Foreign-born Parents Research Articles

How time in the US and race/ethnicity shape food parenting practices and child diet quality

Childhood obesity prevalence is high among children from immigrant/refugee households who live in high-income countries. Poor child dietary intake is a critical risk factor for elevated obesity prevalence and food parenting practices have been found to be associated with child dietary intake and eating behaviors. The main aim of this study was to examine the associations between migrants'/refugees' food parenting practices, the length of residence time in the US, race/ethnicity, and child diet quality. The current study included 577 families from three racial/ethnic groups that include mostly foreign-born parents (Latino, Hmong, and Somali/Ethiopian), and a comparison group of 239 non-Hispanic White families. Results showed that for Latino and Hmong parents, some food parenting practices varied by how long they had lived in the US. For example, more recently moved parents engaged in more non-directive (e.g., avoid buying sweets) practices compared with US-born parents. In contrast, Somali/Ethiopian parents engaged in different food parenting practices than White parents, regardless of time in the US. Results also showed that diet quality among Hmong children was lower if their parents were US-born compared to foreign-born. Future researchers may want to consider studying why some food parenting practices change when parents move to the US and explore whether there is a combination of food parenting practices that are most useful in promoting a healthful child's diet and weight among immigrant and refugee families.

A Case Study of Two Kindergarten Teachers’ Reception to the Needs of the 2.5 Generation Korean Children

Kindergarten teachers must meet the needs of the relatively new 2.5 generation of Korean children (children with one foreign-born parent) and help them overcome their difficulties as students in South Korean schools and later on as adult members of Korean society. The research questions are as follows: (1) How do two kindergarten teachers perceive the needs of the 2.5s as compared to other children? (2) How do two kindergarten teachers meet the needs of the 2.5s? This study employed an evaluative case study research design. The two teachers observed and interviewed for this case study research, had a tendency to link the 2.5s’ needs and meeting these needs to professional roles or duties. Elucidatingly, the ideal situations in which teachers could perceive as well as meet the needs of the 2.5s require 1) going beyond any knowledge that teachers might possess concerning them and teacher roles, and 2) examining teachers’ attitudes and beliefs about their population of students and their families as well.

Differences in birthweight by maternal and paternal nativity status in Canada.

Parental nativity, as well as duration of residence of foreign-born parents in the host country, has been shown to be associated with size at birth. However, most studies have focused on maternal nativity status only and have not accounted for important characteristics of both parents. To explore whether maternal and paternal nativity and length of residence (LOR) are independently associated with birthweight for gestational age in a representative sample of infants in Canada. We compared mean differences in sex- and gestational age-standardised birthweight z-score by nativity status of both parents in a nationally representative sample of 130,532singleton infants born between May 2004 and May 2006 to mothers residing in Canada. We categorised parental nativity status into four groups (both parents Canada-born, mother only foreign-born, father only foreign-born and both parents foreign-born) and parents' LOR into three (both ≤10years, only one parent ≤10years and both >10years). We estimated mean differences in birthweight z-score and their 95% confidence intervals in linear regression models adjusted for parity, parents' ages, education, ethnicity and marital status of the mother. Compared with babies of Canada-born couples, those of two foreign-born parents had on average smaller birthweight z-score, -0.23 (95% CI -0.28, -0.25). However, after adjustment, the mean difference in z-score was -0.02 (95% CI -0.05, 0.00). Infants born to parents who had both resided in Canada for ≤10years had a unadjusted mean difference in z-score of -0.27 (95% CI -0.29, -0.26), compared infants whose parents were both Canada-born, but the difference became negligible (-0.02, 95% CI -0.04, 0.01) after adjustment. The birthweight differences by parental nativity or length of residence observed in our study population could be attributed to differences in the distribution of other parental characteristics that affect birthweight.

Dating violence and associated factors among male and female adolescents in Spain.

BackgroundDating Violence (DV) is a public health problem that is on the rise. In this paper, we aim to analyse different factors associated with DV victimization among female and male adolescents in Spain, considering socioeconomic circumstances, sexual orientation and the presence of different attitudes and experiences related to violence.MethodsCross-sectional data from a convenience sample of 640 ever-partnered adolescents aged 13 to 17 at schools in the cities of Alicante (n = 359, 50.1% girls) and Terrassa (n = 281, 51.9%) in the context of an educational intervention to promote healthy relationships. We calculated the prevalence of different forms of DV (physical, sexual and control and fear) and carried out multivariate regression models by sex.Results5.5% of girls and 8.7% of boys declared having suffered lifetime physical and/or sexual violence, while 22% of girls and 20.5% of boys reported control and/or fear victimization. The likelihood of DV was higher among migrants and those with foreign-born parents (aPR girls = 2.1 CI95%: 1.1–3.9; aPR boys = 1.9: CI95%: 1.0–3.6); prior experiences of abuse (aPR girls = 1.6; CI95%: 1.0–2.6; aPR boys = 1.7; CI95%: 1.1–2.6); and those who showed higher levels of machismo (aPR girls = 1.0; CI95%: 1.0–1.1; aPR boys = 1.0; CI95%: 1.0–1.1). In girls, DV increased among those who reported lesbian/bisexual orientation and poor relationship with teachers.ConclusionsDV is socially patterned and increases among LGB adolescents (especially in the case of girls), migrants, and those with foreign-born parents, and adolescents who reported prior experiences of violence in childhood. Future DV prevention programs should consider social inequalities in the likelihood of DV and by reinforcing adolescents’ abilities to recognize social support sources and reject machismo and violence.

The Death of a Child and Parents' Psychological Distress in Mid to Later Life: Racial/Ethnic Differences in Exposure and Vulnerability.

This study considered whether experiencing the death of a child is associated with subsequent psychological distress in older populations, as well as variation in both exposure and vulnerability to the death of a child among Black, Hispanic, and White older parents. We used multilevel models to link the death of a child with subsequent distress for 9,763 non-Hispanic White, 2,496 non-Hispanic Black, 1,014 foreign-born Hispanic, and 712 U.S.-born Hispanic parents from the Health and Retirement Study, 2006-2016. The death of a child is associated with increased psychological distress in mid to later life for Black, White, and Hispanic parents, with greater vulnerability for foreign-born Hispanic parents. Notably, Black and U.S.-born Hispanic parents are disadvantaged because of the additive effects of their greater exposure to bereavement and their higher distress levels regardless of bereavement status. These effects persist net of additional stressors associated with race/ethnicity. The death of a child is a traumatic life course event associated with lasting psychological distress for aging parents. Black and U.S.-born Hispanic parents are disadvantaged in that they are more likely than White parents to experience the death of a child, and foreign-born Hispanic parents may be disadvantaged by greater vulnerability to distress following child death.

Ethnic Diversity and Students\u2019 Social Adjustment in Dutch Classrooms

Research in the US indicates that classroom diversity is related to better social adjustment of students, but research on this association in European classrooms is limited in scope and yields inconsistent findings. This study examined how classroom ethnic diversity is related to social adjustment of societally dominant versus minoritized ethnic groups, and how an open classroom climate for discussion contributes to this. This was examined in low to moderately diverse Dutch classrooms (2703 secondary school students, from 119 classrooms and schools, Mage = 14, 50% female, 18% foreign-born parents). Results revealed that students from minoritized groups reported lower social adjustment. For all students, classroom ethnic diversity was related to worse social adjustment which was partly explained by classroom socioeconomic status (SES). An open classroom climate for discussion did not moderate the relation between diversity and social adjustment. The findings indicate that students’ social adjustment is worse in ethnically diverse and low-SES classrooms, and an open classroom climate for discussion does not solve this.

Unequal From the Start? Poverty Across Immigrant Generations of Hispanic Children.

Recent cohorts of U.S. children increasingly consist of immigrants or the immediate descendants of immigrants, a demographic shift that has been implicated in high rates of child poverty. Analyzing data from the 2014-2018 Current Population Survey and using the U.S. Census Bureau's Supplemental Poverty Measure, we describe differences in child poverty rates across immigrant generations and assess how these disparities are rooted in generational differences in the prevalence and impact of key poverty risk factors. Our estimates show that poverty rates among Hispanic children are very high, particularly among first-generation children and second-generation children with two foreign-born parents. Low family employment is the most significant risk factor for poverty, but the prevalence of this risk varies little across immigrant generations. Differences in parental education account for the greatest share of observed intergenerational disparities in child poverty. Supplemental comparisons with third+-generation non-Hispanic White children underscore the disadvantages faced by all Hispanic children, highlighting the continued salience of race and ethnicity within the U.S. stratification system. Understanding the role of immigrant generation vis-à-vis other dimensions of inequality has significant policy implications given that America's population continues to grow more diverse along multiple social axes.

Spaces for Native and Foreign-Born Parents: When Personal Thoughts Can Become an Opportunity for Learning

Globalization characterizes the century in which we live and in the light of its worldwide spread it affects a multiplicity of disciplines. As a result of this, within the qualitative research in family pedagogy, parents of foreign origin have been involved, from whose life stories it is interesting to discern the importance of recognizing themselves, though citizens of the world, as bearers of a unique history. A personal experience, narrated and shared, that is characterized by relationships, thoughts that have formed the subject and that in the present, in the host country, challenges him to a daily learning that however cannot be exhausted in self-reflection. Therefore, it is fundamental for them to be able to interface with other subjects, who in turn are asked to welcome. An attitude that requires being fearless, because a sense of security or fear towards others is an expression of the trust that a community has in itself. If one believes in one's ability to integrate other individuals within oneself, one has an attitude of openness towards the foreigner, one is not afraid of his culture. This propensity requires these parents to adopt a logic of globalization, with rights and duties, which is precisely challenging since the planetary dimension of citizenship is not on the way, however, without a commitment to thought, decision making and education. Sustainable ecologies have to do with relationships, culture, ethnicity and education. It is therefore important that within local realities spaces of encounter between parents are fostered - so that the thoughts of the individual are shared - in the awareness that human sustainability itself often has to do with creating sufficient hope in individuals and communities, building meaningful dialogue and an experience of communion, through the differences that must be valued. In these contexts, the subject as such lives a continuous educational and formative experience, which leads him/her towards the personal research, which is also social, of the knowledge of the self and of others. This experience is possible thanks to the capacity of reciprocal socialization on the part of parents of foreign origin, of sincere dialogue, of confrontation with the other - in this case with native parents - in the diversity and richness of which each one is the bearer.

The Impact of Restrictive Policies on Mexican Immigrant Parents and Their Children's Access to Health Care.

Background: This study assessed whether policies that limit Mexican immigrants' access to care affects their children's access to a regular source of care, health insurance, and timely preventive health visits.Method: This was a cross-sectional study among Mexican immigrant parents who attended a health promotion program in Texas, Nevada, New York, and Illinois. A sociodemographic survey, including parental and child variables, was administered.Results: Children of parents without health insurance were almost four times more likely to be uninsured and eight times more likely to lack a regular source of care. Children of parents without a regular source of care were less than half as likely to have their own regular source of care than children whose parents had a regular source of care.Discussion: Findings suggest when parents are uninsured/lack a regular source of care, a child's health disparity is created. Reducing disparities in health care coverage, affecting foreign-born parents, positively impacts their children's access to care.Clinical Trial Registration number: NCT03209713.

Amyotrophic lateral sclerosis (ALS) among immigrant groups and Swedish-born individuals: a cohort study of all adults 18\xa0years of age and older in Sweden

BackgroundThere is a lack of studies of amyotrophic lateral sclerosis (ALS) in immigrants.ObjectiveThe objective is to study the association between country of birth and incident ALS in first-generation immigrants versus Swedish-born individuals, and in second-generation immigrants versus native Swedes.MethodsStudy populations included all adults aged 18 years and older in Sweden, in the first-generation study 6,128,698 individuals (2,975,141 men, 3,153,557 women) with 5,344 ALS cases (3017 men, 2327 women), and in the second-generation study 4,588,845 individuals (2,346,855 men and 2,241,990 women) with 3,420 cases (2027 men and 1393 women). ALS was defined as having at least one registered diagnosis of ALS in the National Patient Register 1998–2017. The incidence of ALS in different first-generation immigrant groups versus Swedish-born individuals was assessed by Cox regression, expressed as hazard ratios (HRs) with 95% confidence intervals (CI). The models were stratified by sex and adjusted for age, geographical residence in Sweden, educational level, marital status, and neighbourhood socioeconomic status.ResultsAfter adjusting for potential confounders, the HRs were lower in foreign-born men, 0.71 (95% CI 0.63–0.81), and women, 0.80 (95% CI 0.70–0.92). The ALS risk was lower among men and women from most Western countries (Europe outside Nordic countries, and North America), and from other regions of the world (Africa, Asia, and Latin America). Among men and women with foreign-born parents, the risk of ALS did not differ significantly from native Swedes.SignificanceIn general, the risk of ALS was lower in first-generation men and women but did not differ in second-generation individuals.

Does Where You Live Matter? An Analysis of Intergenerational Transmission of Education Among Hispanic Americans.

The intergenerational transmission of education from parents to children is an important indicator of societal inclusiveness and educational inequality. The present study uses restricted-access data from the National Longitudinal Survey of Youth 1997 (NLSY97) to investigate whether intergenerational educational transmission varies by county-level demographic and socioeconomic characteristics for Hispanic Americans. Based on parental birthplace, Hispanic Americans are grouped into 3 + generation (i.e., children of native-born Hispanic parents) and 2nd generation (i.e., children of foreign-born Hispanic parents). Men and women are analyzed separately. The results indicate that intergenerational educational mobility is higher if 3 + generation Hispanic men reside in areas with a larger Hispanic population, and if 2nd generation Hispanic men reside in areas with a larger college-educated population, during their adolescent years. County-level socioeconomic characteristics do not seem to affect intergenerational educational mobility of Hispanic women, non-Hispanic white men, or non-Hispanic white women. Theoretical and empirical implications of the findings are discussed.

Using needs assessment surveys to understand priorities for pregnant and parenting community college students: Comparing US and foreign-born parents

Objective To better understand differing needs of US and foreign-born pregnant and/or parenting community college students. Participants/Methods We conducted online survey with 608 students living in a rural Midwestern state who were pregnant and/or parenting, 15% of whom were born outside of the United States. We used chi-square tests to determine differences between US and foreign-born students. Results Results of our survey highlighted several areas in the following categories which are clear needs for this group of students: personal/mental health, child’s health, basic needs (ie food insecurity), academic/professional development, and parenting supports. In many cases, foreign-born students reported significantly higher need than their US counterparts. Conclusions Parenting and foreign-born students attend community colleges at higher rates than other four-year institutions and therefore these colleges need to understand how to best serve these populations. Conducting a needs assessment survey is an efficient way to collect information that allows administrators to tailor services that will help students succeed.

Losing your virginity safely? A Swiss national survey.

Good practice and knowledge in terms of contraception at first sexual intercourse may lead adolescents to a safer sexual life. To date, research studies have mostly focused on women when investigating contraception use or on condom use only when addressing both genders. The present study adds to the current knowledge by offering a more in-depth view of contraception use at first intercourse among youths. This is achieved through a large selection of variables, the fact that we address both males and females and that we have considered a wide range of contraceptive means. To determine the rate of contraception use at first intercourse by youth in Switzerland and its association with social and personal characteristics. Data were obtained from a self-administrated national survey on sexual behaviour among young adults (mean age 26 years). Participants (n = 4036) were divided into three groups based on the means of contraception used at first intercourse: condom, with or without contraceptive (86.4%), contraceptive only (8.3%) and non-use (5.3%). Only 5.3% did not use any contraception. Compared with the condom group, individuals in the non-use group were more likely to report a lower family socioeconomic status, to be foreign born, to have foreign-born parents, to have a non-intact family and to live in a Catholic canton. They were also more likely to have had their first intercourse in the context of a casual relationship, to have been intoxicated at the time and more likely to regret it. Participants in the contraceptive group reported a higher family socioeconomic status, had intact families, did not live in Catholic cantons, were older and in a steady relationship at first intercourse. Contraception is generally used at first intercourse in Switzerland. Improvements can still be made concerning contraception use in the most vulnerable social strata such as low income families or foreign status.

Examination of resident characteristics associated with interest in primary care and identification of barriers to cross-cultural care

BackgroundThere is an increasing shortage of primary care physicians in the U.S. The difficult task of addressing patients’ sociocultural needs is one reason residents do not pursue primary care. However, associations between residents’ perceived barriers to cross-cultural care provision and career interest in primary care have not been investigated.ObjectiveWe examined residents’ career interest in primary care and associations with resident characteristics and their perceived barriers in providing cross-cultural care.MethodsWe conducted a cross-sectional analysis of a resident survey from the 2018–2019 academic year. We first described residents’ sociodemographic characteristics based on their career interest in primary care (Chi-square test). Our primary outcome was high career interest in primary care. We further examined associations between residents’ characteristics and perceived barriers to cross-cultural care.ResultsThe study included 155 family medicine, pediatrics, and internal medicine residents (response rate 68.2%), with 17 expressing high career interest in primary care. There were significant differences in high career interest by race/ethnicity, as Non-White race was associated with high career interest in primary care (p < 0.01). Resident characteristics associated with identifying multiple barriers to cross-cultural care included disadvantaged background, multilingualism, and foreign-born parents (all p-values< 0.05). There were no significant associations between high career interest in primary care and barriers to cross-cultural care.ConclusionResidents from diverse racial/ethnic and socioeconomic backgrounds demonstrated higher career interest in primary care and perceived more barriers to cross-cultural care, underscoring the importance of increasing physician workforce diversity to address the primary care shortage and to improve cross-cultural care.

Criminal convictions and immigrant background 1973–2017 in Sweden – have differences increased or declined?

ABSTRACT This study investigates Swedish conviction trends by individuals’ immigrant background for the period 1973–2017. The central research question is whether relative differences in conviction levels have increased, declined or remained unchanged over recent decades. This question is examined in part using a traditional cross-sectional approach, and in part using a cohort-based approach. All results are presented by gender, and results for the cohort-based approach also by holding socioeconomic background constant. The results show that conviction levels have decreased, to a greater extent among men than among women, irrespective of immigrant background. The level of overrepresentation among those born in Sweden to foreign-born parents has increased somewhat, while the overrepresentation of those born abroad has decreased towards the end of the period examined.

Heightened immigration enforcement impacts US citizens' birth outcomes: Evidence from early ICE interventions in North Carolina.

We examine how increased Immigration and Customs Enforcement (ICE) activities impacted newborn health and prenatal care utilization in North Carolina around the time Section 287(g) of the Immigration and Nationality Act was first being implemented within the state. Focusing on administrative data between 2004 and 2006, we conduct difference-in-differences and triple-difference case-control regression analysis. Pregnancies were classified by levels of potential exposure to immigration enforcement depending on parental nativity and educational attainment. Contrast groups were foreign-born parents residing in nonadopting counties and all US-born non-Hispanic parents. The introduction of the program was estimated to decrease birth weight by 58.54 grams (95% confidence interval [CI], -83.52 to -33.54) with effects likely following from reduced intrauterine growth. These results are shown to coexist with a worsening in the timing of initiation and frequency of prenatal care received. Since birth outcomes influence health, education, and earnings trajectories, our findings suggest that the uptick in ICE activities can have large socioeconomic costs over US-born citizens.

Risk factors for gastric cancers in the United States: Variation by anatomic site and race/ethnicity.

189 Background: Gastric cancer (GC) is a high mortality cancer in the US. Differences in risk factors by anatomic location and race/ethnicity have been suggested but remain understudied in the US population. Methods: The Multiethnic Cohort (MEC) is a prospective cohort study that collected data on 5 racial/ethnic groups [Whites (W), Blacks (B), Latino (L), Japanese-American (JA), and Hawaiian (HA)] from Hawaii and Los Angeles in 1993-1996. Participants completed a detailed baseline survey and were followed for development of incident cancer. Cox regression models were used to calculate hazard ratios (HR) and 95% confidence intervals (CI) to identify GC risk factors by anatomic location (cardia, non-cardia) and by race/ethnicity. Results: Data from 192,626 participants was available. The cohort was 25% W, 17% B, 23% L, 28% JA, and 7% HA. During a median follow up of 20.3 years, 1,109 non-cardia and 201 cardia incident GCs were diagnosed. Older age (per year, non-cardia HR 1.08, 95% CI 1.07-1.92; cardia HR 1.06, 95% CI 1.05-1.09), male sex (non-cardia HR 1.6, 95% CI 1.4-1.8; cardia HR 3.0, 95% CI 2.1-4.4), and current (non-cardia HR 1.7, 95% CI 1.5-2.2, cardia HR 3.4, 95% CI 2.2-5.3) or former (non-cardia HR 1.3, 95% CI 1.1-1.5; cardia HR 2.0, 95% CI 1.3-2.9) smoking were associated with both cancer types. Notably, race/ethnicity (ref W: B HR 3.0, 95% CI 2.2-4.0; L HR 2.5, 95% CI 1.8-3.3; JA HR 3.9, 95% CI 3.0-5.1; HA HR 3.9, 95% CI 2.8-5.5), foreign-born (ref: self &amp; parents US born: HR 1.3 95% CI 1.1-1.7), and family history of GC (OR 1.9, 95% CI 1.5-2.3) were associated with non-cardia GC. BMI ≥30 (HR 1.6, 95% CI 1.1-2.3), having ≥1 drink/week (HR 1.6, 95% CI 1.1-2.3), and being JA (ref W: HR 1.9, 95% CI 1.2-2.9) were associated with cardia GC. Risk factors other than age differed by race/ethnicity for non-cardia GC. Male sex was a risk factor for B, L and JA only. Having less than a high school education was a risk factor for B and JA only, smoking a risk factor for L and JA only, and having diabetes a risk factor for B only. Being in the highest sodium intake quartile was a risk factor among W and HA. A family history of GC was a risk factor for W, L, and JA. Having foreign-born parents was a risk factor for W and being foreign-born was a risk factor for JA. Conclusions: GC risk factors differ between subtypes and, for non-cardia, between race/ethnic groups. These differences provide an insight into the etiology of GC and the disproportionate incidence rates in high-risk groups, potentially aiding in the design of targeted intervention strategies.

Osteoporotic fractures in second-generation immigrants and Swedish natives

SummaryIn this national study of osteoporotic fractures in second-generation immigrants in Sweden, we found a similar risk of osteoporotic fractures in general compared to Swedish natives, which suggests that environmental factors are important for the high risk of osteoporotic fractures in Nordic countries.IntroductionSecond generation immigrants may have a similar environment as individuals with two native-born parents. These individuals may be of interest to study concerning whether environmental or hereditary factors could be mostly associated to the risk of osteoporotic fractures. The aim of this study was to analyse the risk of osteoporotic fractures in second-generation immigrants compared to Swedish natives.MethodsThis was a nationwide study of individuals aged 50 years of age and older (N = 1,377,035; 691,750 men and 685,285 women). Osteoporotic fractures were defined as at least one registered diagnosis of fractures in the hip, humerus, forearm or vertebrae, in the National Patient Register between January 1, 1998, and December 31, 2012. Cox regression analysis was used to estimate the relative risk (hazard ratios (HR) with 95% confidence intervals (CI)) of incident osteoporotic fractures in second generation immigrants compared to Swedish natives. The Cox regression models were adjusted for age, comorbidities and for sociodemographic status.ResultsA total of 114,505 osteoporotic fractures were registered, 109,622 (8.4%) were among individuals with Swedish-born parents and 4883 (7.5%) among those with foreign-born parents, with distal forearm fractures dominating in general (44.9%). Fully adjusted HRs (95% CI) were for all immigrants 0.95 (95% CI, 0.91–0.99), for men 0.96 (95% CI, 0.89–1.04) and for women 0.95 (95% CI, 0.90–1.00).ConclusionsWe observed a similar risk of osteoporotic fractures among second-generation immigrants as in Swedish natives, which suggests that environmental factors are important for osteoporotic fractures.

Reactive and Proactive Aggression among Immigrant and Non-Immigrant Early Adolescents in Norway: The Relations to Emotional and Conduct Problems

Objective: This study explores the differences in the association between three different types of aggression (reactive aggression, power-related proactive aggression and affiliation- related proactive aggression) and emotional and conduct problems between early adolescents with immigrant and non-immigrant backgrounds in Norway. Methods: The sample comprised 1759 early adolescents in fifth to eighth grade (10- to 15- year-olds). The proportion of early adolescent immigrants with two foreign-born parents was 862, and 897 participants were adolescents with two Norwegian-born parents. The gender distribution was similar in the immigrant and non-immigrant samples, 48.2% boys and 49.5% girls. The mean age was 11.6 years (SD 1.25) for immigrant boys, 11.7 (SD 1.29) for non-immigrant boys, 11.6 (SD = 1.25) for immigrant girls, and 11.8 (SD = 1.27) for nonimmigrant girls. Data were collected via self-report assessments. Results: A multigroup structural equation model revealed that the effects of reactive and proactive aggression were different for conduct and emotional problems. Only reactive and power-related proactive aggression was significantly associated with conduct problems, and effect sizes were independent of immigrant status. The effects of reactive and power-related proactive aggression on emotional problems were stronger for non-immigrant early adolescents, while the effects of affiliation-related proactive aggression were stronger for immigrant- background early adolescents. Conclusion: A better understanding of the underlying mechanisms of the associations between aggression and emotional problems and the variation between immigrant and nonimmigrant early adolescents can shed light on the etiology of mental health and behavioral problems. The importance of such knowledge in designing interventions targeting aggression among early adolescents in multicultural contexts is discussed.

School outcomes of adolescents with cerebral palsy in Sweden.

AimTo study school outcomes of adolescents with cerebral palsy (CP) compared with a matched comparison group from the general population, and to observe to what extent sociodemographic and disability‐specific factors are associated with school outcomes.MethodThis was a register study of persons with CP in Sweden, born between 1990 and 1999, with a matched comparison group. Logistic regressions were used to estimate the associations between CP and disability‐specific factors and school outcomes (receiving final grades, grade scores, fulfilling the requirements for progressing to secondary school/university, and attending secondary school).ResultsChildren with CP had substantially lower school achievement compared with a general population sample. Much of the difference can be attributed to intellectual disability; however, CP remained strongly negatively associated with school outcomes. Ability to communicate in an effective manner explained most of the variation in children with CP, whereas motor function played a smaller role.InterpretationThe results suggest that school achievements might be improved if the communication barrier could be reduced, for example by ascertaining access to appropriate communication devices and by educators being aware that communicative difficulties do not necessarily imply intellectual disability. This might enhance the school experience and create an environment where children with CP can reach their full potential.What this study adds There are reduced educational outcomes associated with cerebral palsy.Negative outcomes are mainly driven by reduced communicative and intellectual ability.Gross motor function is associated with outcomes, but plays a smaller part.