Native Dutch Children Research Articles

Measurement and Construct-Level Invariance of the Revised Child Anxiety and Depression Scale (RCADS)

Abstract: Measurement and construct-level invariance of the Dutch Revised Child Anxiety and Depression Scale’s test scores (RCADS) across gender and ethnic (minority) backgrounds of the four largest ethnic groups of children living in the Netherlands (i.e., native Dutch; Moroccan; Turkish; or Surinamese/Antillean) was evaluated. Symptoms of generalized anxiety disorder, social phobia, separation anxiety disorder, panic disorder, obsessive-compulsive disorder, and major depressive disorder were rated by 2,679 mainstream elementary schoolchildren ( Mage = 10.61). Results from discrete multiple-group confirmatory factor analyses showed that factor means were generally insensitive to gender bias. However, moderate violations of measurement invariance between native Dutch and the three ethnic minority groups were found for social phobia, panic disorder, and separation anxiety disorder symptoms. Girls had higher mean levels on all RCADS subscales compared to boys. Furthermore, with a few exceptions, children from ethnic minority groups reported higher levels of symptoms of panic disorder, generalized anxiety disorder, and obsessive-compulsive disorder compared to native Dutch children. Scores derived from the RCADS are largely comparable between elementary school boys and girls, but for three out of six subscales, caution is warranted when comparing mean level differences of native Dutch children with children of Turkish, Moroccan, and Surinamese/Antillean ethnic backgrounds.

To disclose or not? Children’s tendency to disclose peer victimisation in elementary school

This study aimed to shed light on the prevalence of chronic peer victimisation among Dutch elementary school children and factors associated with (non-)disclosure of such experiences by victims. 5,961 students from 73 schools participated (51.5% male; M age = 9.96; 77.7% native Dutch). Results showed that 12.3% of all children were victimised chronically, of which 29.4% did not disclose. Multilevel logistic regressions indicated that girls, older and native Dutch children were more likely to disclose. Moreover, experiencing depressive symptoms prompts disclosing victimisation. Anxiety, high emotion regulation skills, and perceptions of cohesion in the classroom were negatively associated with disclosure. The disclosure was not related to frequency or duration of victimisation, self-perceived social acceptance, self-worth, impulse control, or perceived classroom climate. Our study reveals information on the prevalence of peer victimisation and its disclosure, based on a nationwide study conducted in 2016–2017. It gives important insights into factors associated with disclosing victimisation experiences.

Ethnic background and children\u2019s oral health-related quality of life

PurposeEthnic background is known to be related to oral health and socioeconomic position (SEP). In the context of patient-centered oral health care, and the growing number of migrant children, it is important to understand the influence of ethnic background on oral health-related quality of life (OHRQoL). Therefore, we aimed to identify the differences in children’s OHRQoL between ethnic groups, and the contribution of oral health status, SEP, and immigration characteristics.MethodsThis study was part of the Generation R Study, a prospective cohort study conducted in Rotterdam, the Netherlands. In total, 3121 9-year-old children with a native Dutch (n = 2510), Indonesian (n = 143), Moroccan (n = 104), Surinamese (n = 195), or Turkish (n = 169) background participated in the present study. These ethnicities comprise the most common ethnic groups in the Netherlands. OHRQoL was assessed using a validated short form of the child oral health impact profile. Several regression models were used to study an association between ethnic background and OHRQoL, and to identify potential mediating factors.ResultsTurkish and Surinamese ethnic background were significantly associated with lower OHRQoL. After adjusting for mediating factors, only Surinamese children had a significantly lower OHRQoL than Dutch children (β:− 0.61; 95% CI− 1.18 to –0.04).ConclusionsOur results show that Turkish and Surinamese children have a significantly lower OHRQoL than native Dutch children. The association was partly explained by oral health status and SEP, and future studies are needed to understand (cultural) the determinants of ethnic disparities in OHRQoL, in order to develop effective oral health programs targeting children of different ethnic groups.

Ethnic differences in timing and duration of exposure to neighborhood disadvantage during childhood

Abstract This paper examines ethnic differences in childhood neighborhood disadvantage among children living in the Netherlands. In contrast to more conventional approaches for assessing children’s exposure to neighborhood poverty (e.g., point-in-time and cumulative measures of exposure), we apply sequence analysis to simultaneously capture the timing and duration of exposure to poor neighborhoods during childhood. Rich administrative microdata offered a unique opportunity to follow the entire 1999 birth cohort of the Turkish, Moroccan, Surinamese, and Antillean second generation and a native Dutch comparison group from birth up until age 15 (N = 24,212). Results indicate that especially Turkish and Moroccan children had higher odds than native Dutch children to live in a poor neighborhood at any specific stage during childhood, but particularly throughout the entirety of childhood. Although ethnic differences in neighborhood income trajectories became smaller after adjusting for parental and household characteristics, a substantial proportion of the differences remained unexplained. In addition, the impact of household income on children’s neighborhood income trajectories was found to be weaker for ethnic minority children than for native Dutch children. We discuss our findings in relation to theories on spatial assimilation, place stratification, and residential preferences.

Social skills scores

PurposeThe paper aims to examine to what extent and why parental involvement as well as characteristics of ethnic school population influence social skills scores (social position, behavioural skills) of students.Design/methodology/approachThe study used the COOL5-18 database (2010) that included 553 Dutch primary schools and nearly 38,000 students in Grades two, five and eight (aged approximately 5, 8, 11, respectively). Multilevel regression analyses were used for analysis.FindingsThe findings indicate that parental involvement has a positive impact on the social skills scores of the students; behavioural skill scores are higher in ethnically homogeneous schools and lower in schools with a high share of non-Western ethnic minority students. There is no impact of characteristics of school population composition on social position scores.Research limitations/implicationsA possible disadvantage is the way in which social skills and parental involvement were measured. These measurements are possibly negatively influenced by the teacher’s judgement of the language skills of the parents.Originality/valueExisting research focuses on the impact of parental involvement and the composition of ethnic school population on cognitive skills. This study shows that parental involvement has a positive impact on social skills. This study also shows that in schools with a homogeneous ethnic composition or a high share of native Dutch children, behavioural skills scores are higher, but social position scores are not impacted.

Local and global pitch perception in L1 and L2 readers of Dutch

Abstract Prior research showed a relationship between reading skills and pitch perception, however the exact nature remained unclear. By means of reading tests and a pitch perception test, we examined the relation between reading abilities and local and global pitch perception for 92 native Dutch children (mean age = 9.47) and 61 non-native Dutch children (mean age = 9.61). Additionally, for the latter group we examined the role of working memory. In line with prior research with poor readers in a language with a rather transparent orthography by Ziegler, Pech-Georgel, George and Foxton (2012), a relationship is found between reading skills and the ability to detect local changes in pitch, rather than global changes in the melody. Additionally, at least for beginning readers of Dutch as a second language, there is a strong effect of working memory on the relation between reading skills and pitch perception.

Student-teacher relationships and ethnic outgroup attitudes among majority students

Children's ethnic outgroup attitudes are influenced by their teachers' beliefs and multicultural education. However, research has ignored the possible impact of interpersonal relationships with teachers on students' ethnic attitudes. Three studies, using comparable datasets gathered among native Dutch children (8–13years) attending grades 4 to 6 in elementary schools in the Netherlands, assess the importance of student-teacher relationships. In Study 1 (N=389), student-teacher relationships were found to be associated with more positive outgroup attitudes, independent of factors commonly used to explain children's outgroup attitudes. Study 2 (N=334) replicated these findings and showed that the impact of student-teacher relationships was not a reflection of the perceived teacher norm on multiculturalism. The results of Study 3 (N=308) show that the association between close student-teacher relationships and children's ethnic attitudes is indirectly associated through internal motivations for intercultural openness, but not through external motivations or intergroup anxiety.

Differential relationships between language skills and working memory in Turkish\u2013Dutch and native-Dutch first-graders from low-income families

In the Netherlands, Turkish–Dutch children constitute a substantial group of children who learn to speak Dutch at the age of four after they learned to speak Turkish. These children are generally academically less successful. Academic success appears to be affected by both language proficiency and working memory skill. The goal of this study was to investigate the relationship between language skills and working memory in Turkish–Dutch and native-Dutch children from low-income families. The findings revealed reduced Dutch language and Dutch working-memory skills for Turkish–Dutch children compared to native-Dutch children. Working memory in native-Dutch children was unrelated to their language skills, whereas in Turkish–Dutch children strong correlations were found both between Turkish language skills and Turkish working-memory performance and between Dutch language skills and Dutch working-memory performance. Reduced language proficiencies and reduced working-memory skills appear to manifest itself in strong relationships between working memory and language skills in Turkish–Dutch children. The findings seem to indicate that limited verbal working-memory and language deficiencies in bilingual children may have reciprocal effects that strongly warrants adequate language education.

Are (second generation) young immigrants active citizens?: Case of the Netherlands

Abstract The Netherlands is a country of diverse, often contradictory and dynamically changing views and policies with regard to civic integration of immigrants. In this context, studying how young Dutch immigrants express their citizenship may provide valuable insight. This research analyses how Dutch youth of immigrant and local origin differ in forms of expression of their citizenship, with a special distinction between immigrants of western and non-western origin. Results of an analysis of a convenience sample of 376 Dutch students aged 10–19 years revealed that immigrant status was related to significant differences between students on several dimensions of citizenship, in particular in its passive forms: national identity and patriotism. National identity was significantly higher among youth who were not from an immigrant origin, while with respect to patriotism both youth without an immigrant origin and those of western immigrant origin scored higher compared with children of immigrants with non-western roots. Children of immigrants from western countries scored higher than youth of non-western descent and native Dutch children on three dimensions of (semi-)active citizenship: intention to vote; action for change; and civic virtues. Study results confirmed the concern that young immigrants of non-western origin in particular struggle with identification with the host country. It did not confirm popular concerns about limited loyalty to the host country or lack of civic engagement among young (second-generation) immigrants. The results of the study should be generalized with caution due to the nature of the utilized sample.

Ethnic Differences in Duration and Timing of Exposure to Neighbourhood Disadvantage During Childhood

This paper examines ethnic differences in childhood neighborhood disadvantage among children living in the Netherlands. In contrast to more conventional approaches for assessing children’s exposure to neighborhood poverty and affluence (e.g., point-in-time and cumulative measures of exposure), we apply sequence analysis to simultaneously capture the timing and duration of exposure to poor and nonpoor neighborhoods during childhood. Rich administrative microdata offered a unique opportunity to follow the entire 1999 birth cohort of the Turkish, Moroccan, Surinamese, and Antillean second generation and a native Dutch comparison group from birth up until age 15 (N=24,212). Results indicate that especially Turkish and Moroccan children were more likely than native Dutch children to live in a poor neighborhood at any specific stage within childhood, but particularly throughout childhood. Although differences became substantially smaller after adjusting for parental and household characteristics, ethnic differences remained large and statistically significant. In addition, the impact of household income on children’s neighborhood income trajectories was found to be weaker for ethnic minority children than for native Dutch children. Our findings are discussed in relation to theories on spatial assimilation, place stratification, and residential preferences.

Ethnic Disparities in Dental Caries among Six-Year-Old Children in the Netherlands

The aim of this study was to investigate potential differences in caries prevalence of children from ethnic minority groups compared to native Dutch children and the influence of socio-economic status (SES) and parent-reported oral health behaviour on this association. The study had a cross-sectional design, embedded in a population-based prospective multi-ethnic cohort study. 4,306 children with information on caries experience, belonging to 7 different ethnic groups, participated in this study. The decayed, missing, and filled teeth (dmft) index was assessed at the age of 6 and categorized in two ways for analysis: children without caries (dmft = 0) versus any caries experience (dmft >0) and children without caries (dmft = 0) versus children with mild caries (dmft = 1-3) or severe caries (dmft >3). Compared to native Dutch children, children with a Surinamese-Hindustani, Surinamese-Creole, Turkish, Moroccan, and Cape Verdean background had significantly higher odds for dental caries. Especially the Surinamese-Hindustani, Turkish, and Moroccan group had significantly higher odds for severe dental caries. Household income and educational level of the mother explained up to 43% of the association between ethnicity and dental caries, whereas parent-reported oral health behaviour did not mediate the association. Alarming disparities in caries prevalence between different ethnic (minority) groups exist, which cannot be fully explained by social inequalities. Public health strategies can apply this new knowledge and specifically focus on the reduction of ethnic disparities in oral health. More research is needed to explain the high caries prevalence among different ethnic minority groups.

Quantile Peer Effects of Immigrant Children at Primary Schools

AbstractWe analyze how the share of immigrant children in the classroom affects the educational performance of native Dutch children in primary schools. Using quantile regressions, our paper studies these peer effects at different parts of the test score distribution of native children. After accounting for selectivity in the allocation of immigrant students across schools, we find no evidence for the existence of negative peer effects of immigrant children, either at the median or at other parts of the distribution.

Determinants of Ethnic Differences in Cytomegalovirus, Epstein-Barr Virus, and Herpes Simplex Virus Type 1 Seroprevalence in Childhood

To identify whether there are ethnic differences in cytomegalovirus (CMV), Epstein-Barr virus (EBV), and herpes simplex virus type 1 (HSV-1) seroprevalence rates in children at 6 years of age, and when present, to evaluate how these differences can be explained by sociodemographic and environmental factors. This study was embedded within a multi-ethnic population-based prospective cohort study. Serum IgG levels against CMV, EBV, and HSV-1 were measured by enzyme-linked immunosorbent assay in 4464 children (median age 6.0 years). Information on demographics and characteristics were assessed by questionnaires. Herpesvirus seroprevalences between Surinamese-Creole, Surinamese-Hindustani, Turkish, Moroccan, Cape Verdean Antillean, and Native Dutch children were compared. Non-Western ethnicity was an independent risk factor for CMV (aOR, 2.16; 95% CI 1.81-2.57), EBV (1.76; 1.48-2.09), and HSV-1 seropositivity (1.52; 1.39-1.66). Among the ethnic groups, CMV seroprevalences ranged between 29% and 65%, EBV between 43% and 69%, and HSV-1 between 13% and 39%. Low family net household income, low maternal educational level, crowding, and lifestyle factors explained up to 48% of the ethnic differences in HSV-1 seroprevalences, and up to 39% of the ethnic differences in EBV seroprevalences. These factors did not explain ethnic differences in CMV seroprevalences. Socioeconomic position and factors related to lifestyle explain only a part of the large ethnic differences in EBV and HSV-1 seroprevalences, whereas they do not explain ethnic differences in CMV seroprevalences in childhood.

Social Inequalities in Young Children's Meal Skipping Behaviors: The Generation R Study.

BackgroundRegular meal consumption is considered an important aspect of a healthy diet. While ample evidence shows social inequalities in breakfast skipping among adolescents, little is known about social inequalities in breakfast skipping and skipping of other meals among young school-aged children. Such information is crucial in targeting interventions aimed to promote a healthy diet in children.MethodsWe examined data from 4704 ethnically diverse children participating in the Generation R Study, a population-based prospective cohort study in Rotterdam, the Netherlands. Information on family socioeconomic position (SEP), ethnic background, and meal skipping behaviors was assessed by parent-reported questionnaire when the child was 6 years old. Multiple logistic regression analyses were performed to assess the associations of family SEP (educational level, household income, employment status, family composition) and ethnic background with meal skipping behaviors, using high SEP children and native Dutch children as reference groups.ResultsMeal skipping prevalence ranged from 3% (dinner) to 11% (lunch). The prevalence of meal skipping was higher among low SEP children and ethnic minority children. Maternal educational level was independently associated with breakfast skipping ([low maternal educational level] OR: 2.21; 95% CI: 1.24,3.94). Paternal educational level was independently associated with lunch skipping ([low paternal educational level] OR: 1.53; 95% CI: 1.06,2.20) and dinner skipping ([mid-high paternal educational level] OR: 0.39; 95% CI: 0.20,0.76). Household income was independently associated with breakfast skipping ([low income] OR: 2.43, 95% CI: 1.40,4.22) and dinner skipping ([low income] OR: 2.44; 95% CI: 1.22,4.91). In general, ethnic minority children were more likely to skip breakfast, lunch, and dinner compared with native Dutch children. Adjustment for family SEP attenuated the associations of ethnic minority background with meal skipping behaviors considerably.ConclusionLow SEP children and ethnic minority children are at an increased risk of breakfast, lunch, and dinner skipping compared with high SEP children and native Dutch children, respectively. Given these inequalities, interventions aimed to promote regular meal consumption, breakfast consumption in particular, should target children from low socioeconomic groups and ethnic minority children. More qualitative research to investigate the pathways underlying social inequalities in children’s meal skipping behaviors is warranted.

Differences in Overweight and Obesity among Children from Migrant and Native Origin: The Role of Physical Activity, Dietary Intake, and Sleep Duration.

A cross-sectional survey was performed to examine to what degree differences in overweight and obesity between native Dutch and migrant primary school children could be explained by differences in physical activity, dietary intake, and sleep duration among these children. Subjects (n=1943) were primary school children around the age of 8–9 years old and their primary caregivers: native Dutch children (n=1546), Turkish children (n=93), Moroccan children (n=66), other non-western children (n=105), and other western children (n=133). Multivariate regressions and logistic regressions were used to examine the relationship between migrant status, child’s behavior, and BMI or prevalence of overweight, including obesity (logistic). Main explanatory variables were physical activity, dietary intake, and sleep duration. We controlled for age, sex, parental educational level, and parental BMI. Although sleep duration, dietary intake of fruit, and dietary intake of energy-dense snacks were associated with BMI, ethnic differences in sleep duration and dietary intake did not have a large impact on ethnic differences in overweight and obesity among children from migrant and native origin. It is suggested that future preventive strategies to reduce overweight and obesity, in general, consider the role of sleep duration. Also, cross-cultural variation in preparation of food among specific migrant groups, focusing on fat, sugar, and salt, deserves more attention. In order to examine which other variables may clarify ethnic differences in overweight and obesity, future research is needed.

Differences in ADHD medication usage patterns in children and adolescents from different cultural backgrounds in the Netherlands.

Differences in incidence and prevalence of ADHD medication use between ethnic groups have been reported. Goal of this study was to determine whether there are also differences in usage patterns of ADHD medication among native Dutch children and adolescents and those with a Moroccan, Turkish and Surinam cultural background in the Netherlands between 1999 and 2010. In a cohort of ADHD patients<19years (N=817) incident use and discontinuation of ADHD medication were measured for ethnicity and adjusted for age, gender and socio-economic status. A significant higher proportion of ADHD-diagnosed patients from Moroccan (32%) and Turkish (42%) cultural background never used ADHD medication compared to Dutch natives (21%). One-fifth of native Dutch and Turkish patients already used ADHD medication before the ADHD diagnosis date. Discontinuation of ADHD medication within 5years was significantly higher in Moroccan [HR 2.4 (95% CI 1.8-3.1)] and Turkish [HR 1.7 (95% CI 1.1-2.6)] patients. A sensitivity analysis with a zip code-matched comparison between Dutch natives and non-natives showed similar results, suggesting this effect is probably not explained by socio-economic status (SES). Differences are found in prescribing and use of ADHD medication between patients with a different cultural background. Native Dutch and Turkish patients start more frequently with ADHD medication before the ADHD diagnose date, which can be an indication of differences in either referral patterns and/or access to care. A higher percentage of patients with a Moroccan and Turkish cultural background never start using ADHD medication at all and discontinuation rate is higher compared to Dutch natives and Surinamese.

Social inequalities in young children's sports participation and outdoor play.

BackgroundResearch on social inequalities in sports participation and unstructured physical activity among young children is scarce. This study aimed to assess the associations of family socioeconomic position (SEP) and ethnic background with children’s sports participation and outdoor play.MethodsWe analyzed data from 4726 ethnically diverse 6-year-old children participating in the Generation R Study. Variables were assessed by parent-reported questionnaires when the child was 6 years old. Low level of outdoor play was defined as outdoor play <1 hour per day. Series of multiple logistic regression analyses were performed to assess associations of family SEP and ethnic background with children’s sports participation and outdoor play.ResultsSocioeconomic inequalities in children’s sports participation were found when using maternal educational level (p < 0.05), paternal educational level (p < 0.05), maternal employment status (p < 0.05), and household income (p < 0.05) as family SEP indicator (less sports participation among low SEP children). Socioeconomic inequalities in children’s outdoor play were found when using household income only (p < 0.05) (more often outdoor play <1 hour per day among children from low income household). All ethnic minority children were significantly more likely to not to participate in sports and play outdoor <1 hour per day compared with native Dutch children. Adjustment for family SEP attenuated associations considerably, especially with respect to sports participation.ConclusionLow SEP children and ethnic minority children are more likely not to participate in sports and more likely to display low levels of outdoor play compared with high SEP children and native Dutch children, respectively. In order to design effective interventions, further research, including qualitative studies, is needed to explore more in detail the pathways relating family SEP and ethnic background to children’s sports participation and outdoor play.Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-014-0155-3) contains supplementary material, which is available to authorized users.

Overweight and obesity in primary school: native children versus migrant children

Aim To compare the means of body mass index (BMI) and the prevalences of overweight and obesity between native Dutch and migrant primary school children and to assess to what degree differences between these children could be explained by socioeconomic position and BMI of the mother and the father.

The role of early life factors in the development of ethnic differences in growth and overweight in preschool children: a prospective birth cohort.

BackgroundEthnic differences in childhood and adulthood are known, but ethnic differences in preschool overweight and associated factors are less studied. We assessed ethnic differences in pre-school age overweight, and studied the mediating role of early life factors in this association. Furthermore, we assessed body mass index (BMI) z-score development from birth to age 4 years to study ethnic-specific differences in BMI z-score trajectory.MethodsWe used data on 4581 children participating in a birth cohort who were born between 2002 and 2006 in Rotterdam, the Netherlands. Child’s ethnicity was defined according to country of birth of the parents. Weight and length/height was repeatedly measured between 1 and 45 months of age. Overweight at age 4 years was defined according to cut-off points for BMI from the international obesity task force. We performed logistic regression to obtain independent estimates of the association between ethnicity and preschool-age overweight, and to assess the mediating role of early life risk factors. Mixed models were used to describe BMI-z development for each ethnic group from birth to preschool age.ResultsRelative to native Dutch children, non-Dutch children were more likely to be overweight at age 4 years, except for Surinamese-Hindustani children. Socio-demographic factors, parental BMI, and infant weight change in the first 6 months after birth reduced associations. After full adjustment, Turkish (OR: 2.02, 95% CI: 1.34-3.04) and Antillean/Surinamese Creole (OR: 1.78, 95% CI: 1.06-3.02) children were still more likely to be overweight at age 4 years.ConclusionEthnic differences on the prevalence of overweight in preschool children can be partially explained by maternal educational level, parental overweight and early infant weight change. These may be possible targets to reduce ethnic inequalities in preschool age overweight.

Ethnic Helping and Group Identity: A Study among Majority Group Children

AbstractTwo vignette studies were conducted on children's evaluations of ethnic helping. In the first study, 272 nativeDutch children (mean age=10.7) evaluated a child who refused to help in an intra‐group context (Dutch–Dutch orTurkish–Turkish) or inter‐group context (Dutch–Turkish orTurkish–Dutch). Children evaluated not helping in intra‐group situations more negatively than not helping in inter‐group situations. This suggests that they applied a general moral norm of group loyalty that states that children should help peers of their own group. In the second study, 830 children (mean age=10.7) read the same vignettes after their ethnic group membership was made salient. In the inter‐group contexts, children who strongly identified with their ethnic group evaluated an out‐group member not helping an in‐group member more negatively than vice versa. Thus, when ethnic identity was salient, children tended to focus more on group identity rather than on the principle of group loyalty.