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Department of Economics and Business Economics, CIRRAU, Centre for Integrated Register-based Research, Aarhus University, Aarhus, Denmark.

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